Registration
(For those participating for more than one day, walking)
  

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Important Notes:

  
 
1. Prior to finalizing flight reservations, please contact
Bob Whealan (in charge of shuttling pilgrims)
to be sure he and his team of volunteers can
meet your arrival-time connections, and so that
you can meet your departure-time connections.
Robert Whealan windedbuffalo@yahoo.com or 973/239-3632.
  
 
2. ALL ADULT PILGRIMS MUST PRINT-OUT, SIGN and MAIL
RELEASE OF  LIABLITY FORM AT BOTTOM OF THIS WEBPAGE.
  

 
More than 1 day, walking
My Name and Age
Address
 City
St   Zip
 Phone 
E -Mail

 
Joining me more than one day are the following pilgrims:
 
  Name & Age Address  
2
$80
3
$80
4
$80
5
$50 *
* Applies only to the fifth and subsequent members of the same brigade or group all registering on the same form, online or by mail. The first four pilgrims in a group always pay $80. Family rates are different. Please see Family Rates Schedule.  
 

Registrations for more than one day received by August 15 receive Documentary free on VHS or DVD (Please specify when registering).

  
 

I am registering before August 15,
please send me the new Documentary on VHS or DVD

Use Paypal "Make a Donation" button below to pay registration fee, or mail registration fee/fees to NCCL, 621 Jordan Circle, Whitehall, PA 18052-7119.     
     
 
Registration & payment must be postmarked no later than August 31 in order to avail of group discounts. (Families, however, may receive discounted rates - upon request - until the Feast of Our Lady's Nativity, September 8. See the Family Rates Schedule using the link above.)
  
     

Secure payment online
with PayPal
Use a Credit Card or
a PayPal Account
 

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RELEASE OF LIABILITY to be signed by all adult pilgrims:
All pilgrims participate and walk in the Pilgrimage for Restoration 2008 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 2008. I/we, __________________ , the undersigned, agree to the above, and release NCCL and pilgrimage organizers from all liability to/for myself/ourselves and/or our children under age 18.
 
 
 

SIGNATURE: __________________________________________date: _______________
 
 

SIGNATURE: __________________________________________date: _______________
 
 

PARENTAL AUTHORIZATION FOR MINOR CHILDREN:

We, ________________ , the undersigned, residing at ________________ authorize the "National Coalition of Clergy & Laity" to make all necessary arrangements for any surgical or urgent hospitalization for our child/children __________________________ ; and/or in our absence place all responsibility for our child/children, ____________________ , in the care of Mr/Mrs _________________ who is participating in thePilgrimage for Restoration 2008 in the same events as our child/children.
 

SIGNATURE: ___________________________________ [parent/guardian]date: _______
 
 

SIGNATURE: ___________________________________ [parent/guardian]date: _______