Men’s Discernment Weekend Retreat Registration Date of Submission* Date Format: MM slash DD slash YYYY Sponsoring Priest*Parish of Sponsoring Priest*---Please select your Parish below---Cathedral Basilica of Saint JosephCatholic Community at StanfordChrist the King ParishChurch of the AscensionChurch of the ResurrectionChurch of the TransfigurationFive Wounds Portuguese National ParishHoly Cross ParishHoly Family ParishHoly Korean Martyrs ParishHoly Spirit ParishMission Santa Clara de AsísMost Holy Trinity ParishOratory of Our Mother of Perpetual Help ChapelOur Lady of Guadalupe ParishOur Lady of Peace ParishOur Lady of RefugeOur Lady Star of the Sea ParishQueen of Apostles ParishSacred Heart of Jesus ParishSacred Heart ParishSaint Anthony ParishSaint Athanasius ParishSaint Brother Albert Chmielowski Polish MissionSaint Catherine of Alexandria ParishSaint Christopher ParishSaint Clare ParishSaint Cyprian ParishSaint Elizabeth ParishSaint Frances Cabrini ParishSaint Francis of Assisi ParishSaint John the Baptist ParishSaint John Vianney ParishSaint Joseph of Cupertino ParishSaint Joseph ParishSaint Julie Billiart ParishSaint Justin ParishSaint Lawrence the Martyr ParishSaint Leo the Great ParishSaint Lucy ParishSaint Maria Goretti ParishSaint Martin of Tours ParishSaint Martin ParishSaint Mary of the Assumption Croatian MissionSaint Mary of the Immaculate Conception ParishSaint Mary ParishSaint Nicholas ParishSaint Patrick Proto-Cathedral ParishSaint Simon ParishSaint Thomas Aquinas ParishSaint Thomas of Canterbury ParishSaint Victor ParishSaint William ParishSan Jose Chinese Catholic MissionSanta Teresa ParishNon of the aboveParish name if not listed aboveRetreatant Basic InformationName* First Last Age on date of retreat*Your Home Parish*Select Your Parish***NOT LISTED***Cathedral Basilica of Saint Joseph, San JoseCatholic Community at Stanford, StanfordChinese Catholic Community, Santa ClaraChrist the King Parish, San JoseChurch of the Ascension, SaratogaChurch of the Resurrection, SunnyvaleChurch of the Transfiguration, San JoseFive Wounds Portuguese National Parish, San JoseHoly Cross Parish, San JoseHoly Family Parish, San JoseHoly Korean Martyrs Parish, San JoseHoly Spirit Parish, San JoseImmaculate Heart of Mary Oratory, San JoseMission Santa Clara de Asís, Santa ClaraMost Holy Trinity Parish, San JoseOur Lady of Guadalupe Parish, San JoseOur Lady of La Vang Parish, San JoseOur Lady of Peace Parish, Santa ClaraOur Lady of Refuge Parish, San JoseOur Lady Star of the Sea Parish, AlvisoQueen of Apostles Parish, San JoseSacred Heart of Jesus Parish, San JoseSacred Heart Parish, SaratogaSaint Anthony Parish, San JoseSaint Athanasius Parish, Mountain ViewSaint Brother Albert Chmielowski Polish Mission, San JoseSaint Catherine of Alexandria Parish, Morgan HillSaint Christopher Parish, San JoseSaint Clare Parish, Santa ClaraSaint Cyprian Parish, SunnyvaleSaint Elizabeth Parish, MilpitasSaint Frances Cabrini Parish, San JoseSaint Francis of Assisi Parish, San JoseSaint John the Baptist Parish, MilpitasSaint John Vianney Parish, San JoseSaint Joseph of Cupertino Parish, CupertinoSaint Joseph Parish, Mountain ViewSaint Julie Billiart Parish, San JoseSaint Justin Parish, Santa ClaraSaint Lawrence the Martyr Parish, Santa ClaraSaint Leo the Great Parish, San JoseSaint Lucy Parish, CampbellSaint Maria Goretti Parish, San JoseSaint Martin of Tours Parish, San JoseSaint Martin Parish, SunnyvaleSaint Mary of the Assumption Croatian Mission, San JoseSaint Mary of the Immaculate Conception Parish, Los GatosSaint Mary Parish, GilroySaint Nicholas Parish, Los AltosSaint Simon Parish, Los AltosSaint Thomas Aquinas Parish, Palo AltoSaint Thomas of Canterbury Parish, San JoseSaint Victor Parish, San JoseSaint William Parish, Los AltosSan Jose State University Newman Center, San JoseSanta Teresa Parish, San JoseAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile Phone*Other Phone*Email* Will you have your own transportation during the Parish Visit?YesNoHighest level of education completed*Elementary SchoolHigh School DiplomaAssociate's DegreeBachelor's DegreeMaster's DegreeDoctoral DegreeOther