March for Life Registration 2025 Group InformationName of Group Leader(Required) First Last Organization (School or Parish)(Required) Name of School or Parish Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Group Leader Mobile Phone(Required)Group Leader Email(Required) Adult ChaperonesPlease list these individuals by their legal name as listed on the Safe Parish Registry. Please include the group leader in this number.Number of Female Chaperones(Required)Number of Male Chaperones(Required)Total Number of Adult Chaperones(Required)Chaperone 1 First Last Email PhoneSafe Parish Compliance I have completed Safe Parish Training and am up to date on my bulletins. I have completed Safe Parish Training and have not completed my bulletins. I have not yet completed Safe Parish Training. Chaperone 2 First Last Email PhoneSafe Parish Compliance I have completed Safe Parish Training and am up to date on my bulletins. I have completed Safe Parish Training and have not completed my bulletins. I have not yet completed Safe Parish Training. Chaperone 3 First Last Email PhoneSafe Parish Compliance I have completed Safe Parish Training and am up to date on my bulletins. I have completed Safe Parish Training and have not completed my bulletins. I have not yet completed Safe Parish Training. Chaperone 4 First Last Email PhoneSafe Parish Compliance I have completed Safe Parish Training and am up to date on my bulletins. I have completed Safe Parish Training and have not completed my bulletins. I have not yet completed Safe Parish Training. Chaperone 5 First Last Email PhoneSafe Parish Compliance I have completed Safe Parish Training and am up to date on my bulletins. I have completed Safe Parish Training and have not completed my bulletins. I have not yet completed Safe Parish Training. Chaperone 6 First Last Email PhoneSafe Parish Compliance I have completed Safe Parish Training and am up to date on my bulletins. I have completed Safe Parish Training and have not completed my bulletins. I have not yet completed Safe Parish Training. Chaperone 7 First Last Email PhoneSafe Parish Compliance I have completed Safe Parish Training and am up to date on my bulletins. I have completed Safe Parish Training and have not completed my bulletins. I have not yet completed Safe Parish Training. Chaperone 8 First Last Email PhoneSafe Parish Compliance I have completed Safe Parish Training and am up to date on my bulletins. I have completed Safe Parish Training and have not completed my bulletins. I have not yet completed Safe Parish Training. Chaperone 9 First Last Email PhoneSafe Parish Compliance I have completed Safe Parish Training and am up to date on my bulletins. I have completed Safe Parish Training and have not completed my bulletins. I have not yet completed Safe Parish Training. Chaperone 10 First Last Email PhoneSafe Parish Compliance I have completed Safe Parish Training and am up to date on my bulletins. I have completed Safe Parish Training and have not completed my bulletins. I have not yet completed Safe Parish Training. Students AttendingNumber of Female Students(Required)Please enter a number from 0 to 50.Number of Male Students(Required)Please enter a number from 0 to 50.Total Students(Required)Total Participants(Required)Total Cost ($400 per participant)Deposit Amount Due Nov. 14th ($125 per participant)The deposit is non-refundable but is transferable to another student at any time. Balance Due December 18th
