Application For Hosted Retreat Day

St. Joseph Retreat Center 339 Jerusalem Road, Cohasset, MA 02025 781-383-6024 781-383-6029 retreat@csjretreatcenter.org www.csjretreatcenter.org Application for Hosted Retreat Day 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 Selected: I know these dates are available and I understand the specific costs involved. YES NO			Number Attending: (A minimum of 10 people is required.)
Arrival time: Departure time: If you register for an overnight that begins with dinner, please urge all participants to arrive on time for a 6:00 PM dinner.
Name of Group:
Name of Contact Person:
Contact Person: Day Phone: Evening Phone:
Address Street:
Address City: State: Zip:
Address Province: Country:
1. E-Mail Address : 2. Retype E-Mail Address :
Mailing Information: ....Updated Address: ....New Address: .... First Registration:
It is the Retreat Center Staff's understanding that your day will be reflective and prayerful in tone. How comfortable will your group be with this atmosphere?
We will send you a Reservation Agreement once all details are definite. This will indicate the date(s) of your retreat and the amount of your non-refundable, non-transferable deposit required to reserve the Retreat Center. NOTE: The chapel and all bedrooms are on the second and third floors, accessible only by stairs.