Text Box: OFFICE USE ONLY Post Mark  ________     Ck# ____________   Deposit  $  ________     Notified_________   Information Letter ___________

 

Marianist Family Retreat Center

PO Box 488

Cape May Point, NJ 08212

609-884-3829

 

Retreat Application - PLEASE PRINT & MAIL IN WITH DEPOSIT

RETREAT NAME:                                                         Date Requested: _____________

If first choice is not available, please indicate order of preference. (1) ____________(2) ___________(3) __________

 

Last Name

Familiar Name
(For Name Tag)

Sex (M/F)

D.O.B. (mm/dd/yy)

Religion

Occupation
Applicant    

 

___/___/___

    
Spouse (if applicable)    

 

___/___/___

    

For Family Retreats only, please list children attending in descending order of age.

 AGE at time of RETREAT.
Oldest Child    

 

 ___/___/___  

 
Next Oldest    

 

 ___/___/___  

 
Next Oldest    

 

 ___/___/___  

 
Next Oldest    

 

 ___/___/___  

 
Next Oldest    

 

 ___/___/___  

 
Next Oldest    

 

 ___/___/___  

 

Note: Please write "CRIB" beside the name of child(ren) who can use one.  

Continue names on reverse side if necessary.

 APPLICANT MAILING ADDRESS: (Please check here if this is an address change _______

(Street/City/State/Zip + 4):                                                                                                                                                   

Home Phone:      (            )                                                       Work Phone:  (           )                                                        

E-Mail Addresses:  _______________________________________________________________

How did you hear about this retreat? _________________________________________________

 

SPECIAL NEEDS: Please name person and need. Example: Mary (First floor room, handicap accessible room ).

Regretfully we cannot accommodate special dietary needs, but will provide storage for food you need to bring.

                                                                                                                                                                                                    

 

MUSICAL TALENT(S): Name person and talent. Example: Anna (voice), Mike (guitar). Please bring instrument.

 

                                                                                                                                                                                                        

A DEPOSIT of $_________ is enclosed. (Make checks payable to: MARIANIST FAMILY RETREAT CENTER.) Applicants will not be accepted by telephone, fax, or e-mail, nor without a deposit. If you are unable to make a full deposit, please contact us.

FINANCIAL AID REQUESTED?               Yes _____       (A FINANCIAL AID FORM WILL BE SENT TO YOU)

 

FIRST-TIMER AT MARY'S HOUSE?       ___Yes            ___No     If "NO," please list names and years of retreats.

 

ADDITIONAL COMMENTS: On the reverse side of this application, please share with us some of your expectations for the retreat for which you are applying. Couples Retreat Applications: Please indicate wedding date. Family Applicants: Please write a brief description of your family and their primary interests (including names and ages of the children who are unable to attend the retreat) and how you presently see your family living Christian life together. Feel free to add any other comments which you consider appropriate.