Registration Form
Our Lady Queen of Heaven Ladies ACTS Retreat
St. Charles Retreat Center Lake Charles, LA
October 18-21, 2018
ACTS is an acronym for Adoration, Community, Theology and Service. The retreat’s goals are to strengthen our faith and its application in our daily life, to renew ourselves spiritually and to build strong lasting friendships. The ACTS weekend is presented by lay Catholic men, with support provided by a Spiritual Director and clergy. The retreat begins Thursday evening, October 18, with check-in at 6:00 P.M. at Our Lady Queen of Heaven Family Life Center Activity Room. Transportation to and from the retreat center will be provided. We will return to Our Lady Queen of Heaven Church, Sunday, October 21, for the 11:00 A.M.Mass with a reception following the Mass in the Family Life Center.
Space on the retreat is limited and as awareness has increased, so has the desire to attend. In an effort to eliminate long waiting lines, a lottery system has been put into place. You no longer need to line up early. Preference will be given to registered OLQH Parishioners. The full cost of the retreat is $250.00. This registration form, with a $100 deposit made payable to “Our Lady Queen of Heaven ACTS”mustbepresented during registration to reserve your space on the retreat.. Remaining balance will be due at the Thursday evening check-in. Deposits will not be refunded for cancellations made within two weeks of the retreat. Please note: A fund has been established to provide registration assistance for retreat attendance. If you have financial concerns, a limited number of scholarships are available for each retreat. Please note your need on your registration form.
ACTS is a parish-based retreat and ministry. Registration will be held Sunday, September 2 after the 11:00 A.M. Massat the new West entrance to OLQH Church. Registration will continue for two weeks.
To be considered as a retreatant, applicants must meet the following criteria:
1.)Must be a Roman Catholic registered as an OLQH parishioner and tithing to OLQH for 6 months prior to ACTS retreat enrollment period.
2.)Once the slots for the retreat have been filled with those applicants stipulated in #1, then it will be open to Roman Catholics of the 38 parishes of the Diocese of Lake Charles.
3.)After that, if there are any openings, Roman Catholics in the dioceses of the Province of New Orleans will have the opportunity to attend the retreat.
4.)After that, any non-Catholics may submit their application for review to the pastor.
Registration forms will be accepted for ladies age 21 and over. Anyone who does not register during the open registrationwill be put on a waiting list and will be contacted as space is available. When the retreat is full, a waiting list is maintained until the day of the retreat to fill any vacancies, those remaining on the waiting list are returned their deposits and are asked to register again for the next retreat.
You will receive a letter about two weeks prior to the retreat describing the necessities you should bring on the retreat. If you need further information or have any questions, please contact one of the Directors listed:
Leesa Howard, Director: 337-274-3361
Renata Barker, Co-Director: 504-319-5403
Brenda Guillory, Co-Director: 337-794-3312
Fr. Ruben Buller, Spiritual Advisor:
(COMPLETE THE FORM ON THE REVERSE SIDE)
Please register me for the Ladies’ ACTS retreat, October 18-21, 2018. Enclosed, please find my registration:
(circle one)Deposit of $100.00Full Fee of $250.00
NAME (please print )______
ADDRESS:______
CITY______STATE______ZIP______
SINGLE______MARRIED______AGE______
YOUR EMAIL:______
HOME PHONE:______CELL PHONE:______
CHURCH WHERE YOU ARE REGISTERED AND ATTEND______
If OLQH parishioner, your envelope number______
DO YOU REQUIRE SCHOLARSHIP ASSISTANCE?______FULL OR PARTIAL?
TSHIRT SIZE (S, M, L, XL, XXL, XXXL) ______
SPOUSE’S NAME______
SPOUSE’S EMAIL______
SPOUSE’S CELL PHONE:______SPOUSE’S WORK PHONE:______
DO YOU HAVE ANY SPECIFIC MEDICAL OR DIETARY NEEDS DURING THE WEEKEND? IF YES, PLEASE EXPLAIN:
______
______
DO YOU SMOKE?______
PLEASE GIVE US AN EMERGENCY CONTACT FOR SOMEONE WHO DOES NOT LIVE WITH YOU:
EMERGENCY CONTACT NAME:______RELATIONSHIP TO YOU:______
CONTACT HOME PHONE:______CELL PHONE:______
EMERGENCY CONTACT WORK PHONE:______
EMERGENCY CONTACT EMAIL:______
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