Catholic Student Center

At West Texas A&M University

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Retreatant Form

- Grow Your Faith
  - Worship
    
    Mass Times
    Adoration
    Awakening Retreat
    
    Staff
    Retreatant
    
    Prayer Intentions
    
    Bible Studies & Small Groups

Fill out the below registration form for the 2024 Awakening retreat!
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- WTAMU 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 REQUIRED Please fill out this field. Please enter a zip code.
- Year in College REQUIRED Please fill out this field.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Major REQUIRED Please fill out this field. Please enter valid data.
- Have you been on a Catholic retreat before? REQUIRED Yes, many times Yes, once No Please fill out this field.
- If yes, what retreat and when? Please enter valid data.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field.
- Medical/Dietary Needs: REQUIRED Please fill out this field.
- Other things we need to know (other special circumstances):
- Awakening Retreat Fee REQUIRED Please fill out this field.
- Parent/Emergency Contact #1
  
  *We will send some information about the retreat to your emergency contacts. If this is a problem, please notify the directors or Betty or Stefani.*
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  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 REQUIRED Please fill out this field. Please enter a zip code.
  
  Country Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
- Parent/Emergency Contact #2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Country Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Relationship Please enter valid data.
- The retreat fee refund deadline is by September 13, 2024. After this date, if you must drop, please bring it up with Betty, Stefani, or one of the directors and we will see if a partial refund is possible!
  Thank you!
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