2027 Men’s westbank acts retreatA Spiritual RenewalJuly 15-18, 2027 Register Download Form GIVE THE GIFT OF ENCOUNTERWestbank ACTS Scholarship FundYour donation the Westbank ACTS Scholarship Fund will allow men and women from across the Westbank to have an transformative encounter with the Lord. GIVE HERE ACTS Online Giving Form "*" indicates required fields Donation InformationWhat kind of donation would you like to make?* One Time Donation Recurring Monthly Payments Please note that we do NOT accept American Express as a payment method. Please do not use American Express as your payment method. We appreciate your understanding.I/We intend to donate (ACTS Fund):* * A 3.75% Credit Card Processing Fee will be added to your total donation. This ensures your entire donation goes directly to the school.I/We intend to donate per month (ACTS Fund)* * Please enter the amount per month you would like to donate. Your donation will be charged every month to the card provided below on the date you submit this form. A 3.75% Credit Card Processing Fee will be added to your total donation. This ensure that your entire donation goes directly to the school. Does your employer/company match gifts?* Yes No Company InformationCompany Name*Contact NameAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company Email Company Phone* Contact & Billing InformationYour Name* First Last Graduation Year (if applicable)Student Referral Name (if applicable)Your Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Email* Your Phone*Subtotal $0.00 Subtotal (Monthly) $0.00 Processing Fee $0.00 * A 3.5% Credit Card Processing Fee will be added to your total donation. This ensures your entire donation goes directly to the school.Total Total Today Are you being called?Men, ages 18+, who are seeking to deepen their faith and are members of a Westbank church parish. Additionally, this extends to any man on the Westbank affiliated with Archbishop Shaw. AddressTBD Phone504-340-6727 EmailRay Davis, Retreat Directordavis6@archbishopshaw.us Men’s Westbank ACTS Retreat 2027 Registration Contact DetailsName(Required) First Last Email(Required) Phone(Required)Role(Required) Retreatant Team Member Other Referral CodePersonal InformationDate of Birth(Required) MM slash DD slash YYYY Dietary/Medical Needs? Please explain:Which Church parish do you belong to?(Required)Financial Assistance?(Required)YesNoIf you need financial assistance, a team member will contact you to discuss details and options with you! You are asked to complete the partial payment at this time. Contact your Retreat Director for more information. Emergency Contact DetailsEmergency Contact #1(Required) First Last Relationship(Required)Phone(Required)Emergency Contact #2 First Last RelationshipPhoneDisclosures & ConsentI understand that ACTS Missions will collect all retreatants’ information for quality purposes and testimonials. I also understand that ACTS Missions may contact me after this ACTS Retreat to get feedback on my experience and see if I would like to participate and support future ACTS Retreats. I understand that ACTS Missions will NOT release my personal information to outside agencies.OPT-OUT of ACTS Missions follow-up initiatives?(Required)YesNoPlease note: ACTS Missions is not associated with Archbishop Shaw High School. ACTS and the ACTS logo used under license from ACTS Missions.By providing your digital signature, you agree to the above terms.(Required)Please type your full name as your personal signature. Payment DetailsBilling Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Westbank ACTS 2027 Registration Fee(Required)Full Payment (Men's ACTS 2026)Partial Payment (Men's ACTS 2026)Registration: $400 per retreatant. This covers all housing and meals. Partial Payment: $100 now, remainder due by June 2027. You will receive an invoice for the remaining amount at the email address you’ve provided. Failure to complete payment may result in your registration being cancelled and your initial payment refunded.Total Clergy fees are waived for this retreat. Thanks for giving your yes!By submitting this form, you agree to receive communications from Archbishop Shaw High School regarding this retreat and future retreats and community opportunities unless you’ve opted-out above. You can unsubscribe at any time using the SafeUnsubscribe link located in our communications to you.
