CALVARY RETREAT CENTER REGISTRATION FORM
59 SOUTH ST., P.O. BOX 219, SHREWSBURY, MA. 01545-0219
(508) 842-8821, FAX 842-5356

RETREAT/EVENT DATE............................................RETREAT GROUP....................
NAME(last)_____________________(first)__________________(midle)_______
ADDRESS (street)___________________________________________________
(city)__________________(state)___(zip)_________(tele #) (___)__________
OCCUPATION___________________________DATE OF BIRTH____-____-_____
WHAT PARISH DO YOU BELONG TO?____________________(city)___________
IS THIS YOUR FIRST CALVARY RETREAT?___Y___N
Email _______________________

For Overnight Guests Only:
IF NECESSARY, WOULD YOU BE WILLING TO SHARE A DOUBLEROOM?....Y.....N
REQUESTED ROOMATE IF ANY..................................................................

$50.00 DEPOSIT FEE REQUIRED FOR ROOM ASSIGNMENT – NON-REFUNDABLE

office use:
NAME____________________________PAID___________ROOM #_____