This form will allow you to register for our many Multi-Day Retreats. If you would like to inquire about scheduling your own Individual Retreat at another time, please fill out the form found here.

Multi-Day Directed Retreat Registration

Items marked with a star (*) require input.

Please select the Retreat for which you are registering.

If you know which Spiritual Director you would like to accompany you during this retreat, please choose the name below. In case your preferred Director is not available, please also select an optional Director. To read a short bio of each of our Directors, click here.

Please let us know if you have any medical condition, health needs or specific food allergies so that we can make your stay more comfortable:

Please enter the name and phone number(s) of the person we should contact in case of an emergency

Most of our bedrooms are located on the second and third floors, accessible only by stairs. First Floor rooms are limited. Is a second or third floor bedroom possible for you?

 
 
Massage is available on our directed retreats for an additional charge of $45 per session (paid on arrival). Would you like to make an appointment for a massage while on retreat?*
 
 
If there is anything else we need to know in order to best accommodate your needs for this retreat, please explain below:

You're almost done! Please check "I Agree" below to acknowledge this statement:

"I understand that my reservation for this retreat is not confirmed until I submit a $100 non-refundable deposit." 

And finally, would you like to receive our eNewsletters?

 
 
 

Thank you for completing this Retreat Registration form. Once you input the characters from the image below (which helps us deter spammers), please click on the "Submit Registration" button to send us the form. We will contact you if there is no longer any space on this retreat. In order to confirm your reservation, please submit a $100 non-refundable deposit. We are happy to now offer the option of making online payments, and you will see directions to make your deposit online after you submit this form. Thanks again for your interest in a St. Raphaela Center retreat - we look forward to seeing you here soon!

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