November 5-7, 2027

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Please List any Allergies

Emergency Contact Information

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Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Relationship to Retreatant REQUIRED Please fill out this field. Please enter valid data.

Room Preference REQUIRED 1st Floor 2nd Floor No Preference Please fill out this field.

Suite mate preference (if known) Please enter valid data.

Room # preferred (if known) Please enter valid data.

Is this your first retreat at The Cenacle on the Lake? REQUIRED YES NO Please fill out this field.

Would you like a tour of the building and the new upgrades? YES NO

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Religious Affiliation Catholic Baptist Presbyterian Methodist Episcopalian Lutheran Protestant Jewish Other

Age Demographics 21 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 - 79 80 - 89 90+

Name of Church Parish Please enter valid data.

Retreat Payment

A non-refundable $100.00 deposit is required to secure your registration and will be applied towards your final payment. The full payment includes the deposit amount. If you pay the deposit only, your balance will be due upon check-in for your retreat.

Retreat Payment:

100.0 – Deposit only (Non-refundable)

350.0 – Payment in Full

Donation Opportunities:

All donations received above the full cost of your retreat are considered tax deductible. Donations help us with general operating expenses. Gifts to our Capital Improvements Campaign help us to beautify our facility and address deferred maintenance issues. Thank you for supporting our ministry!

Donations $ Please enter a positive decimal.

Capital Improvements $ Please enter a positive decimal.

Tara Herrera Baton Rouge 225-803-2250	Sharon Lambert Hammond 985-981-4526
Sally Staiger New Orleans 504-931-6048	Melinda Sanford Baton Rouge 225-333-8129