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
Which weekend would you like to attend?
Women's Weekend - September 28 & 29, 2019
Men's Weekend - October 5 & 6, 2019
What is your full name?
If you would like a different name on your name tag for the weekend. Please enter it here.
What is your mailing address?
What is your phone number? (home/cell)
Are you a registered parishioner of SJA?
Please list any special dietary requests or requirements. We will make every effort to accommodate these requests:
In case of emergency, please contact (include name & relationship)
Please list phone number(s) AND email for your emergency contact.
How did you hear about this weekend?
Any additional information you'd like to include?
A copy of your responses will be emailed to the address you provided.
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