Christ Renews His Parish
Free - Men's Weekend Registration
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
example@example.com
Dietary restrictions or allergies
*
Mary Immaculate Parishioner?
Yes
No
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Emergency Contact Email
*
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)
Submit
Should be Empty: