SJA CRHP/Welcome Registration
Please fill out this form to register for the next CRHP/Welcome weekend at SJA. If you have any questions, please contact Deacon Mac McClelland (757)748-6143 or
Email address *
Which weekend would you like to attend? *
What is your full name? *
Your answer
If you would like a different name on your name tag for the weekend. Please enter it here.
Your answer
What is your mailing address? *
Your answer
What is your phone number? (home/cell) *
Your answer
Are you a registered parishioner of SJA? *
Please list any special dietary requests or requirements. We will make every effort to accommodate these requests:
Your answer
In case of emergency, please contact (include name & relationship) *
Your answer
Please list phone number(s) AND email for your emergency contact. *
Your answer
How did you hear about this weekend? *
Any additional information you'd like to include?
Your answer
A copy of your responses will be emailed to the address you provided.
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