IDR Outside of Summer Sessions Posted on September 11, 2019September 11, 2019 by Violet Mercado IDR Application Form for Outside of Summer Sessions (Sept-April) The Outside of Summer Sessions schedule is from September through April. Required information marked with *Your Title:Mr.Mrs.Ms.Fr.Sr.Br.Dr.Name* First Last Suffix:Age:Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:*Phone Type*HomeMobileBusinessEmail:*Emergency Contact's (EC) Full Name:*Emergency Contact's (EC) Phone Number:*EC's Relationship to the Retreatant:*Occupation/Ministry:Religious Affiliation:Choose Dates from September through April.First choice of dates from:* Date Format: MM slash DD slash YYYY First choice of dates to:* Date Format: MM slash DD slash YYYY Second choice of dates from: Date Format: MM slash DD slash YYYY Second choice of dates to: Date Format: MM slash DD slash YYYY Time of Arrival:*Time of Departure:*Preference for director: No preference Laywoman Sister Priest Do you or have you had a Spiritual Director? If current, how long have you been in direction? If past, how long has it been since you have received spiritual direction?Special needs: First floor room Diabetic diet Vegetarian diet Have you made a directed retreat before?YesNoIs this your first retreat?YesNoIf No, where have you made a retreat and when was it?Are you confident and comfortable with a totally silent retreat?What are you hoping for in this retreat? (e.g., quiet time with God, direction in prayer, making important decisions, etc.)Additional Comments:Payment Method:*Credit CardeCheckCredit Card American ExpressDiscoverMasterCardVisaJCBMaestro Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name eCheck Name on Account Bank Name Routing Number Account Number CheckingSavingsAccount Type Nonrefundable Deposit:*$85 - Outside of Summer SessionsThe application fee for individually directed retreats is the cost of one night’s stay ($85); this is nonrefundable and nontransferable but applicable to the cost of the retreat. The cost is: for outside of the Summer sessions: $85 per day. This iframe contains the logic required to handle Ajax powered Gravity Forms.