Thank you for your interest in the Paulist Pilgrimage to the Holy Land, January 22 - February 2, 2023!

This questionnaire is an important part of your registration. Each individual pilgrim must complete this questionnaire before their registration form will be processed.

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* 1. Name and contact information

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* 2. Date of birth

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Assessment of your PHSYICAL, MENTAL, and SPIRITUAL preparedness for the pilgrimage

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* 3. We believe that this pilgrimage will be spiritually moving and lots of fun. However, we will be shepherding a large group of people in a foreign land with customs very different from North America. It is our responsibility to make sure that you are sufficiently prepared to make this pilgrimage.

Please read the entirety of “2023 Paulist Holy Land Pilgrimage Preparation Guide – truncated version.” Then, please check the box next to each of the following statements to indicate your agreement with them.

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* 4. If you are uncomfortable checking the box next to any of the preceding statements, please explain your concerns.

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* 5. Do you have any medical issues (physical or psychological) that may prevent you from participating fully in the pilgrimage?

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* 6. Do you have any questions or concerns about your physical, mental, and spiritual preparedness for this pilgrimage?

Other information that will help us

While we have your attention, we thought this was a great opportunity to get to know a little bit about you, too! This information will help us to better plan the pilgrimage.

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* 7. Have you received training in any of the following church ministries?

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* 8. Are you willing to help the Pilgrimage Coordinator and Chaplains with any of the following tasks?

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* 9. Do you have any training in nursing or medicine? If so, please explain.

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* 10. Are there any other skills or talents that you have to offer to the group?

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* 11. If you do not identify as a Roman Catholic, what is your religious background?

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* 12. Approximately how many times in your life have you traveled overseas?

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* 14. If your spouse is joining you, what is his/her name?

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* 15. If your spouse is joining you, when were you married?

Date

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* 17. Have you ever grieved the death of a spouse or a child?

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* 18. If so, what is the name of your deceased loved one, and what is their relationship to you?

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* 19. What else should we know about you?

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