Silent Directed Retreat – Online Option

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1 Price

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$50.00 – Price per session of online Spiritual Direction for a multiday retreat (choose number of sessions)

Number of Guests:

2 People in your group

Guest 1		First Name* Last Name* Email*
Guest 1		First Name* Last Name* Email*

3 Retreatant Information

First Name *
Last Name *
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Email *
Phone *
Denomination
Birth Date
Comments or Special Needs
How did you hear about us?
Spiritual Ministry	If applicable, please list any spiritual ministry.
Occupation	What is your current occupation?
Spiritual Exercises	Yes No Have you made the Spiritual Exercises of St. Ignatius?
Further information	Other information that would be helpful for us to know as we seek to assign the right spiritual director for you.
Introduction to silent retreat	Yes. I have never experienced a silent retreat Yes. I have made a silent retreat, but would like to receive an introduction. No. I am accustomed to silent retreats Would you like an introduction to a silent retreat experience?
Directed retreat experience	Yes No Have you previously attended a directed retreat?
Reasons for making retreat	Time for silence and prayer Interest in Ignatian Spirituality Personal growth Rest What are your personal reasons for making this retreat?
Spiritual Director Qualities	What qualities would you like in a spiritual director?
Specific Spiritual Director	If you meet regularly with a spiritual director on this retreat and would like this person to accompany you on this retreat, please list their name here. Each retreat director meets with a limited number of retreatants. For this reason we cannot guarantee that the director you specify here is available for you. When your requested director is not available, we will assign you to another director who we see best fit. If you are not open to another director, you are still welcome to attend but please indicate "no director needed".
Have you ever been in spiritual direction?	If so, please comment on your experience.
Highest Level of Education
Preferred Start Date
Preferred End Date
SRC Email newsletter	Please send me St. Raphaela Center's newsletter
Handmaid News	Would you like to periodically receive a newsletter from the Handmaids?

4 Donate

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$	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.