Christ Renews His Parish Weekend Renewal Registration Form
Complete this form and hit the submit button at the bottom of this page to register for the selected retreat.
Retreat Date Desired Men's Retreat
Women's Retreat
First Name:
Last Name:
Nickname? (for Nametag):
Street Address:
City, State, Zip:
Home Phone:
Email Address:
Are you a registered member of the parish?
Do you have food allergies or special dietary needs? Or do you require any special accommodations?
They are:
Contacts (In case you become ill or have an emergency during the retreat.)
First Contact Full Name:
Relationship:
Home Phone Number:
Alternate Phone Number:
Second Contact Full Name:
Questions or Comments:
Submit registration:
