Private Retreat

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* These fields are required

1 Welcome

2 Choose the dates of your stay

3 Estimated Price

4 Optional Items

5 Participant Info

Phone *
Address
Address 2
City
State/Prov.
Zip/Postal
Country
Gender *
Your Diet *
Diet Notes and Special Needs or Requests	Please let us know of any comments or needs
How flexible are your dates (and your need for spiritual direction)?	I.e. can you do other dates if needed? Are you wanting a couple room or joined room for two?
Approximately what time of day will you arrive? *	E.g. when will be your first meal?
Approximately when will you depart on the last day? *	I.e. what meals will you need fixed?
Parish	Church you attend
Parish City	City of the Church you attend
Emergency Contact Info *	Name and best phone number
How did you hear about us?
Terms and Conditions *	I accept the terms and conditions.Please read the terms and conditions
Email newsletter *	Please send me the email newsletter

No payment is required until your stay dates have been approved.