Please complete all fields in the form below to register for the upcoming session of Christ Renews His Parish.

You may also download and print the form and return it the Parish Office: St. Peter’s Parish, 815 E. Meyer Blvd. Kansas City, MO 64131

Choose a Session

Women's Retreat: January 27-28, 2018

Personal Information

Your Name (required)

Nickname for Nametag (required)

Your Email (required)

Street Address

City/State/Zip

Preferred Phone (required)

Secondary Phone

Are you a registered member of the parish?
YesNo

Do you have food allergies or special dietary needs, or do you require any special accommodations?
YesNo

If yes, please elaborate:

Contacts

Relative

Name

Home Phone

Alternate Phone

Email (required)

Friend

Name (required)

Home Phone

Alternate Phone

Email

Questions or Comments

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