JPII Men's Retreat 2
Registration for the JPII ACTS Men's Retreat 2
  1. Dates: January 30 - Feb 2, 2025
  2. Retreat does not start until AFTER WORK on Thursday
  3. Registration Fee: $300.00
  4. Include "Men's ACTS 2" in memo line
  5. DO NOT MAKE PAYMENT UNTIL YOU HAVE RECEIVED WELCOME EMAIL
  6. Once you have received welcome email - You can 
    1. Make Checks Payable to: St. Bernadette Catholic Church, Please include "Men's ACTS 2025" in memo line, drop in collection or mail to 409 Funderburk Avenue, Houma, LA 70360 -OR-
    2. Make online payment - available with a 2.5% Convenience fee at https://bit.ly/ACTS2025 - select "Add 2.5% to help cover costs of processing." 

Sign in to Google to save your progress. Learn more
Home parish *
If someone invited you, who?
Are you over 21 years old?
Clear selection
Do you have
List any allergies or special dietary/medical needs/ physical needs
First Name *
Last Name *
Preferred Nickname (if applicable)
Date of Birth *
MM
/
DD
/
YYYY
Cell Phone Number *
Home/Work Phone Number *
Home Address *
Email Address *
Request for Financial Assistance (anonymous) *
Emergency Contact Information
Name *
Cell Phone Number *
Home/Work Phone Number *
Relationship *
Home Address *
Email Address *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report