"But seek ye first the kingdom of God, and his righteousness; and all these things shall be added unto you."

- Matthew 6:33

Please fill out the form completely. Once you click Submit, you will be redirected to our online payment page. The retreat cost is $175.00. To reserve your place, a $50 deposit payment is required. The $125 balance will be due upon check-in Thursday evening at St. Louis Catholic Church or any time prior to that date. 


*Please note that financial hardship should not prevent anyone from attending the retreat. If you are unable to pay the entire fee, contact the director please contact the director Debbie Farnum at debfarnum67@gmail.com or 512-587-1248, or co-director Erica Edgerly at erica8edge@gmail.com or 512-745-0681.

 

This retreat is full. All registrations will be put on a waiting list.


A.C.T.S. Registration Form

Name *
Name
As you would like it on your nametag
Address *
Address
Primary Phone *
Primary Phone
Or, religion if not affiliated with a parish or church
Name two family members or close friends you would like praying for you during this retreat *
Name two family members or close friends you would like praying for you during this retreat
Name 1
Relationship to you
Phone Number
Name 2
Relationship to you
Phone Number
If none, please put N/A
Do you have difficulty climbing stairs, walking on unpaved or uneven surfaces, other mobility problems (e.g. use cane, walker, wheelchair)? *
If yes, please list (Note: mobility challenges should NOT deter you from attending!)
If none, please put N/A. Please bring to the retreat all necessary medications and directions, including dosage(s) and frequency of consumption.
In an emergency, please contact: *
In an emergency, please contact:
Primary Phone *
Primary Phone
Family Doctor
Family Doctor
Indemnity and Waiver *
Indemnity and Waiver I release and agree to and hold St. Louis Catholic Church of Austin, Texas, the Catholic Diocese of Austin, and their clergy, officers, agents, employees, and volunteers (Released Parties) harmless from any and all liability, claims, losses, or damages arising from or in connection with the St. Louis ACTS retreat. I assume all risk of injury or loss to my person and my property. I agree to indemnify the Released Parties from any liability, claim, demand, or damage caused by me or caused by my participation in the retreat.
Today's Date *
Today's Date