On-Line Directed Retreat Registration Form

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*
This form is to register for Three, Four or Eight Day Retreats only. For other options contact our office at (301) 392-0801. You can select the deposit payment of $115 or the full cost of the retreat.
Name*
Prefix First Last
Gender
Male
Female
Address:*
City:*
State:*
Zip:*
Preferred Phone:*
Alternate Phone:
(Optional)
Email*
Emergency Contact:*
Address:*
City:*
State:*
Zip:*
Preferred Phone:*
Alternate Phone:
(Optional)
Relationship:
(Optional)
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 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?
*
What are your expectations and hopes for this retreat?
*
What qualities do you hope for 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 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*
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.
Email
This field is for validation purposes and should be left unchanged.

Directed Retreat Registration

This form is to register for Three, Four or Eight Day Retreats only. For other options contact our office at (301) 392-0801. You can select the deposit payment of $115 or the full cost of the 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.

Please mail your check to:

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.