Application For A Guided Retreat

St. Joseph Retreat Center 339 Jerusalem Road, Cohasset, MA 02025 781-383-6024 781-383-6029 retreat@csjretreatcenter.org www.csjretreatcenter.org Application For A Guided Retreat Please fill in ALL requested information. Please enter N/A for Not Applicable where necessary. Important: In order for us to serve you via email, please put the following address in your email address book now: Retreat.Center@csjboston.org If you do not receive a reply from us because we are not in your address book, the reply was placed into your spam folder by your email program. I have read and responded to this request. (Type: "Yes")
Retreat Dates Available: Retreat Dates Selected:
Name:
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Mailing Information: ....Updated Address: ....New Address: .... First Registration:
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Please check: Female Male	Religious Denomination:
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Please check all that apply: Religious Brother Religious Priest Deacon	Seminarian Layperson Diocesan Priest Religious Sister
Please comment on your most recent retreat experiences: length, kinds, places:
How have your most recent retreats impacted your life?
Holistic Therapies: Massage and/or Reiki may be available during this retreat for an additional fee (usually $40-50/hour). Please indicate below which therapy you would be interested in receiving. Payment can be made at the time of the massage or Reiki treatment.
All the retreats are in silence (including meals). How comfortable will you be with extended silence?
The chapel and all bedrooms are on the second and third floors, accessible only by stairs. Second-floor rooms are limited. Is a third floor bedroom possible for you? Yes No Please mention any special health/dietary needs you have.
Please do not send any money until you receive confirmation of your acceptance. Your non-refundable, non-transferable deposit of 20% will be due 10 days after you have received your confirmation of acceptance and it will secure your room. Please make checks payable to St. Joseph Retreat Center. OFFICE HOURS: MONDAY TO FRIDAY, 9:00 A.M. - 5:00 P.M.

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