Catholic Student Center

At West Texas A&M University

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Staff Registration Form

- Grow Your Faith
  - Worship
    
    Mass Times
    Adoration
    Awakening Retreat
    
    Staff
    
    Retreatant
    Prayer Intentions
    
    Bible Studies & Small Groups

Fill out the form below as a staff member!

Registration and Payment Due October 10, 2025
The maximum number of form submissions has been reached. This form is currently not available.
- Staff Member Info
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  WTAMU Address REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Major REQUIRED Please fill out this field. Please enter valid data.
  
  Classification REQUIRED
  Year in College
  Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Medical/Diatery Needs REQUIRED
  If nothing, put NA
  Please fill out this field.
- How many Awakening retreat's have you been on/served? REQUIRED Please fill out this field.
- I'd like to be...
  
  Parent REQUIRED
  Parents are the main leaders of family discussions. Parents also are required to create the family box, make the family rosaries, and organize everything for the retreat, prepare skits for staff skits
  Please fill out this field.
  
  Angel REQUIRED
  Angels are in charge of the Stations of the Cross, creating the family saint poster, on retreat, being the go-for this person, taking kids to the bathroom or where they need to go, prepare staff skits.
  Please fill out this field.
  
  P-Staff REQUIRED
  Work on all the behind-the-scenes stuff (candles, prayer cards, sort letters, etc.) Prepare the necklaces, the dance, and pray pray pray
  Please fill out this field.
  
  Runner REQUIRED Please fill out this field.
- I have served in these areas:
  
  Parent REQUIRED Please fill out this field.
  
  Angel REQUIRED Please fill out this field.
  
  P-Staff REQUIRED Please fill out this field.
  
  Runner REQUIRED Please fill out this field.
  
  Child REQUIRED Please fill out this field.
- Would you be willing to give a talk? REQUIRED Please fill out this field.
- All the Money!
  
  Awakening Retreat Fee: $50 REQUIRED 0.0 – I've already given $50 to Betty. 25.0 – I can pay half! 50.0 – I am paying now! Please fill out this field.
  
  Do you have your medallian? REQUIRED 0.0 – Yes! I have mine! 3.0 – No, I need another one... Please fill out this field.
  
  I want to donate money for someone's scholarship!
  You are able to offer any amount for a partial, full, or multiple full scholarships to attend the retreat!
  $ Please enter a positive decimal.
- Emergency Contact - Father
  
  *We will send some information about the retreat to your emergency contacts. If this is a problem, please notify the directors.*
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Country Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Emergency Contact - Mother
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Country Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Diocese of Amarillo/Catholic Student Center
  Adult Release & Waiver of Liability
  I agree on behalf of myself, named herein, my heirs and successors to hold harmless The Diocese of Amarillo, Catholic Student Center, and/or drivers and their officers, directors, and agents from any liability from illness, injury or death arising from or in connection to attending Buff Awakening #30 on October 17-19, 2025. I agree to compensate the Catholic Student Center reasonable attorney’s fees and expenses arising in connection there within.
  In the event that I should require medical treatment and I am not able to communicate my desires to attending physicians or other medical personnel, I give permission for the necessary emergency treatment to be administered.
- Checking this box acts as your signature for the above statement. REQUIRED I Agree Please fill out this field.
- The full retreat payment is due by October 5, 2025.
Total:

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Staff Registration Form

Catholic Student Center

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