Christian Life Community Formation Institute

G/F CLC Center, Seminary Drive, Ateneo de Manila University Campus,

Loyola Heights, Quezon City 1108 Philippines
Tel. Nos. (63 2)42600.74 – 75 Email: clcfi@admu.edu.ph

IGNATIAN JOURNEY RETREAT REGISTRATION FORM

Date: November
Mirador Jesuit Villa, Baguio City
30 – December 3,
2017
​ ​ ​ ​ ​Retreat Schedule:
RETREATANT INFORMATION
Name Nickname
Birthday Age Gender Male Female Civil Status
Mobile No. Landline No.
Home Address
Occupation Email Address
Office Address
Religion Religious Affiliation (if any)
Medical conditions (if any)
Food allergies (if any)
Are you currently undergoing counseling sessions or therapy? If yes, kindly explain:

Person to contact in case of emergency

Relationship Contact No.

RETREAT DETAILS AND PREFERENCES

Estimated time of arrival (ETA) at the retreat house
I will be arriving in time for dinner on November 30, 2017, the day before the retreat proper.
(Recommended)
I will be arriving on a different date and time.
Date: Time: (After) Breakfast Lunch Dinner
Estimated time of departure (ETD) from the retreat house
I will be departing after lunch on the last day, December 3, 2017. (Recommended)
I will be departing on a different date and time.
Date: Time: (After) Breakfast Lunch Dinner
Other information you may want us to know
 PAST RETREAT EXPERIENCE
Please choose the type of retreats you have experienced and indicate the number of days for each retreat type.
Name of
Type of Retreat Date Venue
Retreat Guide
8-day Individually-directed
5-day Individually-directed
3-day Individually-directed
Retreat in Daily Life (18th Annotation Retreat)
Retreat in Daily Life (19th Annotation Retreat)
Preached with a big group

Semi-directed (Small group retreat with sharing in the

group and with one on one talk with a retreat guide)
Others (Kindly
specify:_____________________________)
What was your significant or dominant experience during your last retreat?

PRESENT RETREAT
What are your reasons for going to this retreat?

What do you wish to happen to you in this retreat?

What do you want to experience during this retreat? (e.g., sacrament of reconciliation, adoration, group sharing,
individual conferences with retreat guide, etc.) Why?

WHAT TO EXPECT DURING THIS RETREAT

You will be asked to stay in silence. How do you feel about that?

You will be given specific prayer points to pray over. How do you feel about that?
You will be asked to write about your prayer experiences and feelings during prayer. How do you feel about
keeping a prayer journal?

You will be given an option to consult with a retreat guide about the fruits of your prayer. How do you feel
about that?

PRE-RETREAT SURVEY
As a way to prepare yourself for the retreat, we request you to reflect on the following questions.
Your responses will help your Retreat Guide in preparing prayer points for you.
MY SELF IMAGE. How do you look at yourself at present? What symbol would be best describe you at
present?

MY IMAGE OF GOD. Who is God for you at present? How has God been manifesting Himself to you these
days? What symbol would best describe the way you see and relate with God now?

GOD’S IMAGE OF ME. What do you sense is God's image of you? How do you feel about it?

MY LIFE. How do you look at your life? (As a gift, a mystery, a problem, a burden, an adventure, etc.)

PRAYER. What is prayer for you? How do you pray? How long do pray? What materials do you use for
prayer?

Note on the retreat process:

 ​Common points will be given by the Retreat Director and there will be Retreat Guides who will be
available for individual consultation.
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Date filed Received by

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