Youth Rally Group Registration Form

2024 Diocesan Youth Rally Group Registration

Holy Redeemer High School November 23, 2024

Parish Information

Name of Parish(Required)

Name of Pastor(Required)

First Last

Parish Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Group Leader Contact Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Role at the Parish:

Group Information

Number of spots you're reserving for youth (grades 7-12)(Required)

Number of spots you are reserving for Adult Chaperones (21+ and is Safe Environment Compliant with clearances on file at the parish. Compliance will be verified):

*Individual names are not required at this time of online registration. A follow-up email will be sent confirming your reservation and will provide further details on group logistics such as consent forms and permission slips.

Confirm Reservation(Required)

I certify that all chaperones are Safe Environment Complaint in the Diocese of Scranton.

I certify that my group will meet the 1 adult to 8 youth ratio that is required by the Diocesan Safe Environment Standards.

I understand that the cost for each registration is $30.

I understand that I can change my reservation up to the deadline date of the Diocesan Youth Rally, which is 2 weeks before the Rally date. To make changes to the reservation I should contact Marianne Guarnieri at mguarnieri@dioceseofscranton.org ATTN: Youth Rally Registration.

I understand that after the deadline date for reservations has passed, my parish will be responsible for the total number of reserved spots (youth and adults), even if my parish does not send this number of youth and adults to the Rally.

Payment Information

*Payment can be sent in advance of Rally Day to Diocese of Scranton Office for Parish Life ATTN: Diocesan Youth Rally 330 Wyoming Avenue Scranton PA 18503 **Your remittance is based on the number of reservations at the time of the Registration Deadline.