Clergy Registration Form

ACMR Number

If you do not have an ACMR number, you will be required to complete further paperwork for the Diocese of Ballarat and Diocese of Sandhurst. This paperwork must be signed by your relevant superior/Church Authority. The Christus Rex Society will complete this paperwork digitally and send to you and the relevant church Authority for signature.
Australian Catholic Ministry Registration Number*
Current Diocese or religious order*
Church Authority (name of bishop/provincial etc.)*
Church Authority email address*
example@example.com
Working With Children Check
WWCC (Working with Children Check) Number*
WWCC issuing State*
WWCC Expiry*

DayMonthYear
Date

Availability throughout the Pilgrimage

Will you need to be away from the Pilgrimage due to other obligations? eg. returning to parish to celebrate regular Mass.
Are you attending the Pilgrimage in full (Friday 6am to Sunday 6pm)?*
When will you be UNAVAILABLE throughout the Pilgrimage?

Friday morningFriday afternoonFriday eveningSaturday morningSaturday afternoonSaturday eveningSunday morningSunday afternon

ACMR Number