Men's Discernment Weekend Retreat Registration - Diocese of San Jose

Men’s Discernment Weekend Retreat Registration

Date of Submission*
MM slash DD slash YYYY
Sponsoring Priest*
Parish of Sponsoring Priest*
Parish name if not listed above
Retreatant Basic Information
Name*
First Last
Age on date of retreat*
Your Home Parish*
Address*
Street Address City State ZIP Code
Mobile Phone*
Other Phone*
Email*
Will you have your own transportation during the Parish Visit?
- Yes
- No
Highest level of education completed*