Application For Special Programs

St. Joseph Retreat Center 339 Jerusalem Road, Cohasset, MA 02025 781-383-6024 781-383-6029 Application For Special 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")
Retreat Dates Available: Retreat Dates Selected:
Name:
Address Street:
Address City: State: Zip:
Address Province: Country:
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:
The chapel is on the second floor, accessible only by stairs. Please let us know if you have any health needs or specific food allergies.
Please do not send any money until you receive confirmation of your acceptance. Your non-refundable, non-transferable deposit of 20% will be due within 10 after you have received your confirmation of acceptance. Please make checks payable to St. Joseph Retreat Center. OFFICE HOURS: MONDAY TO FRIDAY, 9:00 A.M. -5:00 P.M.