Spiritual Directors Circle: Spiritual Guidance Across Faith Traditions

First Name *
Last Name *
Address *
Address 2
City *
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Zip/Postal *
Country *
Email *
Phone *
Special Diet *	With a minimum three (3) week advance notice, we will accommodate the following noting the specified limitations: - Vegan, Vegetarian, Pescatarian, Dairy-free lifestyles - Gluten Free – While we can offer gluten free-options, we are unable to accommodate a severe gluten allergy. St. Raphaela Center is not a certified gluten-free facility. Some dishes are prepared with gluten-free ingredients, but cross-contamination is possible. Commercially packaged gluten-free baked goods are generally available. - Nut Free – We can limit menu items that contain nuts. St. Raphaela Center is not a peanut/nut-free facility and cannot accommodate a severe allergy. While unable to accommodate food allergies or food preferences, we do offer refrigerator space, microwave oven, and a designated gluten-free toaster for guests who wish to bring their own food. The dining room is open 24 hours a day and generally available to all guests are beverages, fresh fruit, yogurt, hard-boiled eggs, bread and cereals. Be advised commercial foods purchased and used in menu items may contain or come in contact with common allergens, including wheat, peanuts, soy, tree nuts, milk, eggs, fish and shellfish.
Additional Food Notes *	If you entered "more than one" above, please describe. Otherwise, enter "none."
Emergency Contact Name *
Emergency Contact Phone Number *
Which of the following best describes you?	I am unable to climb stairs and need a 1st floor room I prefer a 1st floor room, but if necessary I can go to the 2nd floor I can walk to the 2nd floor, but not the 3rd floor I can climb stairs without difficulty and walk up to the 3rd floor if needed There are limited rooms on the 1st floor. People with physical limitations have priority.
Comments or Special Needs
Requested Arrival Time *	Please note that the typical arrival time for overnight retreats is between 4-5:30pm (Dinner is served at 5:30 in the Main House and at 6pm in the House of Hope). Any arrival earlier than that time is subject to availability and is considered extended time, which carries an additional fee of $5/hr per person. A group leader must arrive prior to 7:30pm, and the receiving and orientation of any group members who arrive after 7:30pm is the responsibility of the group leader.
Requested Departure Time *	Please note that the typical departure time for overnight retreats is by 1pm (11am on Sundays). The typical departure time for day retreats is by 3pm for groups. Any departure later than that time is subject to availability and is considered extended time, which carries an additional fee of $5/hr per person.
SRC Email newsletter	Please send me St. Raphaela Center's newsletter
Handmaid News	Would you like to periodically receive a newsletter from the Handmaids?
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
Billing Policy *	I have read and agree to the Center's policy regarding billing, as detailed below.Registration and a nonrefundable 25% deposit are required to reserve the dates for your group's retreat. When you register, please indicate the number of retreatants who will use individual rooms and the number of retreatants who will use shared rooms (this distinction between individual and shared does not apply to school and university groups). We will only be able to hold the number of rooms you request. If you find that you will require additional rooms, please contact us immediately for availability. To reserve the entire house, including all bedrooms and meeting spaces, the following requirements must be met: - Main House: payment for 29 participants staying in individual rooms, 34 participants staying in shared rooms, or an equivalent combination of participants using individual and shared rooms (a deposit based on this number will reserve your dates, but your total payment must meet this requirement, even if you have fewer participants) - House of Hope: payment for 8 participants staying in individual rooms or 8 participants staying in shared rooms and 1 individual, or an equivalent combination of participants using individual and shared rooms - NOTE (applies to both houses): A deposit based on this number will reserve your dates, but your final payment must meet this requirement, even if you have fewer participants. In addition, if you want to reserve both houses, a deposit must be made for each house. Your deposit will be calculated based on the number you give at the time of your registration, in addition to any additional meals, extended time, or retreat facilitation. Each night's stay includes 3 meals (dinner through lunch on the following day), and a full weekend stay includes dinner on Friday, all meals on Saturday, and breakfast on Sunday. Any additional meals are subject to availability and carry an extra charge. Please note that arrival is after 4pm and departure is before 2 pm, except for weekends, when departure is before 11am. Anything beyond these times carries a charge of $5/hr per person and is subject to availability. We request that you submit your final count, along with your schedule and dietary accommodation requests two weeks prior to arrival. Payment in full is due 1 week prior to arrival. Groups paying by credit card must include the 3% service fee in their payment. Any cancellations within 2 weeks of your retreat are not subject to a refund. Please understand that this policy is in place because we are unable to sustain our mission without being able to count on your confirmed reservation.
Dietary Policy *	I have read and agree to the Center's policy regarding dietary accommodations, as detailed below.We regret that we are unable to create special menus for individuals and groups. In order to support our sustainability efforts, we ask for two weeks’ notice for any of the following accommodations: - Dietary lifestyles: gluten free, vegans, vegetarians, and pescatarians - Severe food allergies, including gluten (we are not be able to accommodate these) We are not a peanut/nut-free facility. Upon notification 2 weeks prior to your stay, we can avoid cooking menu items that contain nuts. However, many of our breads and other commercial foods we purchase may contain or may come into contact with common allergens, including wheat, peanuts, soy, tree nuts, milk, eggs, fish and shellfish. In addition, the manufacturers of the foods we purchase could change their formulations at any time without notice. Please also note the foods we prepare without gluten ingredients are not certified gluten free. Most of our baked goods and breakfast items contain eggs, dairy and wheat, unless specifically marked otherwise. We are unable to accommodate food preferences while maintaining our commitment to sustainability and care for the environment. We are also unable to accommodate severe food allergies. There is refrigerator space available to accommodate all severe allergies and food preferences not listed above. Please be sure to inform the Center of any dietary needs (type and number) 2 weeks prior to your retreat. If we are not notified of dietary accommodations 2 weeks before your group’s arrival, we cannot guarantee that we will be able to accommodate them.

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

Credit Card Fee (required for groups)	Add 3% to my total amount to help cover the bank fee for processing my credit card.
3% Credit Card Fee (required for groups)	$0

Spiritual Directors Circle: Spiritual Guidance Across Faith Traditions

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2 People in your group

3 Retreatant Information

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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.