Awakenings Registration Form

Awakenings Retreat Oct. 19-21st, 2012

Please fill out the form below and submit by October 4th, 2012


Check One: Awakening (First Time)     Team     Growth (Already been on Awakening)




Phone (include area code):


Current Address:    Zip:


Email Address:


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 Name:


Parent's Phone Number (include area code):


Dietary Needs (if any):


T-shirt Size:


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




UMSL Catholic Newman Center
8200 Natural Bridge Rd.
St. Louis, MO 63121
Phone: (314) 385-3455
Fax: (314) 385-1523