Amor Meus Spirituality Center

Sisters of the Incarnate Word and Blessed Sacrament

DISCOVER GOD'S LOVE WITH US

Retreat Application

- Information

For your convenience, you may either fill out the overnight retreat application online below, or you may print the form and mail it to us at:

Amor Meus Spirituality Center
Incarnate Word and Blessed Sacrament
1101 N. E. Water Street
Victoria, TX 77901
361-575-7111
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- Retreat Type REQUIRED Please fill out this field.
- Date of Retreat REQUIRED Please fill out this field. Please enter a date.
- Choose how many nights REQUIRED
  Directed/Private Retreats Only
  Please fill out this field.
- Desired Arrival Date REQUIRED Please fill out this field. Please enter a date.
- Desired Departure Date REQUIRED Please fill out this field. Please enter a date.
- Second Choice Arrival Date Please enter a date.
- Second Choice Desired Departure Date Please enter a date.
- Title REQUIRED Please fill out this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
- State REQUIRED Please fill out this field.
- Zip Code REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Home Phone Please enter valid data.
- Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth Please enter a date.
- Church Denomination REQUIRED Please fill out this field. Please enter valid data.
- Have you been to Amor Meus Spirituality Center previously for a retreat or special program? REQUIRED Yes No Please fill out this field.
- If you have made a retreat, what has been your most recent experience? Type, Length, Place REQUIRED Please fill out this field.
- Do you have any special needs regarding your diet? REQUIRED Please fill out this field.
- Do you have any health or physical concerns we should know about? REQUIRED Please fill out this field.
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