Retreat Registration

Mercy of God Community Retreat

Franciscan Spiritual Center Aston, PA

Name and Phone #

Address

City, State, and Zip

Email

example@example.com

Reservations: Please mark appropriate options

Single: $ Double: $ - (must have roommate, pre-planned for entire retreat) Wednesday through Sunday: Wednesday Dinner to Sunday Breakfast.

Per Diem (Daily room and 3 meals)

$ / each day, Please indicate dates:

Dates attending

Roommate preference

These fees include: accommodations, meals and taxes. There are no additional fees

Type a question

I need accomodation for a disability I am a vegetarian Other

I hereby release and indemnify the Mercy of God Community, Inc., its leadership, members, designees, and Franciscan Spiritual Center, from any and all claims arising out of and in connection with my participation in MGC's retreat.

Signature

Clear

Date

Arriving: (Day): Airport/Airline, Train or Bus Particulars

Arriving: (Day)

(Date)

Date

(Time)

Airport/Airline, Train or Bus Particulars

Return: (Day): Airport/Airline, Train or Bus particulars:

Return: (Day and Time)

(Date)

Date

Center.

I would like ground transfer information from the airport to the Retreat I would like driving information. Other

In case of emergency while at the retreat, please contact:

Name

Phone:

Please forward this registration form completely filled out with

payment in full, "to be received two weeks prior," to the start date of the retreat

Registrations will be acknowledged by email if an email address is provided.

Policies: 1. If the registration is cancelled and the community is charged by the facility-No Refund. 2. If the registration is cancelled and the community is not charged by the facility- a refund may be made if there are excess retreat funds after all expenses are paid, less a $100.00 fee. 3. If a registration is received late, there is no guarantee that there will be space available. You may have to find your own accommodation and pay a day use fee.