Registration for families – Pilgrimage 2012 | National Coalition of Clergy and Laity

Use this page to register you and at least one other member of your family, regardless whether you are participating in the ‘modified Pilgrimage’ or walking with the ‘main column’, or both.

Individuals & groups and Sunday-only registrations use different forms.
Click here to register an individual or group participating for more than one day.
Click here to register for the events on Sunday-only.

Pilgrimage 2012 is scheduled for Friday-Sunday, September 28-30.

Registration - for families

Updated by gpl 16 May 2012 at 20:27.

All fields marked * are required.

My Family Name *

Capitalize first letter.

My First Name *

(middle initial optional)

My Age *

Address *

Address 2

City *

State/Province *

Choose a State or Canadian Province - or "other" at end of list.

Province

Zip/Postal Code *

Country

Phone

format: xxx-xxx-xxxx

Mobile Phone

format: xxx-xxx-xxxx
If none, enter zeros.

To which brigade do you belong?

Click here for a summary of family fee rates and discounts.

All discounts for registration in 2012 expire June 1.

No soul or family is turned away from the pilgrimage for want of the fee.

Finding it too hard or impossible to pay the fee?

Ask the charity of family, friends, or/and parishioners to assist you as fellow Christians have always done. (See alms for palms). They can sponsor you by name when donating on this page.

Still experiencing hardship? Plead your case in an e-mail to the Pilgrimage Director. Or by phone 610/435-2634.

Every year the Pilgrimage's material obligations (~ $15,000) far exceed the fees collected from registered pilgrims. NCCL typically grants, in discounted fees alone, more than double the amount of fees collected. Only thanks to the charity of sponsors and other generous benefactors can needy pilgrims participate and the apostolate make up the customary $6-7,000 shortfall.

Benefactors can participate in the pilgrimage from afar, combine their charity to the apostolate's, and advance the needed Catholic restoration in North America by giving 'alms for palms'. *

Please pass along this page, and ask them to be generous.

Ad majoram Dei gloriam!

* “palmer” - a pilgrim returning from the Holy Land, palm branches in hand
“alms” - money or goods given as an act of charity

Sample expenses:

$850 water
$600 food
$1,850 transport
$1,200 insurance
$900 camps
$1,750 stipends
$1,450 mobile toilets

NCCL is an apostolate, a charity and non-profit in the strict sense, relying on God to move benefactors like you to give freely and generously of your collaborations & alms. NCCL receives no gifts, grants, subsidies or miscellaneous support from other institutions.

Joining me more than one day are the following family members:

Pilgrim 2

Pilgrim 3

Pilgrim 4

Pilgrim 5

Pilgrim 6

Pilgrim 7

Pilgrim 8

Pilgrim 9

Pilgrim 10

PARENTAL AUTHORIZATION FOR MINOR CHILDREN

This section MUST be completed if you will be allowing minor children to participate in the pilgrimage.

Do you have a minor child or minor children participating in the pilgrimage?

Yes

We, the undersigned, residing at:

(address) ,

authorize the "National Coalition of Clergy and Laity" to make all necessary arrangements for any surgical or urgent hospitalization for our child/children:

(names of children) ,

and/or in our absence place all or said child/children, in the care of Mr./Mrs.

(names of guardian/s on pilgrimage) ,

residing at:

(address of guardian/s on pilgrimage) ,

who is/are participating in the Pilgrimage for Restoration 2011 in the same events as our child/children.

Parent 1

Initials

Name of Parent 1

Date

(dd/mm/yyyy)

Parent 2

Initials

Name of Parent 2

Date

(dd/mm/yyyy)

RELEASE OF LIABILITY to be signed by all adult pilgrims:

All pilgrims participate and walk in the Pilgrimage for Restoration 2011 at their own risk. "National Coalition of Clergy & Laity" is not liable or responsible for any injury, illness, death or other mishap incurred or suffered by any pilgrim at any time or in any part of the Pilgrimage for Restoration 2011.

I / We, the undersigned, residing at the above-entered address(es), agree to the Release of Liability statement here above, and release NCCL and pilgrimage organizers from all liability to/for myself/ourselves and/or our children under age 18.

Initials

Pilgrim 1

Full Name of adult pilgrim

Date

Initials

Pilgrim 2

Full Name of adult pilgrim

Date

Initials

Pilgrim 3

Full Name of adult pilgrim

Date

Initials

Pilgrim 4

Full Name of adult pilgrim

Date

Initials

Pilgrim 5

Full Name of adult pilgrim

Date

Initials

Pilgrim 6

Full Name of adult pilgrim

Date

Initials

Pilgrim 7

Full Name of adult pilgrim

Date

Initials

Pilgrim 8

Full Name of adult pilgrim

Date

Initials

Pilgrim 9

Full Name of adult pilgrim

Date

Initials

Pilgrim 10

Full Name of adult pilgrim

Date

You will be taken to the next page to calculate your fee.

The registration fee is paid on the following page, via PayPal, after submitting the registration. Alternately, you may mail the fee, payable to NCCL, 621 Jordan Circle, Whitehall PA 18052-7119 USA. Please mail with your check a copy of the registration form you will receive by email after clicking the submit button below.

A copy of this form is emailed to you automatically when you submit this form. Check your spam filter if it does not arrive promptly.

If arriving by public transportation after 9:00 p.m. on Thursday – Sept. 27, OR departing before 7:00 p.m. Sunday – Sept. 30, please contact Bob Whealan (in charge of shuttling pilgrims) prior to finalizing your flight/train/bus reservations to the Albany metro-region. Email Bob Whealan or call him at 973/239-3632.

To notify organizers of any change in your scheduled rendezvous times on the day of your travels Thursday or Friday, September 27 – 28, phone CSRG cellular no. 609/314-2170.

The Transportation-Team cannot promise shuttle service to any pilgrim failing to return the shuttle request.

Pilgrims will not be able to retrieve their vehicles at end of pilgrimage without requesting the service.

Questions about your travel plans? E-mail Bob Whealan, or phone 973/239-3632.

Information you provide may also help form car-pools with others needing rides to the region. Check the pilgrimage bulletin board to arrange rides with pilgrims along your driving route.