Christ Renews His Parish
Free - Women's Weekend Registration
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Dietary restriction or allergies
MIC Parishioner?
Yes
No
Emergency contact
*
First Name
Last Name
Emergency Phone Number
*
Emergency E-mail
*
example@example.com
Prayer Buddy (Name of person that will pray for you)
First Name
Last Name
Prayer Buddy Phone Number
Please enter a valid phone number.
Prayer Buddy Email
example@example.com
Other Comments: Include special assistance needs if any
Include known friends attending with you. If you attended CRHP/Welcome at a different parish where? when?
Submit
Should be Empty: