Center for Spiritual Care

                                                “tending the holy…"

                   Center for Spiritual Care

2011 Lenten Retreat at Home

REGISTRATION FORM

_____________________       _________________________

Last Name                               First Name

____________________________________________________________

Address

Home Phone_______________                 Cell Phone _____________________

Email Address:  __________________________

How did you hear about this retreat opportunity?

_____________________________________________________________

My preferred time to meet with a spiritual director is (check your choice) 

Weekday _____   Weekend _____

Morning _____    Afternoon _____  Evening _____

Signature ________________________________ Date ________________

Please mail this form to the Center for Spiritual Care, 1550 24^th St., Vero Beach, FL 32960.  There is no charge for participating in this program; however, tax deductible donations to the Center are welcomed.

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