Awakenings Registration Form
Awakenings Retreat Oct. 19-21st, 2012
Please fill out the form below and submit by October 4th, 2012
Awakening (First Time)
Growth (Already been on Awakening)
Phone (include area code):
Date of Birth:
Please check box if you will allow us to contact your parents/family to pray for you while you're away that weekend.
Parent's Phone Number (include area code):
Dietary Needs (if any):
Even though you can submit your registration online, you'll still need to pay your retreat fee ($35) to Kay ASAP.
*Make checks payable to Catholic Newman Center-UMSL. Space not reserved until payment is received!
Questions: Contact Kay at 314-385-3455 or firstname.lastname@example.org
questions regarding this site: email@example.com
July 24, 2012