March for Our Lives Rally Registration Form
Saturday, March 24, 2018
The bus will leave St. Catherine’s Parking Lot at 4 a.m. We hope to arrive back to Ithaca by midnight.
Cost is $100 per person which covers transportation.
We have 55 seats available on the bus.

We encourage people to pack food and water/drink for the trip.
Because there is not much information available currently about the Rally, we may change the time of leaving from or arriving back to Ithaca slightly to better respond to the event.

First considerations will be given to youth and young adults and parents traveling with their children. Registration will close on March 11 at midnight. If more than 55 people have registered, we will send out emails to those who have been selected to participate on March 12 and inform those who were not selected. If space is still available after March 11, people will be able to continue to register and all registrations will be accepted until the bus is full. Children in 8th grade and younger must travel with a parent. High school youth not traveling with a parent will be put in small groups with a chaperone for the March for Our Lives Rally.

Join the March!
Registration Form
Please fill out one form for each participant. You will have the opportunity to "submit another" at the end of the form.
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Age *
Your answer
Grade in School (if applicable)
Your answer
Gender *
Cell phone number *
Your answer
Home phone number
Your answer
Email Address *
Your answer
Emergency Contact of someone NOT attending: Name (first and last) *
Your answer
Emergency Contact Cell Phone Number *
Your answer
Emergency Contact Home Phone Number
Your answer
T-Shirt Size (if we choose to get shirts) *
Any physical or other limitations we should know about?
Your answer
The cost of the trip is $100. Do you need scholarship money to participate? *
How much scholarship money do you need?
Your answer
Why do you want to participate in the March for our Lives? *
Your answer
Agreement
By submitting this form...
I agree to provide a health form to St. Catherine's prior to the trip (which will be provided after March 12).
I understand that I am not guaranteed a spot on the trip and I will be notified via email on or about March 12 to let me know if I have been selected to go on the trip.
I understand that youth and young adults (and their chaperones and parents) will be given first consideration for the trip.
If selected, I agree to pay $100 per person, unless I am told that my registration is covered (in full or part) by scholarship money.
Submit
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