Resurrection Parish

St. John Capistran &
St. Thomas More Churches

Pray, hope, and don't worry.
Your parish is here for you.

Flocknote Facebook Instagram YouTube

Search

Men's Emmaus Registration Form

- Ministry

The maximum number of form submissions has been reached. This form is currently not available.
- Fill out this form to register for the Men's Emmaus Retreat
- 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 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.
- 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.
- Shirt Size Please enter valid data.
- Marital Status Please enter valid data.
- Name of Significant Other Please enter valid data.
- Emergency Contact #1 Name Please enter valid data.
- Emergency Contact #1 Relationship Please enter valid data.
- Emergency Contact #1 Phone Please enter valid data.
- Emergency Contact #2 Name Please enter valid data.
- Emergency Contact #2 Relationship Please enter valid data.
- Emergency Contact #2 Phone Please enter valid data.
- Please indicate any health problems
- Please indicate and dietary requirements
- Religious Affiliation (if any) Please enter valid data.
- Parish Please enter valid data.
- Invited by Please enter valid data.
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.