Your application will be reviewed, and you will be contacted with an answer of yes or no. Please do not pay for Boot Camp until you are contacted and told that you are a Chaperone.

If you are applying to be a part-time volunteer for camp, please write in the comments section what your preferred area of duty is.

Safe Environment Clearance from your local diocese or parish is required to be a Chaperone and to volunteer. You must turn in proof of clearance with your application. “Proof of clearance” means paperwork from your parish or diocese showing the date of your most recent criminal background check, most recent date of training and proof that you are clear according to the requirements of your diocese.

For submitting Proof of Save Environment Clearance, your resume and references, use the "browse" button to find the files on your computer and upload them where noted in the application below.

We cannot accept you as a Chaperone or volunteer until your Safe Environment papers are on file with us.

First Name*
Last Name*
Home Address 1*
Home Address 2
City*
State*
Zip*
Sex*
Phone*
Cell Phone*
E-Mail*
Date of Birth*	(Format: mm/dd/yyyy)
Church*
Attending?*
T-Shirt Size*
Attended Boot Camp before?*

Diocese & Parish of Safe Environment Clearance*
Proof of Safe Environment Clearance
Comments

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P.O. Box 59852, Dallas, TX 75229 • 972-267-LIFE(5433) • cplc@prolifedallas.org

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