Archdiocese of San Francisco Youth Rally - Faithful                
This form is to be filled out by the Priest, Deacon, DRE or Youth Minister of the parish.

Please fill out completely to enroll your youth to participate in the Archdiocese Youth Rally on October 20, 2019 at St. Teresa of Avila Parish .  If you have more than 25 participants please fill out form mutilple times to register all participating youth. Each youth and chaperone are $5 each.  

Please send in roster and payment by Saturday, October 12, 2019
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Email *
Name of Parish/School *
City of Parish/School *
Your Name *
Your Phone Number
Your Email Address
Your Title *
Main Contact Chaperone attending training *
Main Contact Chaperone's Email *
Main Contact Chaperone's Phone Number *
How many students will be attending the chosen retreat? *
To be an eligible chaperone, adults must have registered with Virtus (www.virtus.org) complete the Virtus training module "Protect God's Children Online Awareness, passed a background check through LifeScan (ecatholic-sites.s3.amazonaws.com/17184/documents/2018/2/Finger%20printing%20parish%20LiveScan%20Form%20%20rev%20%2004042017.pdf) fingerprinting form.   And are all chaperones eligible? This process may take 7-10 days or more. Please complete immediately. (1 chaperone per 8 attendees) *
Required
How many chaperones will you be sending?
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