Facebook YouTube X (Twitter) Instagram

Men's ACTS Retreat Registration

- Men's ACTS Registration
  
  August 27-30, 2026
  "Whoever wishes to come after me must deny himself,
  take up his cross, and follow me" Matthew 16:24
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Retreatant
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred to be called: Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Cell Phone REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Home Phone
  
  Please enter a phone number.
  
  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.
  
  Are you a Registered Parishioner? REQUIRED Yes No Please fill out this field.
  
  Name of Your Parish REQUIRED Please fill out this field. Please enter valid data.
  
  Religious Preference REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Team Member Who Encouraged You to Attend REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse/Significant Other's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse/Significant Other's Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Spouse/Significant Other's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Close Family or Friend Contact's Name (#1) REQUIRED Please fill out this field. Please enter valid data.
  
  Contact #1 Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Close Family or Friend Contact Name (#2) REQUIRED Please fill out this field. Please enter valid data.
  
  Contact #2 Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Emergency Contact Person REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Person Relation REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Will you have any specific medical needs (e.g. dietary, medicaiton, wheelchair, etc.) during the weekend? REQUIRED Please fill out this field.
  
  Please Explain
  
  The minimum age requirement to attend is twenty-one. The cost is $200 per retreatant. Registration will be on a first come - first served basis, with a waiting list thereafter. In order to reserve your place, this registration form must be completely filled out and accompanied with a minimum $50 nonrefundable deposit. The remaining $150 is due on or before Thursday check-in at the beginning of the retreat. Make checks payable to St. Mary Catholic Church, if paying in person, and note August 2026 Men's ACTS Retreat on the bottom left. PLEASE NOTE that financial difficulties should not prevent anyone from attending the retreat. If you are unable to pay all or part of the fee, financial arrangements can be made by contacting Mike Diaz at 281-639-1968.
  
  Payment Information REQUIRED 200.0 – Registration Fee - Paid in Full 50.0 – Non-refundable Registration Deposit 0.0 – I will come by the office to pay the full registration fee in person. 0.0 – I will come by the office to pay the $50, non-refundable, deposit in person. 0.0 – I will need financial assitance. Please fill out this field.
  
  The 3-day, 3-night ACTS Retreat scheduled for August 27-30, 2026 is presented by St. Mary Catholic Church Parishioners. The goal of this retreat is to deepen our relationship with Jesus Christ and our faith community. This retreat begins Thursday evening and ends Sunday with a meal and fellowship after 10:15 a.m. Mass. Round-trip transportation is provided.
  
  Confirmation Email (Receipt) Please enter an email address.
  
  Total:
  
  Submit
  
  Proceed to Payment
- Contact Us
  
  Mike Diaz
  
  Men's Retreat Director
  
  281-639-1968
  diazlgctyaol.com
- Documents
  
  Printable Men's ACTS Retreat Registration From