Adult chaperones for GSL

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Age REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Best Email REQUIRED Please fill out this field. Please enter an email address.

I am VIRTUS trained REQUIRED Yes Yes but not in this Diocese No I don't know Please fill out this field.

I am available to chaperone the following days (check all that apply): REQUIRED Monday, June 16 Tuesday, June 17 Wednesday, June 18 Thursday, June 19 Please fill out this field.

I will have a vehicle to transport students REQUIRED Yes No Please fill out this field.

If yes, my vehicle fits this many people (including me): Please enter valid data.

I am able to spend the night(s) at St. Paul school REQUIRED Yes No Please fill out this field.

How are you currently active in the Catholic faith? REQUIRED Please fill out this field.

What skills, gifts, and/or talents do you bring to the service week? REQUIRED Please fill out this field.

I give permission for any photograph, video, audio recording and/or likeness procured of me to be used by the Diocese of Marquette and St. Paul parish Negaunee. These may be used for promotional purposes and reproduction in any type of media form. I understand and agree that the use of my photograph, video or audio recording, and/or likeness is not an invasion of privacy. Neither I nor anyone claiming to be speaking on my behalf will object to the Diocese of Marquette using this material.

I Agree Please select this field.

Do you have any questions?