Clone of Initial Expression of Interest | Información Inicial de Interés

World Youth Day 2027 Pilgrim Registration
Dates: August 1-10, 2027

Cost: $4,699 ($500 non-refundable deposit due upon registration)

Pilgrims with the Diocese of Nashville must be at least 18 years of age and have graduated high school by August 1, 2027.

Passports cannot expire before February 11, 2028.
Name

First NameLast Name
Preferred Name
Parish
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

The following request is pertinent information if you are rendered unconscious.
Date of Birth

MonthDayYear
Date
Current Age
Please list ALL medical conditions/allergies/special health information:
Type "N/A" if not applicable.
Please list ANY medications (prescriptions or non-prescriptions) you would like us to be aware of:
Type "N/A" if not applicable.
Emergency Contact Name

First NameLast Name
Relationship to Emergency Contact
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Insurance Information
Do you carry medical insurance at this time?
Insurance Carrier
Policy in the name of:
Insurance Policy #
In the event the participant does not have insurance, payment in full for medical care becomes the responsibility of the participant.
Consent/Liability Waiver & Photo/Video Consent Form
I, agree on behalf of myself, my heirs, assigns, executors, and personal representatives, to hold harmless and defend The Diocese of Nashville, its officers, directors, agents, employees, or representatives from any and all liability for illness, injury or death arising from or in connection with my participation in the trip.

I agree to abide by any/all policies and rules established for this event. Should I not be able to maintain the guidelines and expectations for this event, I understand there will be consequences for my actions, which could include my being asked to leave the event.

___________________________________________________________________

From time to time, pictures and video may be taken. We may use these photographs and videos for promotional and educational material like flyers, brochures, publications, social media, and/or websites. Written consent of the individual or parent/guardian, if applicable, is required. Names will not be posted unless written authorization is given by the individual or and parent/guardian, if applicable, and then only first names will be used.

I authorize and give the irrevocable right and full consent, without limitation or reservation, to the Diocese of Nashville to publish any photograph, video, or testimonial in which I or my child appears. Images may be published in future publications, brochures, flyers, educational materials, webpage, social media, or other promotional materials. There will be no compensation for use of any photograph, video, or testimonial at the time of publication or in the future. I waive the right to approve the final product. I agree that all such portraits, pictures, photographs, video and audio recordings, testimonials, and any reproductions thereof, and all plates, negatives, recording tape and digital files are and shall remain the property of the Diocese of Nashville.

I hereby release, acquit and forever discharge the Diocese of Nashville, their current and former trustees, agents, officers, volunteers, and employees from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said testimonials, photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation.
Type your full name to sign this document:
Date

MonthDayYear
Date
Should be Empty:

World Youth Day 2027 Pilgrim Registration

The following request is pertinent information if you are rendered unconscious.

Insurance Information

Consent/Liability Waiver & Photo/Video Consent Form