Registration Form

 In order to maintain the simple and contemplative nature of
The Bridge-Between Retreat Center, Inc.
we request that you complete the following form, print a copy and send it to:
The Bridge-Between Retreat Center, Inc.
4471 Flaherty Lane
Denmark, WI 54208
Fax: 920-864-7044
For more information, please e-mail The Bridge-Between Retreat Center, Inc.
bbrci@theglobalnet.net

 

Name:
Address:
Address:
City: State: Zipcode:
Phone:
Email:

Name(s)& Number
 of Additional Retreatants:

  
Please indicate the dates you prefer.
    Approximate time of arrival: AM PM
(Month)           (Day/s)             (Year)

For Retreatants: (please select one)

Silo Hermitage   Cottage Hermitage  Granary Lodge (Exclusive use $150.00)

Please indicate the type of retreat that interests you:

Individual Day of Reflection
Group Day of Reflection
Sabbatical (desired length of time)
Special Program/Workshop
                                                 Please list program name/date/donation		 Personal Retreat
Self Directed Group Retreat
Individual Directed Retreat		 Directed Group Retreat
Massage/s

 

Suggested Donations

Day of Reflection

 $19.00/day
$
Overnight(s) Silo/Cottage/Granary** $53.00/night
$
Exclusive use of Granary $150.00/day
$
Sabbatical (Includes 2 donated hours per day) $840.00/month
$
Spiritual Direction Number of Sessions $50.00/session
$
Group Presentation/s $150.00 + transportation
$
Massage/s (1 hour each) $50.00/session
$
**Includes meals, linens, and lodging Subtotal
$
   
 
A 50% non-refundable, non-transferable deposit is required to reserve your dates or programs. Scholarships are available Deposit (1/2 of cost)
$
 
 
Master Card and Visa accepted. Please call The Bridge-Between at 920-864-7230 Balance
$
 

Additional contributions graciously accepted
The Bridge-Between Retreat Center, Inc. is a 501(c)(3) not-for-profit religious organization

 
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