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

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Registration

On-line Ignatian Weekend Registration Form
On-line Private Retreat Registration Form
On-Line Directed Retreat Registration Form
On-line All Other Retreats Registration Form

On-line All Other Retreats Registration Form

Other Retreats Registration

A deposit is required to secure your retreat date. Deposits are non-refundable. You may either chose to pay the deposit or pay the full amount. Please see retreat options below.

Name*
Prefix First Last
Gender
- Male
- Female
Address:*
City:*
State:*
Zip:*
Preferred Phone:*
Alternate Phone:
(Optional)
Email*
Parish:
Have you ever been to Loyola on the Potomac before:*
- Yes
- No
How did you hear about us:
Special Needs:
Please describe any health concerns (physical or psychological), special needs, or dietary allergies that we should be aware of.
Emergency Contact:*
Preferred Phone:*
Alternate Phone:
(Optional)
Retreat Name*
- Ignatian Leadership for Mission - July 8-12, 2019 ($115 deposit)
- Ignatian Leadership for Mission - July 8-12, 2019 (Payment in Full - $480)
- Women's Thanksgiving Retreat - July 12-14, 2019 (Deposit $115)
- Women's Thanksgiving Retreat - July 12-14, 2019 (Payment in Full - $245)
- Spiritual Directors' Institute - July 26-28, 2019 ($115 deposit)
- Spiritual Directors' Institute - July 26-28, 2019 (Payment in full - $245)
Payment Method*
Total
$0.00
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.

Loyola Retreat House
P.O. Box 9 (Mailing Address)
9270 Loyola Retreat Road (Physical Address)
Faulkner, Maryland 20632-0009
(301)-392-0800
(301)-392-0808

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