Our Lady of Perpetual Help
Retreat and Spirituality Center

Diocese of Venice, FloridA

Facebook X (Twitter)

1-Night Retreat Registration

- Retreats
  - Individual Retreats
    
    Individual Retreat Overview
    1-Night Retreat (Desert Day)
    3-Night Retreat
    5-Night Retreat
    7-Night Retreat
    30-Day Retreat
    1-Night Retreat Registration
  - OLPH's Group Retreats
    
    Monthly Day of Prayer
    Group Retreat Schedule
    Group Retreat Registration
    Youth Retreats
    Matt Talbot Retreat
  - Host Your Group Retreat
    
    Hosting a Group Retreat
Contact Us
- Carol Miller
  
  Operations Manager
  
  941-486-0233, ext. 3011
  olphinfoolph-retreat.org

Complete one form per Retreatant
The cost of the 1-Night Individual Retreat is $165.00 (inc. tax and fees)
Payments are non-refundable

If you have any questions or would like to schedule a date,
please contact OLPH at (941) 486-0233
The maximum number of form submissions has been reached. This form is currently not available.
- OLPH staff will review the registration form in strict confidence
- ----- RETREATANT INFORMATION -----
- Select the 1-Night Retreat Date REQUIRED Please fill out this field.
- Retreatant's First Name REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
- Retreatant's Last Name REQUIRED Maximum 35 characters Please fill out this field. Please enter valid data.
- Retreatant's Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters
  Please enter the best 10-digit phone number (including area code) to reach you.
  Please fill out this field. Please enter a phone number.
- Email REQUIRED
  Please enter the email address to use for OLPH correspondence
  Please fill out this field. Please enter an email address.
- Date of Birth REQUIRED
  Please enter your Date of Birth in MM/DD/YYYY format
  Please fill out this field. Please enter a date.
- Are you Catholic? REQUIRED Yes No Please fill out this field.
- If you are of another faith, please specify: Maximum 60 characters Please enter valid data.
- Please identify if you are a priest, deacon, seminarian, or religious.
  Please select the option that applies to you.
- If you selected Other above, please specify: Maximum 60 characters Please enter valid data.
- ----- EMERGENCY CONTACT INFORMATION -----
- This information is to help us, as well as to provide EMT and health care professionals with important information in case of a medical emergency.
  Please note: EMTs are trained to ask questions about a person’s age, current medication, emergency contact numbers, and important medical history.
- Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Relationship REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- ----- HEALTH INFORMATION -----
- Please identify if you have any food allergies or medically-required dietary restrictions. Please note that OLPH is limited in its ability to accommodate special dietary needs.
  Please note that OLPH is limited in its ability to accommodate special dietary needs.
- ROOM AND PAYMENT INFORMATION
- Amount: REQUIRED
  Make your selection and press the Proceed to Payment button to complete your payment.
  Please fill out this field.
- Registration is not complete until you
  Proceed to Payment
Total:

Submit

Proceed to Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

1-Night Retreat Registration

----- RETREATANT INFORMATION -----