Christ Renews His Parish

Yes, I am attending the weekend!
Please register me for: ---Women's Retreat on October 1st & 2nd 2016Men's Retreat on October 8th & 9th 2016

I cannot attend but would like to help support the retreatants: ---Women's RetreatMen's RetreatBoth Retreats
(please include your contact information below)

I would like more information:
Yes, send me more informationNever mind, I am attending the weekend

Your Name (required):

Your Email (required):

Your Mailing Address (required):

Your City, State Zip (required): IA

Your Phone Number (required):

Emergency Contact (required):

Emergency Phone (required):

Relationship to Emergency Contact:

Please list any special physical or dietary requirements below. We will make every effort to accommodate these requests.

Prayer Support

List up to three people you would like to pray for you and please include their phone numbers.

     Prayer Support                          Cell Phone                           Email

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2. - -

3. - -