Ascension Catholic Church

Bastrop, Texas

Facebook Instagram

Search

ACTS Teen Payment Form

- Teen Retreat Payment Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Retreat Attendee Information
  Retreat applications and permission forms from parents/guardians are still required for registration. You can find a copy of this on the ACTS page under Teen Retreats.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  What parish do you attend regularly? (if none, are you wanting to begin attendance at a parish? Where?) REQUIRED
  Please list parish name and city/state where it is located
  Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Make a Payment for Teen ACTS retreat REQUIRED Please fill out this field.
  
  Additional donation that goes towards retreat needs. $ Please enter a positive decimal.
  
  Total:
  
  Submit
  
  Proceed to Payment