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Update Your Contact Information

- Contact ACTS

ACTS Community Members,

Do you need to update an address, phone number, email address, etc. in our database so you can receive updates and requests for retreat teams?

Please enter your most current information in the fields below.
The maximum number of form submissions has been reached. This form is currently not available.
- Needed Information
  
  Approximate Date or Number of the Retreat you attended: Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip Code REQUIRED Please fill out this field. Please enter an integer (number).
  
  Parish / Church REQUIRED Please fill out this field.
  
  If your Parish/Church isn't listed above: Please enter valid data.
  
  Would you like to be contacted about a small group at your Parish? REQUIRED Yes No Please fill out this field.
  
  Would you consider being a contact person for ACTS for your Parish? REQUIRED Yes No Please fill out this field.
- Have you served on a TEEN ACTS REQUIRED Yes No Please fill out this field.
- If YES, how many times have you served on TEAM for a TEEN Retreat?
- Would you consider serving on a future TEEN ACTS Retreat? REQUIRED Yes No Please fill out this field.
- Have you served on ADULT ACTS team? REQUIRED Yes No Please fill out this field.
- If YES, how many times have you served on TEAM for an ADULT Retreat?
- Would you consider serving on a future ADULT ACTS Retreat? REQUIRED Yes No Please fill out this field.
- Are You a Musician? REQUIRED Yes No Please fill out this field.
- If you play instrument(s), what do you play? Please enter valid data.
- Can you lead an ACTS Team / ACTS Retreat Musically / Liturgically ? REQUIRED Yes No Please fill out this field.
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