Application Satellite Programs

St. Joseph Retreat Center 339 Jerusalem Road, Cohasset, MA 02025 781-383-6024 781-383-6029 Application for Satellite Programs 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")
Satellite Programs Available: Satellite Program Selected:
Name:
Address Street:
Address City: State: Zip:
Telephone: Home: Work: Cell:
1. E-Mail Address : 2. Retype E-Mail Address :
Mailing Information: ....Updated Address: ....New Address: .... First Registration:
Contact person in case of emergency: Name: Telephone: Home: Work: Cell:
Please do not send any money. A donation of $25 will be collected on the day of the program. OFFICE HOURS: MONDAY TO FRIDAY, 9:00 A.M. - 5:00 P.M.
After you click the "Submit Application" button you will be asked to input a word into a box to continue the submission process. This is needed to control SPAM mail. If you receive the error message: "This request has already been processed." use your BACK button to return to this completed retreat application page, click the "Submit Application" button again and then input the new word in the box. When the application goes through you will see the message, "THANK YOU FOR FILLING OUT THIS FORM" listing all of the information you put on the retreat application.