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Spiritual Renewal Center

Reservation Application
- Please fill out the form below to inquire about available dates at the Spiritual Renewal Center. A reservation is NOT guaranteed by this email. You will receive a call from the Spiritual Renewal Center confirming your dates. For additional questions contact:
  
  Spiritual Renewal Center
  Matthew Boyle, Director
  718 Gussie Schmidt Rd
  Victoria, Texas 77905
  Phone: (361) 572-0836
  Cell: (361) 894-1699
  Fax: (361) 572-0816
  
  E-mail:
  mboyle@victoriadiocese.org
  src@victoriadiocese.org
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Name of Group REQUIRED Please fill out this field. Please enter valid data.
  
  Purpose for Reservation Please enter valid data.
  
  Anticipated Number of Attendees REQUIRED Please fill out this field. Please enter valid data.
  
  1st Date(s) Inquiring For Reservation REQUIRED Please fill out this field. Please enter a date.
  
  2nd Date(s) Inquiring For Reservation REQUIRED Please fill out this field. Please enter a date.
  
  Arrival / Departure Date & Time REQUIRED Please fill out this field. Please enter valid data.
  
  Renting Emmaus House does not include meal service. Kitchen is included with Emmaus House.
  
  How many buildings/areas on site will you be utilizing? REQUIRED Please fill out this field.
  
  Building 1
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 2
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 3
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 4
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 5
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 6
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 7
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 8
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 9
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 10
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 11
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 12
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 13
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 14
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 15
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 16
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 17
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 18
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Building 19
  
  Building/Area on site to be utilized REQUIRED Please fill out this field.
  
  Date utilizing building/area on site REQUIRED Please fill out this field. Please enter a date.
  
  Date not utilizing building/area on site REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Time requested for Breakfast (optional) REQUIRED Please fill out this field.
  
  Time requested for Lunch (optional) REQUIRED Please fill out this field.
  
  Time requested for Dinner (optional) REQUIRED Please fill out this field.
  
  Please add any other information here.
  
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