Request For Overnight Event

REQUEST FOR OVERNIGHT EVENT
Please use this form to request permission to host and or direct an overnight event within the Diocese of Fort Worth. The present form must be turned in at minimum (2) months prior to the scheduled event.
Parish or Diocesan Institution Requesting Overnight Event
Parish / Institution Name
Please specify
Parish / Institution Contact Person
Email
Phone Number
Address
Event Description
Event Date(s)
Event Name
Location
Event Description (Please provide the purpose and overall objective of the event.
Please write a brief description with your theme here and include information about any additional guidelines being followed.
How many participants will plan to attend the retreat and what are their ages?
Will there be male and female participants?
How many adult chaperones (21 and over) will be attending the event (indicate number of both sexes)?
Please attach schedule and catechetical outline separately

Cancelof
Verification of Safe Environment Forms for all related participants
Diocesan Use Only – Date and initial

Para Uso Diocesano – Fecha e Iniciales
Date received / Fecha Recibida: ____________

Approved by Department Director of Evangelization and Catechesis /
Aprobado por el director del Departamento de Evangelización y Catequesis

Name

Approved by Director of Youth, Young Adult and Campus Ministry /
Aprobado por el director de Ministerio de Adolescentes, Jóvenes Adultos y Campus

Name

Approved by Safe Environment Department /
Aprobado por el Departamento de Ambiente Seguro

Name
Should be Empty:

REQUEST FOR OVERNIGHT EVENT

Parish or Diocesan Institution Requesting Overnight Event

Event Description

Diocesan Use Only – Date and initial