Hermitage Registration

To arrange for your stay at a hermitage, please use the form below.


First Name:	Last Name:
Street:	City:
Province/State:	Postal Code/Zip:
Telephone(Home):	Telephone(Work):
Country:	Email Address:


Please come before 4:00p.m. as you will require an orientation to the hermitage.

Arrival


Depart


Do you wish to arrange for spiritual direction? Yes: No:

After registration, you will recieve a confirmation. A deductible fee of $50 is due upon confirmation. This fee is non-refundable and non-transferable unless retreats are cancelled by the center. If there are not enough participants for retreats they will be cancelled at least 21 days prior to the scheduled retreat date and your money will be refunded.

Are there any medical conditions we should be aware of? If this is your first visit, please provide a reference: Reference Name and Telephone: