Women's Retreat March 2026

First Name *

Last Name *

Phone *

Email *

Invited By:

Emergency Contact 1: Name/Number

Emergency Contact 2: Name/Number

Please provide your medical info in the fields below. We use this if anyone has a medical emergency we are able to either get your medication if you forgot it or provide paramedics with info that they can use to your benefit in and emergency.

Any Allergies?

Your Pharmacy of choice?

Primary Care Physician (Name, Number)

The full cost of the retreat is $150. We require a $60 deposit to hold your spot on the retreat (NON REFUNDABLE)

2 ways to pay for your retreat. Through cashapp or zelle. You can send payment to Apostle Anna Velez:

Cashapp: $ApostleAnnaVelez

Zelle: Revannavelez@gmail.com

Here is a quick check List of the things to bring. Toothpaste, Towel, Twin bed sheets, A Pillow, A Blanket, Soap, Shampoo & Conditioner, Money for gift store and extra snacks.