Service Trip Registration
We will travel to Knoxville, TN July 2-7, 2019 to serve the community as Christ's hands and feet. As a chaperone, the cost of attending the Alive in You work camp will be covered, but you will be responsible for the cost of your bus transportation which is $450. A non-refundable deposit of $125 is due by Sunday, October 28. We never want cost to be the reason that a someone doesn't participate. If you would like to discuss your financial situation, please contact Renee Kresl, YM Coordinator, at

Deposit of $125 due October 28
Payment of $200 due February 15
Payment of $125 due April 1
Some of chaperone's cost may be defrayed depending on the success of fundraising efforts.

Alive in You Service Camp
Chaperone First Name *
Your answer
Chaperone Last Name *
Your answer
Chaperone Email *
Your answer
Chaperone Phone Number *
Your answer
Child(ren)'s Names also attending trip
Your answer
I have completed Safe Environment training as required by the Catholic Diocese of Peoria. If not, you will be required to complete training and complete a background check. *
Do you have any food allergies that the hosts need to be aware of? Please specify allergens in the Comments section below. *
Comments - Please include any additional information that you would like to share. *
Your answer
I understand that even if I am not able to attend the trip, my deposit of $125 in non-refundable. *
Deposit will be paid via: *
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