March for Life Pilgrimage to Washington DC

Chaperone Application

Ten chaperones are needed for the Youth For Life March for Life pilgrimage to Washington, D.C.
Total Chaperone cost: $350 PLUS airfare.

Chaperones must be 21 years of age or older and have Safe Environment Clearance.
General responsibilities will include supervision of the youth, enforcement of the trip rules and implementation of Safe Environment policies during the trip.

Proof of Safe Environment clearance is required with your application. You must be cleared through the dates of the event, Jan. 22, 2023. If your clearance shows that you will require an update prior to Jan. 22, 2023, the update must be performed prior to November 30th (before we purchase airline tickets).

The acceptance of chaperones is based on the needs of the group. You will be notified by November 23rd regarding your acceptance as a chaperone. Upon acceptance, a deposit of $350 will be required.

  • After November 30th, the deposit is non-refundable unless another chaperone, most likely of the same sex, who meets Safe Environment requirements can be found.

All chaperones are required to attend a mandatory training on Jan. 7, 2023. This training will be held immediately prior to the mandatory youth, parent, and chaperone meeting also on January 7.

**Note** Providing a resume and references is only necessary if this is your first time to volunteering for CPLC. If you have volunteered before, you may skip this section. 

First Name*
Last Name*
Address*
City*
State*
Zip Code*
Phone*
E-Mail*
Age*
Date of Birth*
Sex*
Sweatshirt Size (All Adult Sizes)*
Church*
If you are coming as part of a group please give the name of*
Food Allergies*
Diocese Safe Environment Clearance*
Proof of Safe Environment Clearance*
Resume
Reference 1 Name
Reference 1 Email
Reference 1 Phone
Reference 2 Name
Reference 2 Email
Reference 2 Phone
Reference 3 Name
Reference 3 Email
Reference 3 Phone
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