Catholic Newman Center
at Angelo State University

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Retreatant Registration

- Ram Awakening
  - Staff Registration
  - Retreatant Registration

Retreatant Registration
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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.
- 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED
  
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- Age REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- What school do you attend? REQUIRED Please fill out this field. Please enter valid data.
- What is your Major? REQUIRED Please fill out this field. Please enter valid data.
- Which Best Describes You? REQUIRED Freshman Sophomore Junior Senior Future ASU Student Other Please fill out this field.
- If Other, Please Explain: Please enter valid data.
- Who is your Favorite Saint? REQUIRED Please fill out this field. Please enter valid data.
- What is your favorite Bible Verse? REQUIRED Please fill out this field. Please enter valid data.
- If you could talk to God face to face what would you talk about? REQUIRED Please fill out this field. Please enter valid data.
- What is your favorite color? REQUIRED Please fill out this field. Please enter valid data.
- What are some of your Hobbies? REQUIRED Please fill out this field. Please enter valid data.
- What is your favorite Song? REQUIRED Please fill out this field. Please enter valid data.
- If you could have any pet in the world, what would it be? REQUIRED Please fill out this field. Please enter valid data.
- What is your favorite TV Show? REQUIRED Please fill out this field. Please enter valid data.
- What are you most proud of in the last year? REQUIRED Please fill out this field. Please enter valid data.
- Fun Fact about you? REQUIRED Please fill out this field. Please enter valid data.
- T-shirt size REQUIRED Please fill out this field.
- Any food allergies or special needs? PLEASE List. REQUIRED Please fill out this field.
- Emergency Contact Information:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street 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.
- Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Does your emergency contact speak another language other than English? If yes, what language? REQUIRED Please fill out this field. Please enter valid data.
- Additional Comments
- Retreat fees (Includes T-shirt)40.0
- *If you are opting to pay later press SUBMIT, then simply close the tab. Make sure you recieve a confirmation email (this may take a few minutes).
- I Agree Please select this field.
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