Spiritual Exercises in Daily Life

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1 Choose the dates of your stay

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2 Price

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	$600.00 to $1,600.00 – Payment of full amount
	$50.00 to $1,600.00 – Partial payment (completion of full amount to be paid over time)
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3 People in your group

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

4 Retreatant Information

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First Name *
Last Name *
Title
Address *
Address 2
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Country *
Email *
Phone *
Denomination
Birth Date
Gender
Comments or Special Needs
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.
Directed retreat experience	Yes No Have you previously attended a directed retreat?
Spiritual Director Qualities	What qualities would you like in a spiritual director?
Have you ever been in spiritual direction?	If so, please comment on your experience.
SRC Email newsletter	Please send me St. Raphaela Center's newsletter
Handmaid News	Would you like to periodically receive a newsletter from the Handmaids?

5 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.

6 Payment

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