Pilgrimage Group Reservation

Day and Date Requested(*)
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Time of Arrival AM/PM
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Time of Departure AM/PM
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Name of Parish, Organization or School(*)
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Adult or Student Group(*)
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If student, what grade or age
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Group Leader(*)
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Address(*)
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City(*)
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State(*)
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Zipcode(*)
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Telephone (000) 000-0000(*)
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Cell Phone Number (000) 000-0000
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Email address(*)
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Group Co-Leader
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Telephone (000) 000-0000
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Number of Buses
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Number of Cars
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Number of Pilgrims(*)
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Will Priest or Deacon be joining the group(*)
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If yes, Letter of Suitability required. Visiting Clergy Information
Meals are available for prearranged groups with 20 or more individuals purchasing a meal.
Purchase lunch in the Cafeteria(*)
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If yes, number of Pilgrims
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Will pay for lunch by single group check(*)
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Individual Pilgrims Pay(*)
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Special occasion for student pilgrimage

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For student pilgrimages, students are encouraged to assist at Mass: 2 servers, 1 or 2 readers, 2 to bring up offertory gifts.
Will students particpate
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Special services requested
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Do you plan to stay overnight at the Retreat House
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If yes, number of Pilgrims
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If overnight at the Retreat House will you take your meals there
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If you must cancel your pilgrimage group plans, please call the Shrine Office as soon as possible 419-396-7107