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Registration Form Easter 2018 Pilgrimage
Katie Carr
2018-10-03T10:41:12-04:00
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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)
Difficulty walking long distances
Difficulty standing
Difficulty climbing stairs
Medical conditions
Other
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
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