Thank you for your interest in attending our Theology of the Body and Your Marriage retreat weekend. Please follow the steps below to register for the retreat.
Register Now
 
First and Last Name *

 
Spouse First and Last Name *

 
Phone Number *

 
Are there any allergies or medical conditions we need to be aware of? *

     
 
Please describe allergies or medical conditions as well as any treatment that may be necessary. *

 
Are there any specific dietary restrictions we need to be aware of? *

Please note that the John Paul II Cultural Centre has a limited ability to accommodate dietary needs reasonably. We may be unable to meet some requests.
     
 
Please describe specific dietary needs that you require. *

If it is agreeable with the kitchen staff, you may be able to use the kitchen facilities to prepare your meals. Having the kitchen staff prepare for many specific dietary needs might overly complicate the food preparation.
 
Would you like the John Paul II Cultural Centre to provide child care? *

Child care can be provided during the sessions for an additional cost of $25 per child. If you are bringing a baby and plan to care for them yourselves please answer "No"
     
 
How many children are you bringing?

 
Please provide the names and ages of the children you will be bringing.

 
Please consider uploading a photo of your family (optional)

Photos will be posted at the retreat to help couples to get to know each other and their families.
 
Photo Release and Release of Liability *

Thank you for registering for an exciting weekend at our Theology of the Body and Your Marriage Retreat.

The acceptance of this agreement is mandatory for your participation in the retreat. Please read and agree to the following terms in order to complete your registration for Theology of the Body and Your Marriage. 

Release of Liability

In exchange for participation in the activity of a weekend marriage retreat held at the John Paul II Cultural Centre ("JPII Centre"), of 6679 Woodworth Road, Port Burwell, Ontario, N0J 1T0 and/or use of the property, facilities and services of JPII Centre, I agree for myself and my spouse, to the following:

1. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by JPII Centre, or the employees, representatives or agents of JPII Centre.    

2. I recognize that there are certain inherent risks associated with the above-described activity, and I assume full responsibility for personal injury to myself and (if applicable) my spouse, and further release and discharge JPII Centre for injury, loss or damage arising out of my or my spouse's use of or presence upon the facilities of JPII Centre, whether caused by the fault of myself, my spouse, JPII Centre or other third parties.     

3. I agree to indemnify and defend JPII Centre against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my spouse's use of or presence upon the facilities of JPII Centre.    

4. I agree to pay for all damages to the premises of JPII Centre caused by my or my spouse's negligent, reckless, or willful actions.     

5. Any legal or equitable claim that may arise from participation in the above shall be resolved under Ontario law.     

6. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that JPII Centre has offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement.     

7. This Agreement and each of its terms are the product of an arms' length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of an accurate term, language, or provision giving rise to such ambiguity.     

8. The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement. 

Photo Release
By clicking "I Accept" below, I hereby authorize the John Paul II Cultural Centre to publish pictures and videos of myself and/or my spouse and/or my son/daughter and/or ward on the official website and/or Facebook page as well as brochures and/or newsletters of the above-named organizations. The photos and videos will be used to aid visitors to help them get a visual depiction of the John Paul II Cultural Centre experience. 

I stipulate by signing below that the photos may not be identified in any way with personal information other than first names (i.e., last name, address, phone number or any other identifying information). 

Not all photos will be used; only those deemed most advantageous for the purpose intended and that most accurately depict the subject matter.

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ AND CLEARLY UNDERSTAND AND VOLUNTARILY AGREE TO THE TERMS OF THIS RELEASE OF LIABILITY AND PHOTO RELEASE.
     
 
Are you in need of financial assistance? *

     
 
How would you like to pay for the retreat? *

Please note that a 3% charge will be added to credit card transactions to cover the credit card fees.

 
Total amount owing is $390.00 plus $25 per child if you requested child care.

Please make cheques payable to "John Paul II Cultural Centre"

Mail cheque to:
John Paul II Cultural Centre
6679 Woodworth Road
Port Burwell, Ontario
N0J 1T0
 
Please contact us at 519-495-6740 or info@jp2centre.org in order to discuss your financial needs and complete your registration.

Thank you for your interest in applying for financial assistance. Due to the generosity of various donors, we can reduce or cover the full cost of registering for the weekend. Please do not allow financial pressures to prevent you and your spouse from joining us on this retreat. We look forward to hearing from you. God bless!
 
The registration fee for the retreat weekend is $390, $25 per child (if you requested child care) and a 3% credit card charge. *

Registration fee covers accommodations, food, and retreat resources.
 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


You are registered for our retreat from{{answer_36688677}}. We will contact you shortly to provide more information about the retreat. Thank you and God bless!
Finish
Powered by Typeform
Powered by Typeform