2020 Spring 5-Day Silent Retreat at Mother Cabrini Shrine (optional 4 or 3-Days) | Application
Instructions for completing application:

* Please submit a 50% deposit with your application - Indicate on the MEMO line of your check that the payment is for
the Spring 2020 Silent Retreats at Mother Cabrini Shrine

* All applications will be reviewed by a staff member of the Lanteri Center

* Refunds will be issued for those whose applications are not accepted at this time

Please return your application and deposit to:
Lanteri Center for Ignatian Spirituality , 416 22nd Street, Denver, CO 80205
Location: Mother Cabrini Shrine
Check in is before 5 pm for orientation, schedule review and room assignment. Please make every effort to stay through the end of the retreat on Sunday afternoon
Retreat Length: *
Personal Contact Information
Applicant's Name: *
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Applicant's Email Address: *
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Applicant's Mailing Address: *
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Applicant's Telephone: *
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Emergency Contact Information
Emergency Contact Name: *
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Emergency Contact Relationship: *
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Emergency Contact Phone Number: *
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For a Better Appreciation of Your Personal Spirituality
[All this information will be kept confidential]
Have you made a silent retreat before? *
Was it personally directed or guided? *
Are you currently in spiritual direction? *
What prompts you to make this retreat? *
Your answer
What desires, expectations, hopes, fears or concerns do you have for this retreat? *
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What have been some of the major influences affecting your personal life/spirituality? And how have they affected you? (Example: Parents/Family) *
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Favorite/Scripture/Passages: *
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Moments of major decisions (Vocation/Change/Conflict) Conversion Experiences: *
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What is your present ministry/occupation *
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Religious Affiliation *
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Check One: *
Date of Birth: *
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What Parish do you attend? *
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Medical Information Section
Are there any past or current medical conditions or information that we need to be aware of? *
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Are there allergic conditions that we need to be aware of? (Including medication allergies): *
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Do you currently take medications? If yes, please list medications: *
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Will you have any special needs during this retreat? If yes, please explain: *
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Do you have medical background/training? If yes, please explain: *
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Alternate Emergency Contact Name & Phone Number: *
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Health Insurance Company: *
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Health Insurance Phone Number: *
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Policy Holder Name: *
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Group Number: *
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Date of Application: *
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Signature: *
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