Application For A Directed Retreat

Name:
Address:
City/State/Province/Country:
Zip:
Phone: Home: / Work: / Cell:
E-mail Address:
Is this an Updated Address? ☐ / New Address?☐ / First Registration?☐
Contact person in case of emergency:
Phone: Home: / Work: / Cell:
Pleasemark X: Male☐ Female ☐
Date of Birth (optional): / Religious Denomination:
Please click on all boxes that apply to you:
Layperson ☐
Diocesan Priest ☐
Religious Sister ☐
Religious Brother ☐
Religious Priest ☐
Deacon ☐
Seminarian ☐
Retreat Dates Desired:
Please type NONE or mention any preference(s) you have regarding a director.
Have you made a directed retreat before? If yes, please mention how frequently and the sites.
How have your most recent retreats impacted your life?
Please comment briefly on your experience of spiritual direction.
All the retreats are in silence (including meals). Will you be comfortable with this total atmosphere of silence?
We will be staying in two houses at Glastonbury. Both have private bedrooms and bathrooms, wireless internet, AC, kitchenettes for the cold continental breakfasts. Neither house has an elevator. Stonecrest has bedrooms on the first, second and third floors. Whiting House has bedrooms on the first and second floor. Can you navigate stairs?Yes ☐ No ☐
Comment:
Do you have any special health/dietary needs? Yes ☐ No ☐Please Explain the health need:
You must mention any needs that emerge after your application at least 2 weeks prior to the retreat.
Please do not send any money until you receive confirmation of your acceptance.
Your non-refundable, non-transferable deposit will be due 10 days after you have received your confirmation of acceptance and it will secure your room. In the confirmation letter you will find details for paying with either a check or a credit card.
Office Hours: Monday to Friday, 10 A.M. (EST)3:00 P.M. (EST). Please leave a voice mail message, if you do not connect with a person during these hours and we will return your call as soon as possible.781-227-4730.
E-Mail is the best way to contact us. See address below.
Please save a copy of this application form under your name and send it as an attachment to