When the time for Pentecost was fulfilled, they were all in one place together. And suddenly there came from the sky a noise like a strong driving wind, and it filled the entire house in which they were. Then there appeared to them tongues as of fire, which parted and came to rest on each one of them. And they were all filled with the Holy Spirit and began to speak in different tongues, as the Spirit enabled them to proclaim.

Acts 2:1-4

 

 
Retreat Home Retreat Registration

 

MUDIKA RETREAT REGISTRATION FORM
JULY 24 - 26, 2009 - ORANGE, CA

Fields with red asterisk ( * ) are required fields!!

First Name*  

Last Name*  

Address*  

City*      

State*

ZIP Code*

Date of Birth

 (mm/dd/yyyy)

If you are younger than 16 year old by the time of the retreat, you will need to submit a completed "Release Letter" and signed by your parent. Print the form here.

Home Phone Number*    
 

Cell Phone Number
 

Email*  

Financial Aid
  

 

Copyright © 2009 Mudika Indonesian Community of Archdiocese of Los Angeles