Antiochian Diocese of Miami and the Southeast

Antiochian Orthodox Christian Archdiocese of America

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Contact

DOMSE CLERGY & WINTER RETREATS REGISTRATION

Clergy Retreat Schedule | Winter Retreat Schedule

THE FORM BELOW IS REGISTRATION FOR THE RETREAT ONLY!
If you have any questions please send us an email: dmcdomse@gmail.com

RegistrationStep 1 of 3

Email (Required)

Telephone Number (Digits only, do not enter in hyphens) (Required)

Please identify your Parish (Required)

First Name (Required)

Last Name (Required)

Please identify this person (1): (Required)

Priest (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon(4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (2-day package | Winter Retreat) - $ 95.00
Subdeacon (2-day package | Winter Retreat) - $ 95.00
Antiochian Man (2-day package | Winter Retreat) - $ 95.00
Antiochian Woman (2-day package | Winter Retreat) - $ 95.00
Clergy Wife (2-day package | Winter Retreat) - $ 95.00
Young Adult (Ages 20+ | 2-day package | Winter Retreat) - $ 95.00
Teen SOYO (Ages 13 - 19 | 2-day package | Winter Retreat) - $ 45.00
Children (Ages 4 - 12 | 2-day package | Winter Retreat) - $ 25.00
Infants (Up to 3 years old | 2-day package | Winter Retreat) - $ 0.00

Please identify (Required)

Does this person have a dietary restriction of being gluten free? (Required)

Yes
No

Is childcare being requested for this person? (Required)

Yes
No

So that we can ensure we have adequate child care support, please let us know this child's age: (Required)

Are you registering anyone else? (2) (Required)

Yes
No

2nd Person: Please enter First & Last Name: (Required)

2nd Person: Please identify this person (Required)

Priest (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (2-day package | Winter Retreat) - $ 95.00
Subdeacon (2-day package | Winter Retreat) - $ 95.00
Antiochian Man (2-day package | Winter Retreat) - $ 95.00
Antiochian Woman (2-day package | Winter Retreat) - $ 95.00
Clergy Wife (2-day package | Winter Retreat) - $ 95.00
Young Adult (Ages 20+ | 2-day package | Winter Retreat) - $ 95.00
Teen SOYO (Ages 13 - 19 | 2-day package | Winter Retreat) - $ 45.00
Children (Ages 4 - 12 | 2-day package | Winter Retreat) - $ 25.00
Infants (Up to 3 years old | 2-day package | Winter Retreat) - $ 0.00

Does this person have a dietary restriction of being gluten free? (Required)

Yes
No

Is childcare being requested for this person? (Required)

Yes
No

So that we can ensure we have adequate child care support, please let us know this child's age: (Required)

Are you registering anyone else? (3) (Required)

Yes
No

3rd Person: Please enter First & Last Name (Required)

3rd Person: Please identify this person (Required)

Priest (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (2-day package | Winter Retreat) - $ 95.00
Subdeacon (2-day package | Winter Retreat) - $ 95.00
Antiochian Man (2-day package | Winter Retreat) - $ 95.00
Antiochian Woman (2-day package | Winter Retreat) - $ 95.00
Clergy Wife (2-day package | Winter Retreat) - $ 95.00
Young Adult (Ages 20+ | 2-day package | Winter Retreat) - $ 95.00
Teen SOYO (Ages 13 - 19 | 2-day package | Winter Retreat) - $ 45.00
Children (Ages 4 - 12 | 2-day package | Winter Retreat) - $ 25.00
Infants (Up to 3 years old | 2-day package | Winter Retreat) - $ 0.00

Does this person have a dietary restriction of being gluten free? (Required)

Yes
No

Is childcare being requested for this person? (Required)

Yes
No

So that we can ensure we have adequate child care support, please let us know this child's age: (Required)

Are you registering anyone else? (4) (Required)

Yes
No

4th Person: Please enter First & Last Name: (Required)

4th Person: Please identify this person (Required)

Priest (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (2-day package | Winter Retreat) - $ 95.00
Subdeacon (2-day package | Winter Retreat) - $ 95.00
Antiochian Man (2-day package | Winter Retreat) - $ 95.00
Antiochian Woman (2-day package | Winter Retreat) - $ 95.00
Clergy Wife (2-day package | Winter Retreat) - $ 95.00
Young Adult (Ages 20+ | 2-day package | Winter Retreat) - $ 95.00
Teen SOYO (Ages 13 - 19 | 2-day package | Winter Retreat) - $ 45.00
Children (Ages 4 - 12 | 2-day package | Winter Retreat) - $ 25.00
Infants (Up to 3 years old | 2-day package | Winter Retreat) - $ 0.00

Does this person have a dietary restriction of being gluten free? (Required)

Yes
No

Is childcare being requested for this person? (Required)

Yes
No

So that we can ensure we have adequate child care support, please let us know this child's age: (Required)

Are you registering anyone else? (5) (Required)

Yes
No

5th Person: Please enter First & Last Name (Required)

5th Person: Please identify this person (Required)

Priest (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (2-day package | Winter Retreat) - $ 95.00
Subdeacon (2-day package | Winter Retreat) - $ 95.00
Antiochian Man (2-day package | Winter Retreat) - $ 95.00
Antiochian Woman (2-day package | Winter Retreat) - $ 95.00
Clergy Wife (2-day package | Winter Retreat) - $ 95.00
Young Adult (Ages 20+ | 2-day package | Winter Retreat) - $ 95.00
Teen SOYO (Ages 13 - 19 | 2-day package | Winter Retreat) - $ 45.00
Children (Ages 4 - 12 | 2-day package | Winter Retreat) - $ 25.00
Infants (Up to 3 years old | 2-day package | Winter Retreat) - $ 0.00

Does this person have a dietary restriction of being gluten free? (Required)

Yes
No

Is childcare being requested for this person? (Required)

Yes
No

So that we can ensure we have adequate child care support, please let us know this child's age: (Required)

Are you registering anyone else? (6) (Required)

Yes
No

6th Person: Please enter First & Last Name (Required)

6th Person: Please identify this person (Required)

Priest (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (2-day package | Winter Retreat) - $ 95.00
Subdeacon (2-day package | Winter Retreat) - $ 95.00
Antiochian Man (2-day package | Winter Retreat) - $ 95.00
Antiochian Woman (2-day package | Winter Retreat) - $ 95.00
Clergy Wife (2-day package | Winter Retreat) - $ 95.00
Young Adult (Ages 20+ | 2-day package | Winter Retreat) - $ 95.00
Teen SOYO (Ages 13 - 19 | 2-day package | Winter Retreat) - $ 45.00
Children (Ages 4 - 12 | 2-day package | Winter Retreat) - $ 25.00
Infants (Up to 3 years old | 2-day package | Winter Retreat) - $ 0.00

Does this person have a dietary restriction of being gluten free? (Required)

Yes
No

Is childcare being requested for this person? (Required)

Yes
No

So that we can ensure we have adequate child care support, please let us know this child's age: (Required)

Are you registering anyone else? (7) (Required)

Yes
No

7th Person: Please enter First & Last Name (Required)

7th Person: Please identify this person (Required)

Priest (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (2-day package | Winter Retreat) - $ 95.00
Subdeacon (2-day package | Winter Retreat) - $ 95.00
Antiochian Man (2-day package | Winter Retreat) - $ 95.00
Antiochian Woman (2-day package | Winter Retreat) - $ 95.00
Clergy Wife (2-day package | Winter Retreat) - $ 95.00
Young Adult (Ages 20+ | 2-day package | Winter Retreat) - $ 95.00
Teen SOYO (Ages 13 - 19 | 2-day package | Winter Retreat) - $ 45.00
Children (Ages 4 - 12 | 2-day package | Winter Retreat) - $ 25.00
Infants (Up to 3 years old | 2-day package | Winter Retreat) - $ 0.00

Does this person have a dietary restriction of being gluten free? (Required)

Yes
No

Is childcare being requested for this person? (Required)

Yes
No

So that we can ensure we have adequate child care support, please let us know this child's age: (Required)

Are you registering anyone else? (8) (Required)

Yes
No

8th Person: Please enter First & Last Name (Required)

8th Person: Please identify this person (Required)

Priest (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (4-day package | Clergy Retreat & Winter) - $ 160.00
Deacon (2-day package | Winter Retreat) - $ 95.00
Subdeacon (2-day package | Winter Retreat) - $ 95.00
Antiochian Man (2-day package | Winter Retreat) - $ 95.00
Antiochian Woman (2-day package | Winter Retreat) - $ 95.00
Clergy Wife (2-day package | Winter Retreat) - $ 95.00
Young Adult (Ages 20+ | 2-day package | Winter Retreat) - $ 95.00
Teen SOYO (Ages 13 - 19 | 2-day package | Winter Retreat) - $ 45.00
Children (Ages 4 - 12 | 2-day package | Winter Retreat) - $ 25.00
Infants (Up to 3 years old | 2-day package | Winter Retreat) - $ 0.00

Does this person have a dietary restriction of being gluten free? (Required)

Yes
No

Is childcare being requested for this person? (Required)

Yes
No

So that we can ensure we have adequate child care support, please let us know this child's age: (Required)

Total:

360.00

PLEASE PRESS NEXT TO CONTINUE YOUR REGISTRATION.

Support Your Diocese (Optional)

Donation to CAMP ST. THEKLA (enter amount)

Donation to DOMSE SCHOLARSHIP FUND (enter amount)

Donation to ANTIOCHIAN WOMEN (enter amount)

Donation to AMEN (enter amount)

Donation to YOUNG ADULT FELLOWSHIP (enter amount)

Donation to TEEN SOYO (enter amount)

Donation to GENERAL (Where there is a need) (enter amount)

Total

360.00

PLEASE PRESS NEXT TO CONTINUE YOUR REGISTRATION.

Are you interested in volunteering for at least one childcare session during the retreat?

As you may know, one of the joys of the DOMSE retreats is that we have our youth with us and they have a wonderful time getting to know each other and making lifelong friendships. In order to have the children attend the DOMSE Retreats we offer childcare for ages infant to 12 years old.

In order to offer this wonderful service to our faithful we need your help.
A full curriculum has been written, supplies are already at the retreat site, as well as snacks for your session.

When you sign up we will send you a copy of the curriculum ideas for you to get familiar with.

Remember the words of Christ, "Let the little children to come to me...". Christ calls the children to him and as a Church we must be there to care for them.
Thank you for considering this opportunity to serve Christ and His Church.

Would you like to volunteer for childcare at the retreat? (Required)

Yes (Save $10 off of registration!)
No

Childcare Volunteers receive a $10 discount!

Please enter in the first name, phone number and email address of the person that will be volunteering for childcare at the Winter Retreat 2025.
Volunteers must be 19 years or older.

First Name (Required)

Phone Number (Required)

Email Address (Required)

The Childcare Retreat Committee will reach out to you to provide you the details of what you need to know.
If you have any questions, please email us at: dmcdomse@gmail.com

Discount Code for Childcare Volunteers

x

If you would like to claim the $10 discount, please use the coupon code to apply the discount. Otherwise, leave blank and proceed. Discount Code: WR2025

Your total has been calculated below.

Total Amount To Be Paid

360.00

Your registration is not complete until the above amount is paid. Please enter this amount on the next page along with your payment information.

Don't forget to book your hotel room!

If you have any questions please send an email to: dmcdomse@gmail.com

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Diocese of Miami and the Southeast

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