Please complete and submit this form, then print the page that appears after submitting. Return the printed page with a check in the amount of $75.00 payable to "Our Lady of the Valley Church" and drop it off at the Parish Center or mail it to: Women’s Cornerstone, Our Lady of the Valley Church, 630 Valley Road, Wayne, NJ 07470. To secure your place on the retreat, forms must be received as soon as possible.