Parish Retreat Registration

The Falls Church Anglican Parish Retreat October 16-18, 2026 at Sandy Cove.

Adult Registration

How many adults are you registering, including yourself?*

Your Name*

First Last

Your Email (your registration confirmation will be sent to this email address)*

Your Phone Number*

Adult #2 Name*

First Last

Adult #2 Email*

Adult #2 Phone Number*

Adult #3 Name*

First Last

Adult #3 Email*

Adult #3 Phone Number*

Adult #4 Name*

First Last

Adult #4 Email*

Adult #4 Phone Number*

Are you registering any children?*

Subtotal (Prior to Payment Processing Fees if Applicable)

Includes two nights lodging at Sandy Cove, five meals, and all programming for adults.

Child Registration

Children Ages Under 2

How many children under 2 (in the fall) are you registering?

Name

First Last

Gender

Age

Name

First Last

Gender

Age

Name

First Last

Gender

Age

Children Ages 2-9

How many children ages 2 – 9 (in the fall) are you registering?

Name

First Last

Gender

Grade in fall*

Name*

First Last

Gender

Grade in fall

Name

First Last

Gender

Grade in fall

Name

First Last

Gender

Grade in fall

Children Ages 10-18

How many children ages 10-18 (in the fall) are you registering?

Name

First Last

Gender

Grade in fall

Name

First Last

Gender

Grade in fall

Name

First Last

Gender

Grade in fall

Name

First Last

Gender

Grade in fall

Subtotal (Prior to Payment Processing Fees if Applicable)

Includes two nights lodging at Sandy Cove, five meals, and all programming for adults and children.

Generosity Fund

If you would like to contribute to the scholarship fund, please indicate the amount here:

Thank you for your generosity. Your contribution helps to make it possible for other families to attend.

Scholarship

Scholarship Code (must be obtained before registration)

Payment

Payment Method

Credit Card (includes 3% processing fee). A payment link will be included in your confirmation email.

Mail a Check

Credit Card Processing Fee

Price: $0.03

Total

Includes all lodging, meals, programming, and any optional scholarship fund contributions.

All checks are due within a week of submitting your registration. Please mail a check to The Falls Church Anglican for the total amount at this address: 6565 Arlington, Blvd Falls Church, VA 22042. Include “Parish Retreat Registration” in the memo field. Please also include a printed out copy of your registration email confirmation with your check.

Address

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Waiver

Liability Waiver and Photo Release. By submitting my registration, I understand there are potential risks involved with 3rd party activities that are offered for this retreat. I will not hold The Falls Church Anglican responsible for any injuries sustained from this event. Additionally, I give my permission for The Falls Church Anglican to use my and/or my child’s image for photos/video for use on our website and/or promotional materials.

Parish Retreat 2026