Christ Renews His Parish Online Registration

To register for the next Christ Renews His Parish retreat weekend, simply complete the online registration form. If you would rather register by mail, click on the link on the homepage called "PDF registration form", complete it and mail the form to your parish office.

Retreat Date:

Last Name

First Name

Street Address, including Apt #:

City

State

ZIP Code

Email Address

HomePhone Number

Any food allergies or special needs
No

Yes



If yes, please list/explain:

Emergency Contact Information:

Full Name:

Relationship:

Home Phone Number:

Cell Phone Number

Work Phone Number:

This is an important part of the weekend. Please list 5 family members or friends that you would like praying for you during the retreat weekend.

Prayer Support:

Name 1 - Relationshp - Phone Number

Name 21 - Relationshp - Phone Number

Name 3 - Relationshp - Phone Number

Name 4 - Relationshp - Phone Number

Name 5 - Relationshp - Phone Number

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