St. Joseph Retreat Center
339 Jerusalem Road, Cohasset, MA 02025
781-383-6024
781-383-6029
retreat@csjretreatcenter.org
www.csjretreatcenter.org

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:

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Mailing Information: ....Updated Address: ....New Address: .... First Registration:
Contact person in case of emergency:
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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.


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