January Come to the Quiet Retreat

Name (First and Last): *

Email Address: *

Address (Street, City, State, Zip): *

Phone: *

What is your birthdate?: *

The mission of Charis Ministries is to provide provramming and events in the Ignatian tradition to people in their 20s and 30s.

Please indicate your meal preference (non-vegetarian, vearian, vegan, etc).:

How did you hear about the event?: *

Are there any medical conditions Charis should be aware of? If so, please explain.:

Emergency Contact Person: *

Emergency Contact Person's Phone Number: *

With what parish or church do you most closely associate? (Please indicate if none)?: *

How do you want to pay for the retreat?: *

Online (A link to the payment page will be given on the next screen)

Check

Pay at Door

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