men-registration

PARISH MISSION STATEMENT: The mission of Holy Cross Catholic Church is to foster the teachings of Our Lord Jesus Christ in all people in order to empower them to bring change and healing to all. Through the celebration of the Sacraments, Disciple Formation programs for all age groups, and other activities, we are to enhance and enrich the discovery of the Sacred found in all people.

Welcome to the Holy Cross Men's ACTS Retreat Registration, retreat date March 16-19, 2023
Retreatant Information
First Name*
Last Name*
Preferred
HoH Birthdate*
Email*
Physical Address
Street*
City*
State*
Zip Code*
Home Phone
Work
Cell*
T-Shirt Size*

Ever attended an ACTS Retreat?*
No* Yes*
What parish or church are you registered in?*
Religion:*
If someone invited you, who?
Select all specific needs:
Please explain and/or list:
Are you a CPAP user?*
No* Yes*
PLEASE NOTE THAT THERE IS NO ALCOHOL ALLOWED ON THE ACTS RETREAT
Primary / Emergency Contact*
Relationship*
Phone*
Email*
Emergency Contact #2
Relationship
Phone
Email

To guarantee your reservation, please complete this form. Full payment of $295.00 is due on Thursday when you arrive. Credit cards are accepted with the amount being $302.98.

Please note that priority is given to parishioners of Holy Cross Catholic Church, Lafayette.
If you have questions about the ACTS Retreat or Registration, please contact Mike Binnings 337.344.7011.
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 experience 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.

Welcome to the Holy Cross Men's ACTS Retreat Registration, retreat date March 16-19, 2023
Retreatant Information
First Name
Last Name
Preferred
HoH Birthdate
Email
Physical Address
Street
City
State
Zip Code
Home Phone
Work
Cell
T-Shirt Size

Ever attended an ACTS Retreat?
What parish or church are you registered in?
Religion:
If someone invited you, who?
Select all specific needs:
Please explain and/or list:
Are you a CPAP user?
PLEASE NOTE THAT THERE IS NO ALCOHOL ALLOWED ON THE ACTS RETREAT
Primary / Emergency Contact
Relationship
Phone
Email
Emergency Contact #2
Relationship
Phone
Email

To guarantee your reservation, please complete this form. Full payment of $295.00 is due on Thursday when you arrive. Credit cards are accepted with the amount being $302.98.

Please note that priority is given to parishioners of Holy Cross Catholic Church, Lafayette.
If you have questions about the ACTS Retreat or Registration, please contact Mike Binnings 337.344.7011.
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 experience 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.

Fields marked with an asterisk (*) are required.

men-registration

Welcome to the Holy Cross Men's ACTS Retreat Registration, retreat date March 16-19, 2023

Retreatant Information

PLEASE NOTE THAT THERE IS NO ALCOHOL ALLOWED ON THE ACTS RETREAT

To guarantee your reservation, please complete this form. Full payment of $295.00 is due on Thursday when you arrive. Credit cards are accepted with the amount being $302.98.