Registration Form Easter 2018 Pilgrimage - Inside The Vatican Pilgrimages

Registration Form Easter 2018 Pilgrimage

Assisi, Norcia, Cascia, Roccaporena, Lanciano, Manoppello, Rome, and Vatican City
March 26 - April 5, 2018

Name as it appears on your passport:

(Enclose a copy of the picture page of your passport with this form.)

Name you prefer

Address

City

State

Zip

Provence

Country

Home Number

Office

Cell

Do you have a WhatsApp number? If yes, please provide WhatsApp number:

Email

Passport Number

Expiration Date

Date and Place of birth: (Required by hotels)

Will you be traveling with a working cell phone? (to contact you upon arrival if we are unable to locate you)

If yes, please provide the number:

Please note — sometimes your cell phone will not work upon arrival even if you notified your cellular company in advance. If you turn your cell phone off and then on again, it should work fine.

Hotel Accommodation: *

Single
Double/Twin
Triple
Matrimonial

Name of Roommate/s

Dietary Restrictions

Note: All meals include water and wine; however, if you prefer something else, you may order off the menu at your own expense.

Physical Limitations: (Please check all that apply)

Do You Use: *

Walker
Cane

Please Explain:

Please Explain2

Emergency Contact

Relationship

Contact Numbers

I have received and read the Terms and Conditions for the Easter 2018 Pilgrimage, March 25—April 5, 2018. By payment of my nonrefundable deposit, I accept and agree to all of the Terms and Conditions. I also agree that Inside the Vatican Pilgrimages cannot be held liable for any injury or loss sustained during the pilgrimage.

Signature

Date

Print Name

Witness Signature (non-family member)

Witness (print name)

[email protected] 1 U.S. Office: 14 West Main Street, Front Royal VA 22630 1 202.536 4555