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Flexible Dates

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Price

$0.00 – Program Price

Number of Guests:

People in your group

Guest 1		Email*
Guest 1		Email*

Retreatant Information

Group Name *
Contact Person *
Title
Address
Address 2
City
State/Prov.
Zip/Postal
Country
Country
Email *
Phone
Phone Type
Second Phone
Denomination
Comments or Special Needs
Group Size	What is the total number of people will you be bringing to our Center at any point during your stay? Please note that we are unable to reduce rates for partial stays. Group members include the group leader, retreat leaders/facilitators, clergy, and guests.
SRC Email newsletter	Please send me St. Raphaela Center's newsletter
Group Guidelines	I have read and agree to the responsibility for my group following the Center's group guidelines.Please read the Center's Group Guidelines

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Please enter your donation amounts below

$	St. Raphaela Center Donations contribute to the maintenance of the Center and its mission.
$	Retreatant Scholarship Program Provide the opportunity for others to experience a retreat for whom this would otherwise not be possible.
$	Add 3% to my total amount to help cover the bank fee for processing my credit card. Add 3% to my total amount to help cover the bank fee for processing my credit card.