Return to Spiritual Opportunities...

CORAZÓN AT VILLA ST. DOMINIC

Registration for Corazón/Villa St. Dominic Programs

To Register for the opportunities, please print out the form below.
Mail it with your deposit check (payable to Villa St. Dominic) to:
Sr. Katherine Gaffney, OP
Villa St. Dominic
P.O. Box 189
Glasco, N.Y. 12432
Phone (845) 246-8941
FAX (845) 246-5610

Name ______________________________________________

Address ____________________________________________

______________________________________ Zip Code __________

Phone (      ) ___________________

Opportunities Chosen________________________________

Dates______________
If Directed Retreat:

Director: 1st Choice________________________________

2nd Choice______________________________________

Deposit: $50 (applied to total fee)
Amt. Enclosed __________
Please make check payable to Villa St. Dominic