Women's Retreat Signup

Fields marked with an * are required

1 .Fill out registration form and hit submit (below).

2 .After filling out the registration form you will need to go back to the registration form and hit the pay now button (above).  This will take you to Paypal.


PLEASE FILL IN ALL FIELDS - Please be sure to click the SUBMIT button on the bottom of the form. (In order to secure your spot, please pay $50 per person via Paypal or mail a Check to Cindy Stark 8956 Larchwood Ct. St. Louis MO 63126) If you wish to pay by Pay Pal you must click the PAY NOW button at the top of the form. All fields with an * are required. If you do not complete a field or check a box, the form will not be submitted.

Be sure to choose the date of the retreat you wish to attend.  

All fees are non-refundable and added to the scholarship fund if you cancel.

Fields marked with an * are required