• The maximum number of form submissions has been reached. This form is currently not available.

  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • • Retreats attended REQUIRED
      you may indicate information up to 5 retreats, please put most recent
      Please fill out this field.
    • Retreats 1
      • Date Retreat attended REQUIRED Please fill out this field. Please enter valid data.
      • Attending Retreat Parish REQUIRED Please fill out this field. Please enter valid data.
    • Retreats 2
      • Date Retreat attended REQUIRED Please fill out this field. Please enter valid data.
      • Attending Retreat Parish REQUIRED Please fill out this field. Please enter valid data.
    • Retreats 3
      • Date Retreat attended REQUIRED Please fill out this field. Please enter valid data.
      • Attending Retreat Parish REQUIRED Please fill out this field. Please enter valid data.
    • Retreats 4
      • Date Retreat attended REQUIRED Please fill out this field. Please enter valid data.
      • Attending Retreat Parish REQUIRED Please fill out this field. Please enter valid data.
  • Would you like to serve on team? REQUIRED yes no Please fill out this field.
  • Would you like to serve as ACTS Retreat Director REQUIRED yes no Please fill out this field.
  • Would you wish to serve on ACTS Core REQUIRED yes no Please fill out this field.
  • Would you like to receive periodic information about upcoming speakers/retreats/faith formation opportunities? REQUIRED yes no Please fill out this field.
  • Other information or comments

  Submit

  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.