MARIS STELLA RETREAT CENTER
2021 REGISTRATION FORM - PLEASE PRINT CLEARLY!
Name: _______________________________________________________________________
Address: _____________________________________________________________________
______________________________________________________________________
Phone number: _______________________________________________________________
E-mail address:________________________________________________________________
I wish to make reservations for:
March 27
Lenten Day of Reflection
May 4 10 Silent Directed - Private Retreat (Circle Preference)
June 13 19 Preached Retreat
June 20 - 26 Preached Retreat
July 26 August 1 Silent Directed - Private Retreat (Circle Preference)
October 23 Day of Reflection
Nov 20 Pre-Advent Day of Reflection
Please make checks payable to: Sisters of Charity
I enclosed the______ Non-refundable/Non-transferable deposit.
I enclosed the required amount of_________ as payment in full.
List any health concerns, special needs (e.g. accessibility, dietary restrictions or allergies,
size of printed materials):
______________________________________________________________________________
______________________________________________________________________________
Mail to: Sr. Pat Dotzauer, SC,
Maris Stella Retreat Center
7201 Long Beach Blvd. Box 3135
Harvey Cedars, NJ 08008