TEEN ACTS RETREAT March 13-16, 2014 Registration Form

Registration Form
March 13-16, 2014
Holy Family Retreat Center ~ Beaumont, Texas
ACTS is an acronym for Adoration, Community, Theology and Service. The goals of an ACTS retreat are to
strengthen our faith, live our faith, renew ourselves spiritually and build strong lasting friendships. The ACTS
weekend retreat is presented by lay Catholic teens with the support of a Spiritual Director and lay adults.
Registration for the Spring Break 2014 retreat will begin January 19, 2014 and end on February 2,
2014. In order to eliminate the problems associated with people waiting in line for the registration process and to
allow everyone a fair opportunity to attend a Teen ACTS Retreat, retreatants will be randomly selected from those
who have registered by February 2. Space is limited to 28 retreatants (14 boys and 14 girls). Retreatants will be
contacted soon after the selection process. If you are put on the waiting list, you will be contacted as soon as possible
if a space becomes available. Retreatants will receive a letter a few weeks prior to the retreat with details regarding
the retreat weekend.
The retreat will begin on Thursday evening, March 13th, with check-in at 6:00 pm at St. Anne’s Parish Hall.
We will return to St. Anne’s on Sunday March 16th for the 11:30 am Mass with a reception following the Mass in the
Parish Hall. Transportation to and from the retreat center will be provided. The full cost of the retreat is $145.00.
Your registration form must be submitted to the address below no later than February 2, 2014. The $145.00 fee will
be due at send-off on Thursday, March 13th.
PLEASE NOTE: Financial difficulties should not prevent anyone from attending the retreat. If you have
financial concerns, confidential arrangements can be made by contacting one of the people listed below.
If you need more information or have questions, please contact Jay LeBlanc at the number listed below.
Jay LeBlanc (Adult Director)
Ryan Judice (Adult Co-director)
Hanna Bland (Teen Director)
Paige Ousley & Emily Sherman (Teen Co-directors)
Name____________________________________________________________( M / F)_________
Date of Birth_________________________Grade______________________T-shirt size________
Home phone________________________
Student’s Cell _____________email__________________________________________________
Father’s name_________________________________ Father’s Cell ___________________________
Father’s email______________________________________________________________________
Mother’s name______________________________Mother’s Cell__________________________
Mother’s e-mail __________________________________________________________________
Are you Catholic____Y____N Parish_________________
Have you had the sacrament of the Eucharist (First Communion) ____Y___N
Will you have any dietary or medical needs during the weekend? (Explain)____________________
Please mail or deliver your registration form before February 16, 2014 to:
St. Anne's Catholic Church
2715 Calder at 11 th St.
Beaumont, TX 77704
Attn: Teen ACTS