CEW Registration form
To register for the Christian Experience Weekend at St. Joseph the Worker, please complete this form and click submit.

Women's Weekend - February 23rd-25th, 2018

Men's Weekend - March 2nd-4th, 2018

First and Last Name - Please also let us know what you would preferred to be called if you do not want us to use your given name. *
Your answer
Address, City, State, Zip *
Your answer
Phone Number - cell and/or home whichever you prefer *
Your answer
Email *
Your answer
Birthdate *
Your answer
Age *
Your answer
Please complete the following information as completely as possible. This will help us to know you as an individual. This will be kept confidential and will be destroyed at the end of the weekend.
Please choose one option: *
If married, spouse's name
Your answer
Number of children, if any
Your answer
Parish/Religious Affiliation *
Your answer
Occupation & Place of Employment *
Your answer
Hobbies & Interests *
Your answer
Have you ever made a CEW before? *
If you have made a CEW before, when and where did you make it?
Your answer
Please list the names of friends and/or relatives also attending this weekend. *
Your answer
Who influenced you to attend this weekend? *
Your answer
What are your expectations for this weekend? *
Your answer
Please note any dietary or health or sleeping needs/concerns. We will accommodate your needs the best we can!
Your answer
RETURN BY
We suggest that you return this form at least one week before the weekend to allow us time to respond to you with information regarding the weekend. This also allows our kitchen team enough time to make accommodations for the most accurate count of people on the weekend. However, we are open to receiving new participants up until we begin the weekend on Friday night.
Cost of the CEW
The weekend costs $30.00 and can be paid to St. Joseph the Worker CEW. We ask that you either pay with check or cash to the parish office or sending by mail to one of the lay director's:

Women's weekend - Katie Bormann at 2725 Ken Court, Dubuque, IA, 52001
Men's weekend - Keith Weber at 864 Council Hill Drive, Dubuque, IA 52003

If in the unfortunate event that you are unable to attend, your money will be returned to you.

Please note - Financial Assistance is available, please do not hesitate to register for the weekend because you are not able to pay the register fee. Please contact your weekend's lay director if you would like more information

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