JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
St. Martin de Porres Pilgrimage for Racial Justice and Reconciliation Sign-Up Form
In order to track participants in the pilgrimage on Saturday, October 30th, we are asking that people submit this form. More information can be found at
https://stmartinshrine.org/st-martin-de-porres-pilgrimage-for-racial-justice
.
“I only cure you. It is God who heals you.”
- St. Martin de Porres
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Please, check the box for when you plan to start the pilgrimage
*
Walking starting at 1:00pm at the Cathedral of the Immaculate Conception
Walking starting at Elmwood Cemetery 4 miles from the National Shrine of St. Martin de Porres
Walking starting at the National Civil Rights Museum 1 mile from the Shrine
Not walking but attending the Mass, food, and fellowship starting at 5:00pm at the Shrine
Required
How many people are you signing up?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Modern Catholic Pilgrim.
Report Abuse
Forms