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Home
About ACTS
ACTS Amarillo History
ACTS Patron Saint
CORE Team
FAQs
Registration
What is an ACTS Retreat?
Adult Registration
Teen Registration
Cancellations & Refunds
Community & Outreach
Give/Donate
Retreat Sponsorship
Prayer Boards
Being "Called on Team" & Volunteers
Teen Hall Monitors
Parish Reps & Small Groups
Contact ACTS
Feedback & Questions
Database Updates
Prayer Requests
Resources
Resources & Small Groups
ACTS Team Tips
Adult Registration
Register for either a Men's Retreat or Women's Retreat
Make Final Payment
Print Paper Form*
*PLEASE NOTE: Online registration is faster and easier, for both the retreatant and our volunteers;
however, you may use the mail-in paper form by clicking the "Print Paper Form" button.
The maximum number of form submissions has been reached. This form is currently not available.
Select Adult Retreat
Which Retreat are you registering for?
REQUIRED
(Select One)
Men's Retreat February 2024
Please fill out this field.
Are you Registering as a Retreatant or Team Member?
REQUIRED
Retreatant
ACTS Team Member
Please fill out this field.
Registration Form (Part A)
Payment Verification
REQUIRED
I will pay the $100.00 deposit which leaves a balance of $100.00 owed
I will pay the $200.00 fee in full
Please fill out this field.
Participant's First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Participant's Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Sex
REQUIRED
Male
Female
Please fill out this field.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter valid data.
Home Phone
REQUIRED
Please fill out this field.
Please enter valid data.
Cell Phone Number
Please enter valid data.
Registration Form (Part B)
Who Introduced You to ACTS?
Please enter valid data.
Phone Number
Please enter valid data.
Are you married?
None
Yes
No
Has your spouse attended an ACTS Retreat?
None
Yes
No
Are they scheduled to attend?
None
Yes
No
Are you a practicing Catholic?
None
Yes
No
If so, which Parish/Church?
Please enter valid data.
Do you practice another faith?
None
Yes
No
Church/City
Please enter valid data.
Dietary and Medical Needs
Will you have any specific dietary or medical needs during this weekend?
None
Yes
No
My needs are
I am allergic to
Please enter valid data.
Emergency Contact Information
Emergency Contact Name
REQUIRED
Please fill out this field.
Please enter valid data.
Relationship
Please enter valid data.
Emergency Contact Phone
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Final Payment: A deposit of $100 will guarantee your spot for the retreat. Full payment must be received on or before the date of the retreat. If you are only paying your deposit today, please visit our
final payment
page to make your final payment.
Payment Type
REQUIRED
100.0
– Deposit
200.0
– Full Payment
Please fill out this field.
Payment Amount
REQUIRED
$0.00 – (Select One)
$100.00 – Deposit
$200.00 – Full Registration
Please fill out this field.
Total:
Submit
Proceed to Payment
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