St. Peter Catholic Student Center

Parish Retreat Request Form

- Programs & Organizations

Please will out the form below to the best of your ability. If there are unknowns, please indicate that in your response.

If you would like to fill out a hard copy, you can download the document here. You can e-mail that version to SPROUT or physically mail it in to us at the address indicated on the form.
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- Parish Name REQUIRED Please fill out this field. Please enter valid data.
- Contact Person REQUIRED Please fill out this field. Please enter valid data.
- Contact Phone REQUIRED Please fill out this field. Please enter valid data.
- Contact E-mail REQUIRED Please fill out this field. Please enter valid data.
- Preferred date for the retreat REQUIRED Please fill out this field. Please enter valid data.
- Alternative date for the retreat Please enter valid data.
- Is this a Confirmation retreat? REQUIRED Yes No Please fill out this field.
- Approximate number of retreatants and their age range REQUIRED Please fill out this field. Please enter valid data.
- Approximate male/female ratio REQUIRED Please fill out this field. Please enter valid data.
- Are there any particular ethnic/culture factors that you feel should be taken into account? REQUIRED Please fill out this field. Please enter valid data.
- What are the general group dynamics of the youth? (quiet, excited, respectful, questioning, rebellious) Are they comfortable interacting with each other? REQUIRED Please fill out this field.
- Approx length of retreat (start and end time) REQUIRED Please fill out this field. Please enter valid data.
- Is there a desired theme for the retreat? If so, what is it? REQUIRED Please fill out this field. Please enter valid data.
- Location of Retreat - (Please briefly describe facility/spaces that will be available, e.g. indoor/outdoor, chapel, rooms, etc.) REQUIRED Please fill out this field.
- Are meals provided? And snacks? REQUIRED Please fill out this field. Please enter valid data.
- Are there adult or teen youth leaders (i.e. core team members) that will be present? If so, approximately how many of each? REQUIRED Please fill out this field. Please enter valid data.
- Will Confessions be provided? If so, about how many priests will be hearing Confessions? REQUIRED Please fill out this field. Please enter valid data.
- Will be there Mass offered? If so, is there a time already set? REQUIRED Please fill out this field. Please enter valid data.
- Will there be Eucharistic Adoration? If so, is there a time already set? REQUIRED Please fill out this field. Please enter valid data.
- Are there any other activities/speakers that you are planning to arrange for the retreat apart from SPROUT? REQUIRED Please fill out this field. Please enter valid data.
- Any other comments:
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