Name *

First Name

Last Name

Phone *

(###)

###

####

Alternate Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Marital Status *

Married

Single

Widowed

Divorced

Separated

Date you made weekend *

MM

DD

YYYY

What area(s) did you work?

Check all that apply

Scullery Chief

In charge of Table Set-up

Sacristan

Head Cook

Shepherd

In charge of Conf. Room Set-up

Team Chapel Leader

Art Room Leader

Parish Ministry

Check where applicable

Commissioned Eucharistic Minister

Altar Server

Cantor

Commissioned Lector

Music Ministry

Choir

Instrument

EXTENDED TEAM SUPPORT I am committed to support the next Journey Weekend in the following ways:

(check the appropriate response or responses)

Sponsor candidates

Provide transportation Friday to the facility for candidates

Provide transportation Sunday home for the candidates

Attend Mananitas

Attend Closing Mass

Attend Fourth Day Celebration

Attend Area Welcoming(s) (call Area Coordinator)

Donation of food and/or supplies

Baking cookies

Financial Donation

Set up/serve at Fourth Day Celebration

Help with Area Welcoming

Will make Palanca in poster form

Host Palanca parties

Participate in Palanca parties

Host Napkin parties

Participate in Napkin parties

Help get out mailings

Be on the Journey prayer chain

I want to be on the Prayer Clock for the Journey Weekend

Assist area coordinators in making Prayer Clock phone calls