Rooted in Christ - May 18th, 2024
9:30 am to 5 pm CST at St. Peter Parish, Mary Esther, FL
First name
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Last name
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Address
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City
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State
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ZIP
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Parish
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Please Select
Blessed Sacrament
Blessed Trinity
Cathedral of the Sacred Heart
Christ Our Redeemer
Christ the King Mission
Co-Cathedral of St. Thomas More
Corpus Christi
Corry Chapel
Eglin AFB/St. Michael Chapel
Good Shepherd
Holy Cross Parish
Holy Name of Jesus
Holy Spirit
Hurlburt Field/Holy Spirit Chapel
Immaculate Conception
Little Flower
Nativity of Our Lord
Our Lady of Guadalupe Mission
Our Lady of the Assumption Mission
Our Lady of the Rosary
Our Lady of Victory
Our Lady Queen of Martyrs
Our Lady Queen of Peace Mission
Resurrection
Sacred Heart of Jesus
San Blas Mission
St. Ann Gulf Breeze
St. Anne Bellview
St. Anne Marianna
St. Anthony
St. Bernadette
St. Dominic
St. Elizabeth Ann Seton
St. Elizabeth of Hungary Mission
St. Eugene
St. Francis
St. John Panama City
St. John Pensacola
St. Joseph Pensacola
St. Joseph Port St. Joe
St. Joseph Chipley
St. Jude
St. Lawrence Mission
St. Louis
St. Margaret Monticello
St. Margaret DeFuniak
St. Mary Ft. Walton
St. Mary Pensacola
St. Michael Pensacola
St. Patrick
St. Paul
St. Peter
St. Peter & Paul Mission
St. Rita
St. Rose of Lima
St. Stephen
St. Stephen the Protomartyr Mission
St. Sylvester
St. Theresa
St. Thomas More Pensacola
St. Thomas Quincy
St. Vincent de Paul
Tyndall AFB/ Our Lady of the Skies
E-mail address
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Please list any special dietary needs
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Childcare registration must be done by May 1st
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No
Yes
If "Yes" to childcare, please list children names & ages:
Emergency contact
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Emergency contact"s phone #
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Are you willing to be small group discussion leader?
Yes
No
Registration opens at 9:30 am, CST.
The Retreat cost is $15.00 and includes lunch.
Please select $15. payment method
*
pay online
I will mail a check
I will pay at the door
If you are mailing a check, please make it payable to:
Diocese of Pensacola-Tallahassee and send it to:
Diocese of Pensacola-Tallahassee
Attention: Young Adult Ministry
11 North B Street
Pensacola, FL 32502
You can pay online with a credit or debit card or use your checking or savings account on our secure web page through Vanco Payment Solutions. After clicking [Submit & Pay Now], you will be taken to our payment page. You may print this registration form for your records.
Submit
Submit and Pay Now
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