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Program Payment and Registration--
Please complete the IN PERSON or ZOOM participation field for each program

- Registration Form
  - Program Payment and Registration
  - Private Retreats

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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Event 1--Fill in IN PERSON or ZOOM participation
  
  IN PERSON--Program and Date of Event Please enter valid data.
  
  ZOOM PARTICIPATION--Program and Date of Event Please enter valid data.
  
  If registering additional people, please list their name(s) here. Please enter valid data.
  
  Event Fee for Total Number of People Registering $ Please enter a positive decimal.
- Event 2--Fill in IN PERSON or ZOOM participation
  
  IN PERSON--Program and Date of Event Please enter valid data.
  
  ZOOM PARTICIPATION--Program and Date of Event Please enter valid data.
  
  If registering additional people, please list their name(s) here. Please enter valid data.
  
  Event Fee for Total Number of People Registering $ Please enter a positive decimal.
- Event 3--Fill in IN PERSON or ZOOM participation
  
  IN PERSON--Program and Date of Event Please enter valid data.
  
  ZOOM PARTICIPATION--Program and Date of Event Please enter valid data.
  
  If registering additional people, please list their name(s) here. Please enter valid data.
  
  Event Fee for Total Number of People Registering $ Please enter a positive decimal.
- Event 4--Fill in IN PERSON or ZOOM participation
  
  IN PERSON--Program and Date of Event Please enter valid data.
  
  ZOOM PARTICIPATION--Program and Date of Event Please enter valid data.
  
  If registering additional people, please list their name(s) here. Please enter valid data.
  
  Event Fee for Total Number of People Registering $ Please enter a positive decimal.
- Event 5--Fill in IN PERSON or ZOOM participation
  
  IN PERSON--Program and Date of Event Please enter valid data.
  
  ZOOM PARTICIPATION--Program and Date of Event Please enter valid data.
  
  If registering additional people, please list their name(s) here. Please enter valid data.
  
  Event Fee for Total Number of People Registering $ Please enter a positive decimal.
- Mount Saint Mary House of Prayer is hosting all of the programs on this website. If you learned about our programs from the website or announcement from another Mercy Retreat Center, please check the name of that center from the list below.
- Cranaleith Spiritual Center, Philadelphia, PA Check
- Mercy by the Sea, Madison, CT Check
- Mercy Center Auburn, Auburn, CA Check
- Mercy Center Burlingame, Burlingame, CA Check
- Mercy Farm EcoSpirituality Center, Benson, VT Check
- Mercy Conference and Retreat Center, St. Louis, MO Check
- Mercy Spirituality Center, Rochester, NY Check
- Our Lady of the Pines Retreat Center, Fremont, OH Check
- Well of Mercy, Hamptonville, NC Check
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Program Payment and Registration--Please complete the IN PERSON or ZOOM participation field for each program

Program Payment and Registration--
Please complete the IN PERSON or ZOOM participation field for each program