2023 March Lenten Retreat

March 6-14, 2023

Join us on this retreat to La Sagrada Familia, our sister parish in the Dominican Republic.

The round-trip cost is $1,800 per person.
The application deadline is EXTENDED to January 31, 2023.
The non-refundable deposit is $450 due by January 31, 2023.

Pay by copying and pasting the URL into your web browser, https://officeforworldmission.givingfuel.com/2023-march-lenten-retreat

Must have proof of COVID Vaccination or proof of a negative COVID Status within 48 hrs of departure (for those who are unvaccinated).

Must have a passport that is valid up to 6 months after returning to the US.

If you have technical problems with the survey, please contact Lucca Kenyon at 414-758-2280. If you have questions about the program, please contact Antoinette Mensah at 414-758-2282.

PAGE 1: PERSONAL INFORMATION:

Question Title

* 1. Please provide your contact information:

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 2. What is your date of birth? (please use format MM/DD/YYYY)

Question Title

* 3. Do you have a valid passport? (Passport must not expire for at least 6 months after the return date of your trip.)

Yes

Please Note: You do not need to have a passport to submit an application. However, you will need to have a passport at least two weeks before departure. (Please note that passports must not expire for at least 6 months after your trip dates.)

Question Title

* 4. If you already have a valid passport, please enter the following information:

Full name exactly as it appears on your passport:

Passport Number:

Question Title

* 5. Emergency Contact Person(s):
(at least one person's name and phone or e-mail address is required)

Contact Person #1 Name:

Contact Person #1 Telephone Number:

Contact Person #1 E-mail Address:

(optional) Contact Person #2 Name:

(optional) Contact Person #2 Telephone Number:

(optional) Contact Person #2 E-mail Address:

Question Title

* 6. Do you have any health or dietary restrictions?

Yes (please specify)

Question Title

* 7. Do you speak any Spanish or Creole? (you can indicate your level in questions 7 & 8)

Yes, Spanish

Yes, Creole

No I do not speak any Spanish or Creole

Question Title

* 8. If you speak Spanish, please indicate your level of proficiency:

Beginner

Conversational

Fluent

Interpreter

Question Title

* 9. If you speak Creole, please indicate your level of proficiency:

Beginner

Conversational

Fluent

Interpreter

Question Title

* 10. PARISH AFFILIATION: If you are a member of a local parish, please enter its name and location.

Parish Name:

Parish City:

Question Title

* 11. Please indicate your level of experience with the Archdiocesan Sister Parish “La Sagrada Familia” in the Dominican Republic (choose all that apply):

None

Twinning

Donor

Visited

If you have visited, when did you visit?

Question Title

* 1. Please provide your contact information:

Question Title

* 2. What is your date of birth? (please use format MM/DD/YYYY)

Question Title

* 3. Do you have a valid passport? (Passport must not expire for at least 6 months after the return date of your trip.)

Question Title

* 4. If you already have a valid passport, please enter the following information:

Question Title

* 5. Emergency Contact Person(s): (at least one person's name and phone or e-mail address is required)

Question Title

* 6. Do you have any health or dietary restrictions?

Question Title

* 7. Do you speak any Spanish or Creole? (you can indicate your level in questions 7 & 8)

Question Title

* 8. If you speak Spanish, please indicate your level of proficiency:

Question Title

* 9. If you speak Creole, please indicate your level of proficiency:

Question Title

* 10. PARISH AFFILIATION: If you are a member of a local parish, please enter its name and location.

Question Title

* 11. Please indicate your level of experience with the Archdiocesan Sister Parish “La Sagrada Familia” in the Dominican Republic (choose all that apply):

* 5. Emergency Contact Person(s):
(at least one person's name and phone or e-mail address is required)