St. Katherine of Alexandria & St. Verena Coptic Orthodox Convent

Diocese of Los Angeles, Southern California, and Hawaii

Retreat Registration

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Available

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Booked

First Name*

Last Name*

Age*

Email*

Phone*

Emergency Contact (Name & Phone)*

Home Church*

Home Church if outside the LA, Southern California, & Hawaii Diocese

Father of Confession*

Father of Confession Phone Number*

Visitors*

Arrival Time*

Departure Time*

List Name, Age, Emergency Contact for each retreater*

I agree to the convent retreat policies.

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