LUMEN CHRISTI RETREAT REGISTRATION FORM (FEB 9th and 10th) Return this form with $45.00 registration fee or, email the following info to htretreat@adoreworship.com and mail in your check Please mail to PO BOX 4174 Houma, LA 70361 ==================================================================== Name: _______________________________________ Email Address: ______________________________ Age: ______________ Mailing Address: ________________________________________________________ City/State/Zip code: _____________________________ Phone: ____________________________________ Married? Please note there is a $35.00 discounted rate for married couples. If you are registering as a couple, please indicate above.