Schedule a VIRTUS Session at Your Parish or Catholic School

Parish / School Name*

City*

Contact Person Name*

Phone

Email

Emergency Contact Name and Phone*

Name and phone number of person to contact after hours.

Date of Session*

Time of Session*

:

Session Location*

Session room and detailed location (include building name, parking lot, door number, or other pertinent information to help participants find the meeting space).

Number of Participants*

Contact your OPCY Program Liaison if you are requesting a session for fewer than 10 participants.

Do you need materials for this session?*

Yes, English materials
Yes, Spanish materials
No

Do you need OPCY to arrange for a facilitator to lead this session?*

Yes
No

Name of Facilitator(s) Leading This Session

Minimum of 8 participants required.

Closed session?*

Yes
No

Closed sessions are only open to volunteers and employees of the hosting parish/school.

Handicap Accessible*

Yes
No

Will childcare be provided?*

Yes
No

Child Care: Special Instructions

If yes, please add any special instructions in the comments box.

Additional notes/comments:

Notice of Privacy Policy*

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