The 2026 UCWM National Retreat
Dates: April 16th – 19th, 2026

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Name *

First

Last

Email *

Cell Phone Number *

Diocese

• Eastern
• North Central
• Northern
• South Central
• Southeastern
• Southwestern
• Pacific Northwest
• Western
• Other

Select one:

Age Demographic:

• 18 – 35 years old
• Over 35 years old
• Over 65 years old

Select one:

Dietary Restrictions

• Diabetic
• Nut Allergy
• Non-Diary
• Vegetarian
• Gluten-Free
• Other

Check all that apply:

What days will you attend? *

• Day 1 – Thursday , April 16
• Day 2 – Friday, April 17
• Day 3 – Saturday , April 18
• Day 4 – Sunday, April 19

Retreat ends Sunday morning. Check all that apply:

Will you have Roommate(s)? *

• Yes
• No

Names of Roommates

Cell not $245.00.

I understand that total cost of registration is $245.00. *

• Yes

Registration Payment Schedule ( Funds transferrable; not refundable) *

• First payment of $145 due February 2025
• Second payment of $100 due September 2025
• Final payment / All funds due January 17, 2026

Check all that apply:

Payment Method *

• CashApp $EDUCWM26
• Zelle : easterndiocese89@gmail.com
• Check

Mail check payable to: Eastern Diocese UCWM, Constance Fletcher, P O Box 1076, Germantown, MD 20875-1076

Submit

For more information, please contact Sis. Bonita Brown at (302) 563-4873