ACTS Registration Form

ACTS Registration Form

St. Paul Catholic Church Men's ACTS Retreat November 13-16, 2025 With trumpets and the sound of the horn, sing joyfully before the King, the LORD
Name

First NameLast Name
Preferred
Address

Street Address

Street Address Line 2

CityState

Zip
Emaill Address
example@example.com
Home Phone
Work
Cell
ARE YOU OVER 21 YEARS OLD YN
HAVE YOU ATTENDED AN ACTS RETREAT BEFORE YN
Are you a parishioner of St. Paul?

YesNo
If no list parish or church you attend
If someone invited you who
Please specify any needs such as:

-Dietary

-Medical

-Physical

-Finacial Assistance
Please explain
PLEASE NOTE THAT THERE IS NO ALCOHOL ALLOWED ON THE ACTS RETREAT
Emergency Contact #1: Phone
Emergency Contact 1
Relationship
Email Address
example@example.com
Emergency Contact #2: Phone
Emergency Contact 2
Relationship
Email Address
example@example.com
To guarantee your reservation, please remit payment for the retreat deposit fee amount of Scholarship amount $80 with this form. Full payment of $180 is due no later than November 3, 2025. Please requested: note that priority is given to parishioners of St. Paul Catholic Church.
Scholarship amount requested
PLEASE RETURN THIS COMPLETED FORM WITH PAYMENT TO THE ADDRESS BELOW:

St. Paul Catholic Church 10,000 David Moore Drive Austin, TX 78748

Or submit payment here: https://2373.sites.ecatholic.com/fees

-Once at the paysite enter the amount

-Under account make sure to select "Men's ACTS retreat"

-In the details box enter your full name and address
If you have questions about the ACTS Retreat or Registration please contact, Paul Hernandez (Men's Retreat Director) at peh367@gmail.com, Ron Pena (Retreat Co-Director) at txnharley45@yahoo.com, or Robert Gomez (Retreat Co-Director) at rgomez_48@icloud.com

I understand that ACTS Missions will collect all retreatants 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.
Initial here to OPT OUT of ACTS Missions follow up initiatives
Retreatant Signature

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