I'd like this donation to recur:
For how many months/years? (Including this one):
Enter Donation Amount

PAYMENT & REGISTRATION

Please pay & fill out the registration form below
 

 

 

Payment Option 1

Pay online with credit/debit card or paypaL Account

 
 
 

 

Payment option 2

PAY WITH A CHECK
 

Checks Payable to: PATRIARCH

Mail to:       Patriarch
                    1795 S. Williams Street
                    Denver, CO 80210

Cost:         $475 per family


 

Fill out the form below to complete your reservation:

We need this information to determine lodging accommodations for your family and to arrange for activities for children on the retreat.
Phone
Phone
If you have children under 2 years old, can you provide a place for them to sleep? (e.g. a pack & play). *
This will help us arrange lodging accommodations.