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Home ➥ Programs ➥ Summer Priest Retreat ➥ Summer Priest Retreat Application

	Personal Information
Name (required)
Date of Birth (required)
Archdiocese/Diocese:
Name of Organization (Parish/Seminary):
Year of Priestly Ordination:
Mailing Address:
Apartment/Suite
City
State
Zip/Postal Code
Country
Landline Phone Number:*	() -
Cell Phone Number:	() -
*If you have an international phone number, please enter it here:
Email: (required)
	Retreat Dates The 5 day retreat is June 7 - June 12, 2026 and the 8 day retreat is June 10 - June 17, 2026.
Will you attend the 5 or 8 day retreat?
Arrival Date
Departure Date
	Finance Please list the contact information for the person responsible for financing your participation in the summer 2026 retreat.
Name of Finance Person
Title
Mailing Address
Apartment/Suite
City
State
Zip/Postal Code
Country
Phone Number:*	() -
*If they have an international phone number, please enter it here:
Email
	General Information
Have you made a silent directed retreat with daily individual spiritual direction before?
List the number and length of silent directed retreats you have participated in.
How did you hear about the "Summer Priest Retreat"?
Have you attended an IPF Program previously? If yes, which ones?
	Health Information
Do you have any physical disabilities which require accommodation?
If yes, please explain:
Do you have any dietary needs which require accommodation?
If yes, please explain:
	Emergency Contact(s) Name and address of person(s) to be notified in case of emergency.
Name(s)
Mailing Address
Apartment/Suite
City
State
Zip/Postal Code
Country
Phone Number:*	() -
*If they have an international phone number, please enter it here:
Relationship
	Electronic Signature and Date
	By clicking the checkbox, you agree that your typed name and date below will count as the equivalent of your signature on this application. (required)
Signature (required)
Date (required)

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General Information

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Electronic Signature and Date

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