Jesuit Center Retreat / Program Registration Form

Please fill in this form online and click the Submit button to send your registration form electronically.

Instructions:

Within 2 business days you will receive an email requesting a deposit for the program/retreat for which you registered.
If you do not receive an email reply within 2 business days, please call Bonnie Staudt at (610) 670-3642.
Registration will be confirmed when we receive your deposit for the program or retreat you wish to attend.
Registration for any retreat or overnight program will be closed two days prior to the event.
Fees: The published fee for all programs and retreats includes room, board, registration and other materials, unless noted otherwise. Apart from scheduled programs and retreats, the cost for staying at the Center is $60 per night.
Deposits are non-refundable. Most of our retreats and workshops are fully subscribed. Therefore, it is important that the Business Office be notified in the event of a necessary cancellation. Thank you!

Please make checks payable to: Jesuit Center


	** All fields are required except for work phone.
Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone (optional):
Email Address:
Desired Program:
Program Dates:
Emergency Contact Name:
Emergency Contact Phone:

If a Retreat, would you like a director? Yes No
Have you ever made a directed retreat at the Center? Yes No

The actual cost of each retreat and program is considerably higher than the price listed. Any additional amount that you can afford above the cost of the retreat/program is greatly appreciated. Thank you!

For any questions or concerns, please feel free to call: Bonnie Staudt,
Registrations/Groups at (610) 670-3642 or email: jescntbus@jesuitcenter.org


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Copyright © 2005-2008 Jesuit Center 501 N Church Road • Wernersville, PA 19565	Last modified: November 5, 2008