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

Choose a Session

Women's Retreat: January 27-28, 2018

Men's Retreat: February 24-25, 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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