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ACTS Registration

- ACTS Registration Info.
  
  The purpose is to grant the participant an opportunity to focus on their faith and apply it in their daily life. It is also to find purpose in their life, increase the participation in liturgy and cultivate friendships amongst members of the church community.
  
  Cost - The retreat cost will be $80.00
  
  This includes food and lodging.
  
  A $25 deposit is required to reserve your space. The remaining balance is ALL due Thursday, October 5, 2023.
- 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.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  In Case of Emergency Call
  
  Emergency Contact #1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relation Please enter valid data.
  
  Emergency Contact #2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relation Please enter valid data.
  
  Medical Needs/Conditions (Special Diet, Medications, etc.) Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registered with the Parish REQUIRED Please fill out this field.
  
  Registration Fee80.0
  
  Total:
  
  Submit
  
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