2018 Fearless Ministries Priest & Religious Registraton
****For Priests and Professed Religious Groups Only****
Welcome to the Fearless Ministries team! We cannot offer the same experience to the teens without all of you.
Thank you for answering the call to bring the souls of the youth to the foot of the Cross in the Eucharist at Fearless Ministries Retreats...
Prefix: (please choose one)
If Other, please specify here:
Date of Birth:
Type of Clergy/ Religious
Cell Phone Number:
Home Phone Number
Verify Email Address
Emergency Contact Name
Emergency Contact Phone:
Parish or Order Name
Parish or Order City:
Parish or Order State:
February 9-11, 2018, John S. Burke Catholic H.S., Goshen, NY
March 16-18, 2018, Sacred Heart Center, Vineland, NJ
June 1-3, 2018, St. Catherine Laboure Parish, Middletown, NJ
September 28-30, 2018, John A. Coleman Catholic H.S., Hurley, NY
October 19-21, 2018, St. Rose of Lima Parish, Newtown, CT
December 7-9, 2018, Kennedy Catholic H.S., Somers, NY
Additional Comments about Availability:
Would you prefer for us to arrange housing for you on campus?
Please select any items that would be of interest to you during the weekend:
Please check the box below to indicate that you understand the Safe Environment requirements as they pertain to Fearless Ministries, Inc.
I understand that it is my responsibility to comply fully with the Safe Environment Requirements of the Archdiocese of New York. I understand that these requirements include submitting to a background check. I also understand that I am expected to complete a Safe Environment training course as defined by the Archdiocese of New York (see our website,
for any further questions).
I agree with the above
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to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.