Our Lady of Perpetual Help
Retreat and Spirituality Center

Diocese of Venice, FloridA

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Payment for Pre-arranged Retreat

If you have already arranged an individual retreat with Denise Riley and have been directed to this page, please continue below to make your payment. If you have not formally scheduled a retreat, please click here to contact Denise Riley.
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- This page is used only for retreats and other payments previously approved by OLPH.
  
  Click here to make a donation
  Click here to view our Scheduled Events
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
- 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.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Enter Retreat/Event Name and Date REQUIRED Please fill out this field.
- Dietary Restrictions
- 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.
- Payment Type REQUIRED Please fill out this field.
- Payment Amount (you will have the option of paying by credit card or eCheck): REQUIRED $ Please fill out this field. Please enter a positive decimal.
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- Stewardship & Memorial