Genesis Registration "*" indicates required fields Please fill out all fields below and submit your form to be considered for a leadership on Kairos retreats. Completing this form does not guarantee you an opportunity to assume a leadership role. We take all names to prayer and ask that you always keep the retreat in your prayers as well.Name* First Last Age*Date of Birth* Phone*Email* Which Kairos retreat are you interested in leading?* Age group 30-40 We are only accepting applicants for the adult Kairos at this time. What is your home parish?*What year did you attend Kairos?*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Why do you feel called to lead Kairos?*Please include the name and number of a personal reference (priest, church leader, etc)* Δ
