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Home
Pastor's Desk
Bulletins
Today's Readings
Mass & Reconciliation Times
Pastoral Plan & Synod Info
Pittsburgh Catholic Online
Contact Us
Contact Resurrection Parish Offices
New Parishioner Registration
Event/Facilities Request Form
Our Staff
Mission Statement
History of Our Churches
On Mission for the Church Alive!
Sacraments
Request a Sacramental Certificate
Baptism
Reconciliation
Eucharist
Confirmation
Marriage
Anointing of the Sick
Holy Orders
Prayer & Resources
Lamb of God Chapel
Eucharistic Adoration
Liturgy of the Hours
Mass Intentions
Prayer Request
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Obituaries
Annulment Advocacy
Parish Events
Parish Events
Calendar
Latest News
SummerFest!
Music Camp!
Ministry
Liturgical Ministries
Outreach Ministries
Community & Faith Life
Young Adult Ministry
Youth Ministry
Resources
Safe Environment
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Faith Formation
Rite of Christian Initiation of Adults (RCIA)
Religious Education
Parish Libraries
Ave Maria Academy
Catholic High Schools
Giving/Gift Cards
Online Giving
Gift Cards Program
Friends of Music Ministry Sponsor
Friends of Children's Music Sponsor
Kneeler Sponsor
Donate to Ukraine
Appalachia Young Adult Registration Form 2023
Ministry
Liturgical Ministries
Outreach Ministries
Appalachia Mission Ministry
Appalachia Young Adult Registration Form
Community & Faith Life
Young Adult Ministry
Youth Ministry
Resources
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The maximum number of form submissions has been reached. This form is currently not available.
If you will be 18-24 years old by July 8, 2023, please fill out the this registration form. If you are younger, please fill out the Teen Registration Form. Adults 25 years & older, please contact Mary at
mswindal@resurrectionpgh.org
to be put on the adult waitlist.
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.
Birthday (Month/Day/Year)
REQUIRED
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Please enter valid data.
Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Email
REQUIRED
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Please enter an email address.
Address
REQUIRED
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Please enter valid data.
Address 2
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City
REQUIRED
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State
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CA
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CT
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DE
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HI
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ID
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IN
KS
KY
LA
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MD
ME
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MI
MN
MO
MS
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NC
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Please fill out this field.
Zip
REQUIRED
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Please enter a zip code.
Occupation
Please enter valid data.
T-shirt Size (adult unisex)
REQUIRED
(Select One)
S
M
L
XL
XXL
XXXL
Please fill out this field.
Are you a member of Resurrection Parish?
REQUIRED
Yes
No
Please fill out this field.
How many times have you attended the Appalachia Mission Trip with Resurrection Parish (formerly St. Thomas More)?
REQUIRED
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Please enter valid data.
Have you ever worked with youth before? If so, in what capacity?
REQUIRED
Please fill out this field.
List any skills or talents you are willing to share:
REQUIRED
Please fill out this field.
Which of the following skills are you comfortable with/have experience in?
Carpentry
Concrete/Masonry
Drywall
Painting
Plumbing
Electrical
Roofing
Deck framing
Ramp building
Installation of doors and windows
Are you interested in assisting with daily Mass?
REQUIRED
No
Eucharistic Minister
Lector
Altar Server
Coordinator
Please fill out this field.
Are you interested in assisting with music? If so, which instrument?
REQUIRED
Please fill out this field.
Please enter valid data.
Are you interested in assisting with faith-based evening programs?
REQUIRED
Yes
No
Please fill out this field.
Are you interested in assisting with the planning of recreational events?
REQUIRED
Yes
No
Please fill out this field.
N/A - Are you 25 years old and able, experienced, and willing to drive a 12-passenger van?
Expectations for all adults/young adults attending this trip include driving down and back with the teens in the rental vans (Sunday thru Friday). You are expected to mentor and oversee teens on the worksite, teach them how to use tools and follow worksite rules, help them establish relationships with the homeowners, and provide assitance to them throughout the week. It is also expected that you will supervise teens while on campus and attend all evening activities with the group.
If you are unable to meet these requirements, please list reasons below:
Reasons
Reasons why you cannot meet these requirements.
Agreements
REQUIRED
I understand that I am required to comply with all Diocesan Safe Environment Policies. I will check status of / complete my Safe Environment Clearance asap.
I understand the cost per person of this trip is $500. To secure my spot I will submit the $100 deposit online or via check made out to Resurrection Parish. I understand that I must fundraise or pay the remaining balance by 6/02/2023.
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 Resurrection Parish group.
Please fill out this field.
Photo Release:
The Appalachia Mission Trip has my permission to use my 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.
I Agree
Please select this field.
Liability Release:
In consideration for being accepted by Resurrection Parish for participation in this event, I do hereby release, forever discharge and agree to hold harmless Resurrection Catholic Parish 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 Resurrection Parish to furnish any necessary transportation, food and lodging for me.
I further hereby agree to hold harmless and indemnify Resurrection Parish, 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.
I Agree
Please select this field.
Health Insurance Company
REQUIRED
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Please enter valid data.
Policy Number
REQUIRED
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Please enter valid data.
Emergency Contact Name
REQUIRED
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Emergency Contact Phone Number
REQUIRED
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Please enter valid data.
Any known allergies?
Any physical limitations or work restrictions?
Any medically prescribed dietary needs?
I hereby declare these statements to be true and factual. I assume responsibility for my answers and understand all material herein.
Signature
REQUIRED
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Today's Date
REQUIRED
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Please enter a date.
Total:
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