Date of your pilgrimage:

Time you plan to leave home:

Time you plan to arrive:

Number in your group:

Will you attend one of our scheduled Masses?

Do you want a Mass for your group?

If yes, at what time:
If yes, please allow between 2 - 3 hours at the Shrine.

If yes, will there be a priest with you to celebrate the Mass?

Do you want Confession available?

Will your group want to recite the Novena Prayers?

Do you want to offer your group the opportunity to be invested in the Miraculous Medal? (a five-minute service for those never invested)

Do you want a talk about the Shrine and the Miraculous Medal?

Name:

Street:

City:

State / Province:
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Nova Scotia Ontario Québec

Zip / Postal:

Country:
United States Canada

eMail:

Phone:

Cell Phone (person who can be reached on day of visit):

N.B. Should you arrive much later than the above stated time, we cannot guarantee that the Gift Shop will be open. If you are delayed, please call our gift shop at 215-848-6073. If you do not receive an answer there, please call St. Vincent’s Seminary at 215-848-1985 (weekends) or our office at 215-848-1010 (weekdays). During the summer months, our office is closed on Fridays. We do not have facilities for food or drinks.