Loyola on the Potomac – A Jesuit Retreat House in Faulkner, MD
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Retreats
Outside Retreat Registration
Ignatian Weekend
Directed and Private
Days of Prayer
“Emaus: Camino
Místico
/Contemplativo”
Ignatian Living for Mission
Outside Retreat Registration
Outside Group Registration Form
A deposit is required to secure your retreat date. Deposits are non-refundable. You may either choose 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
*
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
*
Women's Thanksgiving July 28 - 30, 2023
Permission
*
Please share my contact information with the Retreat Coordinator for sharing important information
Please share my email address only
Do not share my contact information
Today's Payment
*
Non-refundable Deposit ($115.00)
Payment in Full ($250.00)
Payment Method
*
Credit card through Paypal
Pay by check
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.
