Directed Retreat | Loyola on the Potomac – A Jesuit Retreat House in Faulkner, MD

Directed Retreat Registration

This form will be used for Directed Retreats Only. Please note: A deposit is required to secure your retreat date. Deposits are non-refundable. As a courtesy, Loyola on the Potomac will transfer your deposit one time and within one year to another retreat for you or another retreatant, per your approval. After one year, money not utilized for a retreat will be recorded as a gift to Loyola on the Potomac. Thank you.

Directed Retreat Registration*
Name*
Prefix First Last
Gender
- Male
- Female
Address:*
City:*
State:*
Zip:*
Preferred Phone:*
Email*
Emergency Contact:*
Relationship:

(Optional)
Have you ever been on Retreat to Loyola on the Potomac?*
- Yes
- No
Special Needs:*
Please describe any health concerns (physical or psychological), special needs, or dietary allergies that we should be aware of.
Please describe your retreat experience of the last three years, including the type of retreat (e.g., individually directed, guided, weekend, etc., date, and location.*
Please describe your retreat experience of the last three years, including the type of retreat (e.g., individually directed, guided, weekend, etc., date, and location.
Please describe how your most recent retreats have affected your life.*
Please describe how your most recent retreats have affected your life.
If you currently receive regular spiritual direction, how long have you been receiving it? How often do you meet with your director? If you do not currently receive spiritual direction, have you received it before? How recently, and for how long?*
If you currently receive regular spiritual direction, how long have you been receiving it? How often do you meet with your director? If you do not currently receive spiritual direction, have you received it before? How recently, and for how long?
What are your expectations and hopes for this retreat?*
What are your expectations and hopes for this retreat?
What qualities do you hope for in a spiritual director?*
What qualities do you hope for in a spiritual director?
What do you not want in a spiritual director?*
What do you not want in a spiritual director?
Please mention anything else you'd like us to know as we review your application and prepare to accompany you on your retreat.
Please mention anything else you'd like us to know as we review your application and prepare to accompany you on your retreat.
Please Note: A deposit must be made in order to secure your reservation. Thank you.
Directed Retreat prices listed are for the full 8 and 5 day retreats. Please do not utilize Paypal on this site if your retreat will be fewer days. Please call (301) 392-0801 for appropriate fees. Thank you.
Payment Method*
PAYING BY CHECK: Please mail your check to: Loyola on the Potomac
Attn: Reservations
P.O. Box 9
Faulkner, MD 20632

PLEASE NOTE: Once you hit submit your registration form will automatically be submitted to Loyola Reservations. This will happen even if you are not paying on-line through paypal.