For Legionaries (Including Seniors & Juniors -Juniors also fill out Section at Bottom)

Please Print with Block Capitals

Name: (Mr/Mrs/Miss/Rev.Fr./Rev.Sr./Rev.Br.)____________________________________________________________________________

Address:_____________________________________________________________________________________________________________

Phone No:____________________________________          Email Address:_____________________________________________________

Praesidium:_____________________________________________________Council:______________________________________________

Have you been on a PPC before?________    If Yes, Where and When?_______________________________________________________

For Seminarians and Religious Only...

Name:_______________________________________________________________________________________________________________

Religious Order:______________________________________________________________________________________________________

Address:_____________________________________________________________________________________________________________

Phone No:_______________________________________        Email Address: ______________________________________________________

If Seminarian, Home Address:__________________________________________________________________________________________

Have you been on a PPC before?____________    If so, Where and When?____________________________________________________

For Young Legionaries only.....

The Section below should be read and signed by your Parents, and the Officers of your Praesidium and Council

Signature of Parent(s)________________________________________________________________________________________________

The above Legionary is a member of my Praesidium, and is able to participate and perform substantial work at the Praesidium Level.
I recommend this Young Legionary for this PPC.

Signature of the Praesidium President___________________________________________________________________________________

Signature of the Higher Council President: _______________________________________________________________________________