Womens ACTS Retreat

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Cell Phone REQUIRED Please fill out this field. Please enter a phone number.

Is it Ok to text you at this number? REQUIRED Yes No Please fill out this field.

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Please Check Here to include or NOT include your contact information in the retreat directory Include Not Include

Are you: Married Single

Emergency Contact #1

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Emergency Contact #2

Name Please enter valid data.
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Name of your Parish and location REQUIRED Please fill out this field. Please enter valid data.

Religion Please enter valid data.

Person inviting you to this retreat: Please enter valid data.

Will you have any specific dietary, medical or physical needs during this weekend? (i.e. Prescription meds, trouble walking on the retreat grounds, food allergies/restrictions, etc.) REQUIRED Yes No Please fill out this field.

If yes, Please explain

I will pay my registraiton fee of $250 via REQUIRED Online Fee Payment via Faith Direct Check or Cash I will need financial assistance Please fill out this field.

You may submit your ACTS retreat fee via Faith Direct at this link.
https://membership.faithdirect.net/events/details/6055

There are no refunds if you cancel within 2 weeks of the start of the retreat, unless we can fill your spot. REQUIRED I understand Please fill out this field.

We woud like to begin praying for you now. Do you have any special prayer intentions at this time? Please provide was much or as little information as you feel comfortable.