Retreat Registration

Oct. 17-19, 2025
St. Benedict's Retreat Center
56630 N Bank Rd, McKenzie Bridge, OR 97413
Cost: $60

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth *

Year in School *

Emergency Contact Name *

First

Last

Emergency Contact Relation to You: *

Emergency Contact Phone Number *

Emergency Contact Email *

*** Please note: We will do our best to accommodate your needs, but please bring your own food to supplement the provided food if you have extreme allergies or special dietary needs.

Every retreat, we ask students with cars if they are willing to be a driver when we carpool to the retreat center. If you have a car, are you willing to help drive? *

Yes No

If you are able to drive, how many does your car fit? Including yourself *

Late Departure: Do you need a late departure time (after 4:00 pm)? Please indicate what time you need to depart below, so we can coordinate transportation: *

Submit and Pay

Retreat Registration

ST. THOMAS MORE NEWMAN CENTER