Overnight Event Request Form

REQUEST FOR OVERNIGHT EVENT

SOLICITUD DE AUTORIZACIÓN PARA EVENTO NOCTURNO
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.

Por favor use esta forma para solicitar permiso para un evento nocturno o que se llevara a cabo durante la noche en la Diócesis de Fort Worth. Esta forma debe entregarse con un mínimo de 2 meses de anticipación al evento.
Parish or Diocesan Institution Requesting Overnight Event

Parroquia o Institución Diocesana Solicitando Evento Nocturno
Parish/Inst. Name / Nombre de Parroquia/ Inst.*
Parish/Inst. contact person / Persona de Contacto de la Parroquia/ Inst.*
E-mail / Correo-e*
Phone Number / (Número de Teléfono)*
Address / (Dirección)*
Event Description

Descripción del Evento
Event Date(s) / Fecha del Evento*
Event Name / Nombre del Evento*
Location / Ubicación*
How many participants will plan to attend the retreat and what are their ages? / Cuantos participantes esperan y sus edades?*
YesNo
How many adult chaperones (21 and over) will be attending the event (indicate number of both sexes)? / Cuantos chaperones adultos (21 y mas) asistiran el evento (anote numero de ambos sexos)? *
Event Description (Please provide the purpose and overall objective of the event. / Descripción del Evento (Por favor informe sobre el propósito y el objectivo del evento.*
Please write a brief description with your theme here and include information about any additional guidelines being followed.
Please attach schedule and catechetical outline separately / Por favor adjunte horario y esquema de catequesis *

Cancelof
Yes/SiNo/No
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