Pilgrimage / Group Request Form
Pilgrimage season extends from Easter to November 1st. (For pilgrimages not included in this time period special arrangements must be made). Please check the boxes that correspond to your plan for a pilgrimage or tour.
1. Name of Organization: ………………………………………………………………
2. Contact Person: ……………………………………………………………………...
Address: ………………………………………………….…………………….…………..
Phone: …………………………………... Cell phone: ……………………..……...……..
Fax: …………………………………….. Email: …………………………………..…….
3. When arriving: Date: ……………………… Time: ……
4. Number of persons expected: ……………..
5. Group would like to have:
__ Holy Mass in: __ English, __ Polish, __ Italian. (Mass intention is $ 20).
__ Conducted Tour in: __ English, __ Polish, __ Spanish, __ Italian ($ 2 per person).
__ Benediction at: ……….. Pm.
__ Meal for: …... people. (Family Style Chicken Dinner: $ 13 ( per person) minimum 25 persons. Call for more options)
__ Coffee and Cake (Snack) at: ……. Am or: ….….. Pm. ($ 2.50 each)
6. Estimated time of departure from the Shrine: ….......
7. Signature of Contact Person: ………………………………………………………..
In order to secure the date that you desire for your pilgrimage / tour please complete and return this Request Form as soon as possible. Reservations are accepted on the first-come, first served basis. Please inform us of your final count of person planning to visit us at least ONE WEEK in advance of your arrival (telephone, fax, email).
(This space reserved for office use only)
Reservation confirmed on: ………….. By: …………………………………….