ACTS Retreat Registration

ACTS Retreat Registration Form

St. Edmond Roman Catholic Church
Women's Acts Retreat October 16th - 19th, 2025

ACTS is an acronym for Adoration, Community, Theology and Service. The retreat goals are to strengthen our faith and its application in our daily life, to renew ourselves spiritually and to build strong, lasting friendships. The ACTS retreat is presented by lay Catholic individuals, with support provided by our Pastor.

The retreat begins on a Thursday evening, with check-in at 5 PM at St. Edmond Family Center. Transportation will be provided to the retreat center. We will return to St Edmond on a Sunday for the 11 AM mass.

Space is limited. ACTS is a "parish based" retreat and ministry. Registration is open first to parishioners of St. Edmond before considering non-parishioners. When we have reached the maximun number of retreatants, a waiting list will be utilized up to 10 days before the retreat to fill any vacancies.

The cost of the retreat is $300, which will be used to defray the cost of food and lodging for the weekend. This fee should be paid in full before or on the day of check-in. Please note that financial challenges should not prevent anyone from attending. Scholarships are available. Please call the office for more information.
Retreat Attendee Information
Name*

First NameLast Name
Preferred Name on Tags*
Name on name tag
Date of Birth*

MonthDayYear
Date
Phone Number
Cell Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Church Parish
Church parish where you are registered
Religion
T-shirt size*

SmallMediumLargeExtra LargeXX LargeXXX Large
Referred by
Spouse Information
Spouse Name

First NameLast Name
Marital Status
Phone Number
Cell phone Number*
Email
example@example.com
Primary Contact Details
Contact Name*

First NameLast Name
Relationship to you
Phone Number
Cell phone Number*
Email
example@example.com
Emergency Contact Details

If spouse or primary contact cannot be reached.
Contact Name*

First NameLast Name
Phone Number
Cell phone Number*
Email
example@example.com
Medical Information
Do you use a CPAP machine?

YesNo
Do you use a wheelchair?

YesNo
Please let us know if you have any allergies, existing illnesses or any medical conditions.
Are you currently taking any medication? If yes, please provide the generic name and its purpose.
If you have any dietary needs, please explain.
Explain
Payment Details
To guarantee your reservation, please remit payment for the retreat deposit fee amount of $50.

Full payment of $300 is due by Thursday at check-in.

Please make checks payable to St. Edmond Catholic Church.

Please send the check to the address below:

St. Edmond Catholic Church

Attn: ACTS Retreat

4131 West Congress Street

Lafayette, LA 70506
Disclosure
I understand that ACTS Missions will collect all retreatant's information for quality purposes and testimonials.

I also understand that ACTS Missions may contact me after this ACTS Retreat to get feedback on my experience and see if I would like to participate and support future ACTS Retreats.

I understand that ACTS Missions will NOT release my personal information to outside agencies.
I have read the above statements.

I would like to participate in the follow-up initiatives.I would not like to participate in the follow-up initiative.
Should be Empty:

ACTS Retreat Registration Form

Retreat Attendee Information

Spouse Information

Primary Contact Details

Emergency Contact Details

Medical Information

Payment Details

Disclosure