Archdiocese of San Francisco Youth Retreat Leadership Training
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 Liturgical Training Session for Youth. If you have more that 10 participants please fill out form mutilple times to register all participating youth.

Please send in roster by Monday August 15, 2019.

Email address *
Name of Parish/School *
Your answer
City of Parish/School *
Your answer
Your Name *
Your answer
Your Phone Number
Your answer
Your Email Address
Your answer
Your Title *
Main Contact Chaperone attending training *
Your answer
Main Contact Chaperone's Email *
Your answer
Main Contact Chaperone's Phone Number *
Your answer
How many students will be attending the chosen retreat? *
Your answer
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?
Your answer
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