Solo Day or Half-Day Retreat
Open Dates
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Welcome
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First Name
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Last Name
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Email
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Confirm Email Address
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2
Donation
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$25.00
– Requested Donation
$25.00
$25.00
– Requested Donation
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3
Optional Items
Ministry Support
If you feel called to support this ministry further, you're welcome to make an additional contribution.
$30.00
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4
Participant Info
Requested Retreat Date(s)
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Please let us know which day you would like to visit and any alternate dates you may be interested in if your first choice is not available.
Cell Phone
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Arrival Time
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Day retreatants may arrive as early as 8:30am Mon. - Thurs. and 9:00am Fri. - Sat.
Overnight retreatants may schedule arrival between 1:00pm and 4:00pm.
Please estimate your time of arrival and update us if it changes.
Departure Time
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Day guests may schedule check-out for as late as 4:00pm.
Overnight guests, please check out by 11:00am unless otherwise arranged.
Is this your first time taking an individual retreat at the Peace & Spirituality Center at St. Mary-on-the-Lake?
Yes
No
Purpose of Retreat
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Please share a little information about the purpose of your retreat. We may share this information with the Sisters. Thank you!
Where have you been on a retreat in the past?
What led you to seek a retreat at this time? What do you hope to gain or receive from your retreat?
Why have you chosen the Peace & Spirituality Center at St. Mary-on-the-Lake for this retreat?
Do you currently serve in a first responder or healthcare-related role (such as EMT, nurse, doctor, firefighter, police officer, or other)?
Yes
No
Organization
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Your Role
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Special Invitation Acknowledgment
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I understand this retreat is a special offering of gratitude for first responders and healthcare professionals. Upon arrival, I may be asked to show my professional ID or badge. Any donation amount shown on this form will be adjusted to reflect this no-cost invitation before confirmation.
Comments or Special Needs
How did you hear about us?
I am a long-time participant.
I attended a group retreat at the Center.
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Internet Search
Social Media
A Friend
A Spiritual Leader or Advisor
Peace & Spirituality Center Website
Peace & Spirituality Center Newsletter
Blog or Publication
Other
Retreat & Event Guest Agreement and Liability Waiver
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I acknowledge I have read and agree to the Retreat & Event Guest Agreement and Liability Waiver
Please read and agree to the Retreat & Event Guest Agreement and Liability Waiver
Inquiry Acknowledgement
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I understand that submitting this form does not confirm my requested retreat date. The Peace & Spirituality Center operates by appointment only, and my retreat is not finalized until I receive a confirmation from Center staff. I am aware that inquiries are reviewed each Wednesday, and it may take up to seven business days to receive a response.
Email Newsletter
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