Retreatant Application - St. Pius X Women's ACTS Retreat

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Retreatant Application - St. Pius X Women's ACTS Retreat

February 10-13, 2022. Check-in will begin at 5:00pm on Thursday, February 10 and end with a noon mass on Sunday, February 13, at St. Pius. Transportation will be provided. The cost for retreatants is $295. Instructions for payment will be communicated when you are offered a spot on the retreat.

Sign in to Google to save your progress. Learn more

* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Primary Phone Number *

Your answer

Alternate Phone Number

Your answer

e-mail Address *

Your answer

Street Address *

Your answer

City *

Your answer

State *

Your answer

Zip Code *

Your answer

Religion

Your answer

Are you a registered Parishioner of St. Pius X? *

Yes

No

Next

Clear form

Never submit passwords through Google Forms.

This form was created inside of St. Pius X Church. Report Abuse