Registration

Deposits are non-refundable, however, deposits are transferable to another retreat for you or someone else.

Name*
FirstLast
Gender
- Male
- Female
Address:*
City:*
State:*
Zip:*
Home Phone:*
Work Phone:
(Optional)
Email*
Parish:
Have you ever been to Loyola on the Potomac before: *
- Yes
- No
How did you hear about us:
Desired Program/Retreat (i.e., Ignatian Weekend,Directed, Private):
Retreat Dates:*
Special Needs:
Emergency Contact:*
Have you ever made a directed retreat before?
- yes
- no
Please submit a few sentences about yourself that will help us to select your director.
Please Note: A $5.00 processing fee has been added to the cost of each retreat for Paypal payments. If paying by check please substract the $5.00.
Retreat Name*
Payment Method*
Total
$0.00
Please mail your check to:

Loyola on the Potomac
Attn: Reservations
P.O. Box 9
Faulkner, MD 20632
Name
FirstLast
Name
FirstLast