Registration

Your name *

Email *

Phone number *

Age on Day of Pilgrimage *

Enter numerals only. You must be 18 or older on the day of the pilgrimage to register.

Parish (and/or hometown)

How Much Will You Participate? (Check the schedule for more info) *

Transportation *

Participants are asked to arrange for their own drop-off and pick-up at the beginning and end of the pilgrimage. Exceptions can be made for extreme cases. Please contact the organizers to arrange logistics.

I will need transportation

I will not need transportation

Please explain when you'll be joining us *

Are you a priest or consecrated religious? *

No

Yes

If you are a priest, would you be willing to offer Mass, hear confessions, etc. during the pilgrimage? *

Yes

No

How did you hear about The Joseph Challenge? *

Favorite St. Joseph devotion (If you would like, share a favorite prayer or devotion you have to St. Joseph.)

Emergency contact name *

Emergency contact relationship *

Emergency contact phone *

Emergency contact email *

Would you be willing to make a donation?

Yes

No

Participation in The Joseph Challenge is free, but we do accept donations. If you are willing to contribute, select "Yes" and we will contact you soon.

Additional Information/Questions/Comments/etc.

Waiver of Liability

This agreement releases the organizers of the Joseph Challenge and all partnering and associated organizations of the Joseph Challenge from all liability relating to injuries that may occur during the Joseph Challenge pilgrimage. By signing this agreement, I agree to hold the organizers of the Joseph Challenge and all partnering and associated organizations of the Joseph Challenge entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence. I also acknowledge the risks involved in an activity such as the Joseph Challenge Pilgrimage. These include, but are not limited to, tripping, falling, automobile accidents, and heat and weather related risks. I swear that I am participating voluntarily, and that all risks have been made clear to me. Additionally, I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this activity. By signing below I forfeit all right to bring a suit against the organizers of the Joseph Challenge and all partnering and associated organizations of the Joseph Challenge for any reason. I will also make every effort to obey safety precautions as listed in writing and as explained to me verbally. I will ask for clarification when needed.

Do you fully understand and agree to the above terms? *

Yes

No

5th Annual Pilgrimage

May 2-3, 2020

Personal Information

Questions?