Bellarmine Jesuit Retreat House · November 15

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To assist with room assignments, please enter your birthdate. (mm/dd/yyyy)

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Please select ONE retreat contribution option.

Retreat Contributions *	Quantity
$100 - Non-refundable Deposit per Retreatant
$365 - Total Suggested Contribution per Retreatant

You have selected two options under Retreat Contributions. Please select only one option to proceed. Thank you.

I want to make an additional donation:

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Emergency Contact Name

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Are you part of a parish/church?

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Are you part of a retreat group?

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Do you have a room request based on medical needs?

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Yes

No

Please provide brief reason for room request, e.g. CPAP machine, limited mobility, etc.

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Bathrooms are assigned based on age or medical needs. Only 20% of our rooms have ensuite bathrooms.

Have you attended a Bellarmine weekend retreat in the past three years?

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Yes

No

Do you want to be in the

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Do you want to participate in small group sharing sessions?

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Do you have any dietary restrictions?

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You are welcome to bring your own food. A refrigerator and microwave are available for your use.

None

Vegan

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Dairy free

Other

Other - Please enter information regarding any other food allergies.

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If the main retreat house building is fully occupied, are you willing to stay in our rustic cottage or coachhouse?

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Cottage

Coachhouse

No

If the main retreat house building is fully occupied, are you willing to stay in our rustic cottage?

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Cottage

No

Retreat Registrant 2

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Retreat Registrant 3

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Retreat Registrant 4

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Registrant 4 Email

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Semi Silent Retreat Registration

November 15 - 17, 2024
Turn Turn Turn: There is a Time for Everything
Co-Ed Retreat

Retreat Leaders - Lauren Hackman-Brooks and Fr. Eric Sundrup, SJ

Retreat Registrant 2

Retreat Registrant 3

Retreat Registrant 4

Payment Information

Semi Silent Retreat Registration

November 15 - 17, 2024Turn Turn Turn: There is a Time for EverythingCo-Ed Retreat

Retreat Leaders - Lauren Hackman-Brooks and Fr. Eric Sundrup, SJ

Retreat Registrant 2

Retreat Registrant 3

Retreat Registrant 4

Payment Information

November 15 - 17, 2024
Turn Turn Turn: There is a Time for Everything
Co-Ed Retreat