Name: 300 N. 18th St.
Address: 300 N. 18th St., Norfolk, NE 68701
Telephone: (402) 371-3438

Women's Silent Retreat Registration - August 28, 2026 - August 30, 2026

Friday 7:00pm to Sunday 4:00pm

For Women between the ages of 19-45

$75 Registration Fee

First Name (Required)

Last Name (Required)

Street Address (Required)

City, State (Required)

Zip Code (Required)

Phone (Required)

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E-mail (Required)

Age (Required)

Occupation/College (Required)

If in College, what year? (Required)

How did you hear about us? (Required)

Do you have any Dietary Restrictions? (Required)

What is the best way for us to contact you?

By E-mail
By Phone
Phone OR E-mail

Emergency Contact/Relationship to Registrant: (Required)

Phone Number for Emergency Contact: (Required)

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code (Required)

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

For more information contact:

Sr. Fidelis Marie, O.S.B.
Immaculata Monastery & Spirituality Center
300 N. 18th Street
Norfolk, NE 68701 Phone: (402) 371-3438 Email: spiritualityctrnorfolk@gmail.com

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Spirituality Center

Friday 7:00pm to Sunday 4:00pm

For Women between the ages of 19-45

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