CRHP Retreat Registration
Please fill out the form below, to register for the next St. Joseph's Christ Renews His Parish Retreat. If you should have any questions, please contact: Dorothy Renton: drenton@stjoseph-libertyville.org
For Men's CRHP, also feel free to contact Fr. Ken Kiepura with questions at kkiepura@stjoseph-libertyville.org
We ask participants to pay a $55 fee , checks payable to St. Joseph Parish to help defray the cost of the weekend. After registering here, please submit payment to the parish office. However, no one is ever turned away due to an inability to pay. Scholarships are available. Thank you.
Please provide the following information:
First Name
Last Name
Street Address
City
State Zip
Home Phone Work Phone
Email address
I would like to register for the:
Choose a retreat here...Women: Sept. 24-25, 2011Men: Oct. 22-23, 2011Women: March 17-18, 2012Men: April 28-29, 2012
Emergency Contact Name (other than self)
Emergency Contact Daytime phone
Emergency Contact Evening Phone
Emergency Contact Email address
Your T-shirt size (S, M, L, XL, XXL)
Any special dietary needs?
Comments/questions?
Enter the numbers as they are shown in the image above