Virtual Lenten Retreat Application Form
Please fill out this application form to apply for the 2021 Virtual Lenten Retreat. Due to limited space, this application form does not guarantee participation in the Lenten retreat. After reviewing your application, you will be contacted about next steps, including payment. Cost of the retreat is $120.00.

Questions? Email or call Brother Tom Redmond at tredmondsm@gmail.com or 937-429-2521

The application closes on Friday, February 12, 2021.
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Email *
First Name *
Last Name *
Street Address *
City and State *
Zipcode *
Preferred Phone Number *
Secondary Phone Number (optional)
Please indicate your FIRST choice for a retreat director below by clicking the circle next to the person's name. *
We have included their locations for your own information even though all meetings between you and your director would occur virtually.
Why is this person your first choice? *
Please indicate your SECOND choice for a retreat director below by clicking the circle next to the person's name: *
Why is this person your second choice? *
Please briefly describe your Marianist connection. *
What interests you about this week-long directed retreat? *
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