Facebook Instagram YouTube Email Phone

Participant Registration - Awakening #56

- Colonel Catholics |

Sign-ups after January 23rd at Noon are not guaranteed a t-shirt.
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- T-shirt Size REQUIRED Please fill out this field.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- What college/university 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.
- What is your religion? REQUIRED Please fill out this field. Please enter valid data.
- Are you involved in any co-curricular activities on campus? If so which ones? REQUIRED Please fill out this field.
- What is your favorite color? 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 is your favorite music genre? 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.
- What is your favorite Saint? Why? REQUIRED Please fill out this field. Please enter valid data.
- What is your favorite form of prayer? REQUIRED Please fill out this field. Please enter valid data.
- Who has had the most influence in your life? Why? REQUIRED Please fill out this field.
- How did you hear about Colonel Awakening? REQUIRED Please fill out this field. Please enter valid data.
- Why do you want to come? REQUIRED Please fill out this field. Please enter valid data.
- What are you looking forward to most/least about this retreat? REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Email REQUIRED Please fill out this field. Please enter valid data.
- Any food allergy? Please explain REQUIRED Please fill out this field.
- Any non-food allergy or medical conditions? Please explain REQUIRED Please fill out this field.
- Are you vegetarian or vegan? REQUIRED Please fill out this field.
- I certify that the above information is true, and that I hereby release the Awakening Program, St. Thomas Aquinas Catholic Church, and the Diocese of Houma-Thibodaux from any responsibility for any accident, health problem, or unforseen acts of nature that may occur on the Awakening Retreat.
  I Agree Please select this field.
- Limited spaces are available. You must pay your registration fee in order for your space to be saved.
  
  If your registration is received after spaces are fillled, you will automatically be placed on a waiting list.
  
  If you do not make it off the waiting list, your registation and fee will be saved and guaranteed for the next Awakening Retreat.
  I Agree Please select this field.
- Registration Fee50.0
Total:

Submit

Proceed to Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.