RC Activities, Inc

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Holy Week Missions 2019 – Philadelphia

REGISTRATIONS RECEIVED AFTER APRIL 10TH ARE NOT GUARANTEED STOCK OF MISSION YOUTH APPAREL OR MISSIONARY PACKS

MissionYouthPhilly.com

Week-Long and Day Missions Begin on Palm Sunday, April 14, 2019

Four-Day Mission: Begin on Wednesday, April 17, 2019

Family Mission: Good Friday, April 19, 2019

For Mission Details Visit MissionYouthPhilly.com

Missions

Please indicate how many individuals you are registering for each category.

Qty

Description

Amount

Total

Week-Long Mission

$175.00

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High School Men and Women 15 years of age or older.
Includes six (6) overnight stays within a designated parish community.

Four-Day Mission

$150.00

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High School Men and Women 15 years of age or older.
Includes three (3) overnight stays within a designated parish community
Note:Registrations received after February 14, 2018 Incease by $25 per person. $150

Family Mission

$15.00

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Includes Missionary Pack

Single-Day Mission (includes Good Friday)

$15.00

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Please select the number of persons and select, in the participant section later in this form, the days each participant would like to attend. Does not include overnight stay or meals.

Discount Code:

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T-Shirts

Qty

Description

Amount

Total

Youth Medium T-Shirts(s)

$15.00

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Adult Small T-Shirt(s)

$15.00

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Adult Medium T-Shirt(s)

$15.00

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Adult Large T-Shirt(s)

$15.00

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Adult X-Large T-Shirt(s)

$15.00

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Hooded Sweatshirt

Qty

Description

Amount

Total

Adult Small Hooded Sweatshirt(s)

$30.00

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Adult Medium Hooded Sweatshirt(s)

$30.00

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Adult Large Hooded Sweatshirt(s)

$30.00

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Adult X-Large Hooded Sweatshirt(s)

$30.00

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Total: $0.00

REQUIRED Waivers/Permission to Participate

For Youth - Under 18 - Click here.
For Missionaries Over 18 - Click here.
Adult Chaperones (please make sure you have completed all certifications at Chaperones.MissionYouthPhilly.com)

Waivers: *

I have read and agree to all the terms included in the above referenced RC Activities Inc. Waivers. For all registered youth and adult missionaries included in this registration.

Parent/Guardian or Emergency Contact Information

Parent/Guardian or Emergency Contact: *

Email: *

Address:

Cell Phone: *

Alternate Phone:

Alternative Emergency Contact Information

Contact #1 Name:

Relation:

Cell Phone:

Contact #2 Name:

Relation:

Cell Phone:

Volunteer Information

I am interested in helping out as an Adult Chaperone – For Details on Clearances Required Visit: Chaperones.MissionYouthPhilly.com
For details contact CorinneRCPhilly@gmail.com or call 908-872-1431

Day Mission Chaperon

Overnight Mission Chaperon

Mission Support Team

Payer INFORMATION

Suffix: *

First Name: *

Last Name: *

Company Name:

For company gift matching programs purposes.

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A receipt will be e-mailed to this address.

Comments or Questions:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *