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Youth Rally

Youth Rally

Featuring Fr. Connor Danstrom
of the Archdiocese of Chicago
- September 30, 2022
  
  Fr. Connor Danstrom from the Archdiocese of Chicago will be speaking about the Eucharistic Revival, creating relationship with God and the presence of Jesus Christ in the Eucharist. Fr. Danstrom is one of the speakers the USCCB is sharing with dioceses around the country to renew our relationship with the Eucharist in our lives. The evening will include adoration.
  
  The Youth Rally is for students in 9th - 12th grade and will be held from 6:30 - 9 p.m. at the Crowley Center, 542 W Michigan Avenue, Kalamazoo, MI 49007. The fee is $25 per person for this event. Once you have your chaperones and students, please fill out registration form online (below) with names of chaperones and youth attending.  This must be done by September 19th, 2022.  In order to submit the form below, please note that the "I Agree" box has to be checked on all 8 chaperone boxes in order for it to go through, even if you don't have that many chaperones. The form will not Submit otherwise, we appreciate your attention to this.
  
  Please also download the required Group Registration packet here . This packet has the group registration form, medical release and permission forms for students and chaperones. You can also click on the individual items numbered below for that specific form for ease in sending to parents. When checking in for the Youth Rally, the forms that include: the Group Registration form, Adult General and Medical Release form, Parent Permission form and Medical Treatment Authorization form, must be kept together and brought to the event. At the event, forms are to be in this order when checking in:
  
  1.) The completed Group Registration form on top
  2.) The Adult General and Medical Release form
  3.) The Parent Permission form and Medical Treatment Authorization form together (by inidividual)
  
  All in the order they are listed on the Group Registration form. This will make check in easier for all groups. There is also a Volunteer Driver Form if you are having volunteers drive the kids to the Youth Rally. This from should be kept at the parish for their records.
  
  Please note, any youth without participant permission form and medical release will not be allowed to stay at the event. Parishes will be billed $25 per participant based on the online registration forms submitted online by September 19th. No refunds will be allowed after the September 19th deadline. If you have more than 56 students attending, please contact Joan Jaconette, 269-349-8714 ext 1113.
  
  If a parent would like to bring their student(s) separate from the youth group, please contact Joan Jaconette at jjaconette@diokzoo.org to register.
Youth Rally Group Registration
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Parish Information
  
  Choose your parish: REQUIRED Please fill out this field.
  
  Group Leader
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  I understand that I am in charge of the conduct and action of the students, that I register, while on this activitiy. I have recruited and communicated expectations to qualified chaperones who will be at the activitiy with the students. These chaperones will take responsibility for the welfare of the students while engaged in this activity, they will monitor the students, actively care for the students, and minister to the students during the activity. I understand I need two chaperones for the first 8 students, and one additional chaperone for each additional group of 8 (or partial group of 8). I understand that the volunteers and employees of the Diocese of Kalamazoo are not responsible to care for the students under my charge. I also understand my parish will be billed for the number of registered individuals signed up online.
  I Agree Please select this field.
  
  2 Chaperones for the first 8 students REQUIRED Please fill out this field.
  
  Chaperone 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  This chaperone has been background checked and is current on their Virtus bulletins.
  
  I Agree Please select this field.
  
  Date of Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Date Virtus Trained REQUIRED Please fill out this field. Please enter a date.
  
  Chaperone 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  This chaperone has been background checked and is current on their Virtus bulletins.
  
  I Agree Please select this field.
  
  Date of Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Date Virtus Trained REQUIRED Please fill out this field. Please enter a date.
  
  # of Students (first group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  3rd Chaperone (for students 9-16)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This chaperone has been background checked and is current on their Virtus bulletins.
  
  I Agree Please select this field.
  
  Date of Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Date Virtus Trained REQUIRED Please fill out this field. Please enter a date.
  
  # of Students (second group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  4th Chaperone (for students 17-24)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This chaperone has been background checked and is current on their Virtus bulletins.
  
  I Agree Please select this field.
  
  Date of Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Date Virtus Trained REQUIRED Please fill out this field. Please enter a date.
  
  # of Students (third group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  5th Chaperone (for students 25-32)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This chaperone has been background checked and their Virtus bulletins are current.
  
  I Agree Please select this field.
  
  Date of Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Date Virtus Trained REQUIRED Please fill out this field. Please enter a date.
  
  # of Students (fourth group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  6th Chaperone (for students 33-40)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This chaperone has been background checked and their Virtus bulletins are current.
  
  I Agree Please select this field.
  
  Date of Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Date Virtus Trained REQUIRED Please fill out this field. Please enter a date.
  
  # of Students (fifth group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  7th Chaperone (for students 41-48)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This chaperone has been background checked and their Virtus bulletins are current.
  
  I Agree Please select this field.
  
  Date of Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Date Virtus Trained REQUIRED Please fill out this field. Please enter a date.
  
  # of Students (sixth group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  8th Chaperone (for students 49-56)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This chaperone has been background checked and their Virtus bulletins are current.
  
  I Agree Please select this field.
  
  Date of Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Date Virtus Trained REQUIRED Please fill out this field. Please enter a date.
  
  # of Students (seventh group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
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Youth Rally

September 30, 2022

Youth Rally Group Registration

Diocesan Pastoral Center

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