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Home
Contact Us
Our Churches
Contact Parish Office
Our Staff
Mission Statement
History of Our Churches
Latest News
Resources
New Parishioner Registration
Bulletins
On Mission for the Church Alive!
Living Your Faith
Sacraments
Baptism
Reconciliation
Marriage
Eucharist
Confirmation
Anointing of the Sick
Holy Orders
Request a Sacramental Certificate
Prayer & Resources
Lamb of God Chapel
Mass Intentions
Funeral Services
Mass & Reconciliation Times
Prayer Request
Pittsburgh Catholic Online
Annulment Advocacy
Faith Formation
Ave Maria Academy
Religious Education
Youth Ministry
Rite of Christian Initiation of Adults (RCIA)
Ministries
Community Life
Book Discussion Group
Collection Counters
Councils
Hospitality & Events
Marriage Ministry
MOMS (Ministry of Mothers Sharing)
Respect Life Committee
St. Francis Community Garden
Technology Ministry
Two’s Together
Growing in Faith
Lectures/Events
Library
Liturgy of the Hours
Cursillo Movement
Emmaus (Men)
Emmaus (Women)
Lectionary Study Group
Prayer Ministry
Mens Fellowship
Mens Group
St. Paul of the Cross Retreats
Outreach
Angel Tree
Blood Drive
Hearts with Hammers
Helping Hands
Knights of Columbus
Ladies of Charity
Marthas
Pastoral Outreach
Prayer Shawl Ministry
St. Vincent de Paul Society
Worship/Liturgical
Altar Servers
Altar Society
Art and Environmental Ministry
Eucharistic Adoration
Eucharistic Adoration Committee
Extraordinary Ministers of Holy Communion
Funeral Liturgy Coordinators
Worship/Liturgical
Greeters
Lectors
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Appalachia Adult Registration Form
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Appalachia
Appalachia Teen Registration Form
Appalachia Adult Registration Form
Rite of Christian Initiation of Adults (RCIA)
Appalachia Adult Registration
The maximum number of form submissions has been reached. This form is currently not available.
If you will be 18 years old by July 7, 2020, please fill out the this registration form. If you are younger, please fill out the Teen Registration Form.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
Male
Female
Please fill out this field.
Phone Number
REQUIRED
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Please enter a phone number.
Email
REQUIRED
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Please enter an email address.
Address
REQUIRED
Please fill out this field.
Please enter valid data.
Address 2
Please enter valid data.
City
REQUIRED
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Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
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OK
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TN
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VA
VI
VT
WA
WI
WV
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Zip
REQUIRED
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Please enter a zip code.
Occupation
Please enter valid data.
T-shirt Size (adult unisex)
S
M
L
XL
XXL
XXXL
Are you a member of St. Thomas More/St. John Capistran Parish?
None
Yes
No
How many times have you attended the Appalachia Mission Trip with STM?
Please enter valid data.
Have you ever worked with youth before? If so, in what capacity?
List any skills or talents you are willing to share:
Which of the following skills are you comfortable with/have experience in?
Carpentry
Concrete/Masonry
Drywall
Painting
Plumbing
Electrical
Roofing
Deck framing
Ramp building
Insulation of doors and windows
Are you interested in assisting with daily Mass?
No
Eucharistic Minister
Lector
Altar Server
Coordinator
Are you interested in assisting with music? If so, which instrument?
Please enter valid data.
Are you interested in assisting with faith-based evening programs?
Yes
No
Are you interested in assisting with the planning of recreational events?
Yes
No
Are you attending full-time or part-time? If part-time, please list the dates.
Are you planning to drive your own vehicle?
Yes
No
If you are driving your own vehicle, is anyone riding with you?
Please enter valid data.
Will you drive to and from West Virginia with the rest of our caravan? If not, please explain:
Are you at least 25 years old and able, experienced, and willing to drive a 12-passenger van?
Yes
No
Agreements
REQUIRED
I understand that I am required to comply with all Diocesan Safe Environment Policies.
I understand the cost per person of this trip is $400. To secure my spot I will submit $100/individual ($200/family) to Karen (made out to STM) by 10/31/19. I understand that I must fund raise or pay the remaining balance by 6/5/20.
I understand that this trip is a Youth Ministry Program, and that in choosing to be part of it, I agree to chaperone, lead, instruct, and encourage the teens in our St. Thomas More group.
Please fill out this field.
Photo Release:
The Appalachia Mission Trip has my permission to use my/my child's photograph publicly to promote the Appalachia Mission Trip. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
Agree
Liability Release:
In consideration for being accepted by St. Thomas More for participation in this event, I do hereby release, forever discharge and agree to hold harmless St. Thomas More Roman Catholic Church and the Diocese of Pittsburgh, thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by myself while participating in the above described event. Furthermore, I hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. Further, authorization and permission is hereby given to St. Thomas More to furnish any necessary transportation, food and lodging for me. I further hereby agree to hold harmless and indemnify St. Thomas More, and its employees and agents, for any liability sustained as the result of the negligent, willful or intentional acts of myself, including expenses incurred attendant there to.
Agree
Health Insurance Company
REQUIRED
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Please enter valid data.
Policy Number
REQUIRED
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Emergency Contact Name
REQUIRED
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Emergency Contact Phone Number
REQUIRED
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Any known allergies?
Any physical limitations or work restrictions?
Any medically prescribed dietary needs?
Signature
REQUIRED
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I hereby declare these statements to be true and factual. I assume responsibility for my answers and understand all material herein.
Today's Date
REQUIRED
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