Men's ACTS Retreat Registration

- Things to Know
  
  Contact for more information:
  Steve Mueller Co-Director 832-289-6319
  
  Retreat Date:
  Thursday, May 5 (5 PM) – Sunday, May 8, 2022
  
  What to bring:
  Bible, Rosary, Comfortable clothes for three days
  What not to bring:
  Alcohol
- The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Street 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.
  
  Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Cell/Work Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Over 21 Years Old? REQUIRED Please fill out this field.
  
  Ever attended an acts retreat? REQUIRED Please fill out this field.
  
  Are you a registered parishioner at St. Thomas More? REQUIRED Please fill out this field.
  
  If No, what parish or church do you attend: Please enter valid data.
  
  Religion: REQUIRED Please fill out this field. Please enter valid data.
  
  If someone invited you, who: Please enter valid data.
  
  Desire for attending the retreat?
  
  Please List any specific need you may have (Dietary, Medical, Physical, Financial Assistance) or put none: REQUIRED Please fill out this field.
  
  Emergency Contact:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  I understand that ACTS Missions will collect all retreatants information for quality purposes and testimonials. I also understand that ACTS Missions may contact me after this ACTS Retreat to get feedback on my expereince and see if I would like to participate and support future ACTS Retreats. I understand that ACTS MIssions will NOT release my personal information to outside agencies.
  I Agree Please select this field.
  
  Put your initials below to OPT-OUT of ACTS Missions follow up initiatives Please enter valid data.
  
  Cost240.0
  
  Total:
  
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