Individual Retreat Inquiry

Please note that completion of this inquiry form does not guarantee or finalize your request. A staff member from Siena Retreat Center will follow up with you to confirm your request. If you do not hear from a staff member within three business days, please follow up with a phone call (262-898-2580) or email (arrangements@sienaretreatcenter.org).

* These fields are required

1 Welcome

2 Participant Info

Preferred Name	Your preferred first name for your name tag
Phone *
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Please select the option that broadly characterizes your diet. *	There is a field below where you can share specific dietary needs, such as allergies & intolerances or variations such as pescatarian (eats fish but no other meat) or no pork/red meat.
Please share any food allergies or special dietary needs you may have. (Leave blank if none)	Please note that we make every effort to accommodate each person's dietary needs but highly specific diets may be outside of our ability to serve. We are not an allergy-safe kitchen. We have communal space on-site if you need to bring your own food items.
Special Needs (ADA / Accessibility)
Emergency Contact *	Please list the name and phone number for someone who we can contact in case of emergency during your time on retreat.

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3 Retreat Dates

Please list your first choice of dates below, as well as any alternative dates that may work for your schedule.

What is your first-choice arrival date? *
What is your first-choice departure date? *
If your first choice of dates for a retreat are unavailable, what are some alternative dates that may work for you? *

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4 Check In & Check Out Times

What is your estimated arrival time? *
What is your estimated departure time? *

5 Meals

What, if any, meals would you like on your ARRIVAL day? *	Breakfast Lunch Dinner None, I will provide my own meals. Breakfast: Self-serve continental, from 6-10 am Lunch: Main meal, 12-12:30 pm Dinner: Lighter fare, 5:30-6 pm
What, if any, meals would you like on your FULL retreat day(s)? *	Breakfast Lunch Dinner None, I will provide my own meals. Breakfast: Self-serve continental, from 6-10 am Lunch: Main meal, 12-12:30 pm Dinner: Lighter fare, 5:30-6 pm
What, if any, meals would you like to order on your DEPARTURE day? *	Breakfast Lunch Dinner None, I will provide my own meals. Breakfast: Self-serve continental, from 6-10 am Lunch: Main meal, 12-12:30 pm Dinner: Lighter fare, 5:30-6 pm

6 Security Check

Security check