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For Legionaries (Including Seniors & Juniors -Juniors also fill out Section at Bottom)

Please Print with Block Capitals

Name: (Mr/Mrs/Miss/Rev.Fr./Rev.Sr./Rev.Br.)____________________________________________________________________________

Address:_____________________________________________________________________________________________________________

Phone No:____________________________________          Email Address:_____________________________________________________

Praesidium:_____________________________________________________Council:______________________________________________

Have you been on a PPC before?________    If Yes, Where and When?_______________________________________________________


 

For Seminarians and Religious Only...

Name:_______________________________________________________________________________________________________________

Religious Order:______________________________________________________________________________________________________

Address:_____________________________________________________________________________________________________________


Phone No:_______________________________________        Email Address: ______________________________________________________

If Seminarian, Home Address:__________________________________________________________________________________________

Have you been on a PPC before?____________    If so, Where and When?____________________________________________________

 

For Young Legionaries only.....

The Section below should be read and signed by your Parents, and the Officers of your Praesidium and Council

Signature of Parent(s)________________________________________________________________________________________________

The above Legionary is a member of my Praesidium, and is able to participate and perform substantial work at the Praesidium Level.
I recommend this Young Legionary for this PPC.

Signature of the Praesidium President___________________________________________________________________________________

Signature of the Higher Council President:
_______________________________________________________________________________

If you plan to serve as a driver for the PPC, will you please also fill out and sign the Waiver Release, which ensures that drivers carry auto insurance (the amounts mentioned on the form are common auto insurance values)
PPC Waiver Release Form
     Mail to:  Br. David Marten, 412 Johnson St, #1, Sausalito, Ca, 94965    Or, Fill out printed forms, scan, and email to cadco@pacbell.net
     Email Address:   cadco@pacbell.net
     Phone No:   415-342-4633
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