Good Shepherd Day Registration "*" indicates required fields Email* Name of Group (i.e. Seniors meeting, Sunday School class, etc...)* First Name of Group Coordinator* First Last Name of Group Coordinator* Last Group Coordinator email address* Group Coordinator phone number*Requested Date* MM slash DD slash YYYY Approximate time of arrival* Hours : Minutes AM PM AM/PM Approximate time of departure* Hours : Minutes AM PM AM/PM Which church is your group from?*ChooseSt. Mary and Archangel MichaelSt. MarkArchangel RaphaelSt. PaulSt. GeorgeSt. StephenOtherIs your group coming with a priest?*ChooseYesNoName of priest* First Will you start with liturgy?*ChooseYesNoNumber of Participants (Please note: Capacity for facility is 150; capacity for chapel is 60)*Choose1-1011-2021-3031-4041-5051-6061-7071-8081-9091-100101-110111-120121-130131-140141-150Number of participants (Please note: Capacity for chapel is 60)*Choose1-1011-2021-3031-4041-5051-60Which of the following will you be using (select all that apply):* Chapel (Capacity for chapel is 60) Pavilion Soccer Field Basketball Court Playground Grill Number of Participants (Please note: Capacity for facility is 150; capacity for chapel is 60) Please note: There is a fee of $10/person. Please arrange to bring a check made payable to St. Mary and Archangel Michael and give to host upon arrival.*Choose1-1011-2021-3031-4041-5051-6061-7071-8081-9091-100101-110111-120121-130131-140141-150Which of the following will you be using (select all that apply):* Chapel (Capacity for chapel is 60) Pavilion Soccer Field Basketball Court Playground Grill I understand that submitting this form is just to request for a date. Please wait until confirmation to ensure that the Good Shepherd can accomodate your group on your requested date before making arrangements.* Yes No As group coordinator, I assume responsibility for cleaning the retreat center as described in the Good Shepherd Guidelines Document.* Yes No I acknowledge that the group is responsible for its own safety and the Good Shepherd is not liable for any injuries that might happen on its grounds as outlined in the signed liability form.* Yes No
