• ACTS Community Members,
  
  Do you need to update an address, phone number or E-Mail address...etc. in our database?
  
  Enter the 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 Retreat number you went on 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.
    • 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 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 Code REQUIRED Please fill out this field. Please enter an integer (number).
    • Phone Number REQUIRED Please fill out this field. Please enter valid data.
    • E-Mail Address REQUIRED Please fill out this field. Please enter an email address.
    • Date of Birth if under 21 Please enter a date.
    • Parish / Church REQUIRED (Select One) AMA - Blessed Sacrament AMA - Our Lady of Guadalupe AMA - Our Lady of Vietnam AMA - St. Francis AMA - St. Hyacinth AMA - St. Laurence AMA - St. Martin's de Porres AMA - St. Joseph's Borger - St John's Canyon - St. Ann's Canyon Student Center Clarendon - St. Mary's Clovis - Sacred Heart Dalhart - St. Anthony's Dimmitt - ICC Dumas - St's Peter & Paul Friona - St. Theresa of Jesus Groom - IHM Happy - Holy Name of Jesus Hart - St. John Nepumucene Hereford - San Jose Hereford - St. Anthony's Kress - St. Paul the Apostle Muleshoe - ICC Nazareth - Holy Family Pampa - St. Vincent De Paul Panhandle - St. Theresa's Perryton - ICC Prayer Town Emmanuel Protestant Sancta Maria Convent Shamrock - St. Patrick's Spearman - Sacred Heart St. Mary's Cathedral - Amarillo St. Thomas the Apostle - Amarillo Stratford - St. Joseph's Texline - St. Mary's Tulia - Church of the Holy Spirit Umbarger -St. Mary's Vega - ICC White Deer - Sacred Heart Other Please fill out this field.
    • If your Parish isn't listed above Please enter valid data.
    • 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.
  • Have you served on a TEEN ACTS REQUIRED Yes No Please fill out this field.
  • Would you consider serving on a 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.
  • How many times have you served on TEAM? None 1 2 3 4 5 6+
  • Would you consider serving on a ADULT ACTS Retreat? REQUIRED Yes No Please fill out this field.

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