Please Print with Block Capitals

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

Address:_____________________________________________________________________________________________________________

Praesidium:_____________________________________________________Council:______________________________________________

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

Are you healthy and fit enough to do the week's hard work, which is required for a PPC?_______________________________________

Do you suffer from any complaint, for which you take medication?___________________________________________________________

If so, do you have your Doctor's OK, to participate in this project?___________________________________________________________
_____________________________________________________________________________________________________________________

The Section below should be read and signed by the Officers of your Praesidium and Council, and also the Parents of any participating young person.

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 Legionary for this PPC.

Signature of the Praesidium President___________________________________________________________________________________

This Legionary is recommended as capable of Team Leadership

Signature of the Higher Council President: ______________________________________________________________________________

_____________________________________________________________________________________________________________________

For Seminarians and Religious Only

Name:_______________________________________________________________________________________________________________

Religious Order:______________________________________________________________________________________________________

Address:_____________________________________________________________________________________________________________

If Seminarian, Home Address:__________________________________________________________________________________________

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

I have examined this form, and agree that it is in order.

Signature of the Higher Council Officer__________________________________________________________________________________