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Participant Registration
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* Indicates required question
Title
Mr
Mrs
Ms
Rev
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Last Name
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First Name
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Address
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City
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State
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Zip
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Email address
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Marital Status
Married
Single
Home Phone
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Cell Phone
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Occupation
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Birthday
MM
/
DD
/
YYYY
Weekend you wish to attend
*
April 23-26, 2026
Required
How did you hear about Pilgrimage?
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Church Membership
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Pastor
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Pastors Address
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Sponsor
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Sponsors Address
*
Your answer
Hobbies and interests?
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Special needs (allergies, physical limitations, health issues)
*
Your answer
Emergency Contact (name and phone #)
*
Your answer
To pay online, click on the Pay Fees button on the Registration screen. After you input the amount and method of payment, a new opens, click on +Add special instructions to the seller. Enter your name and "weekend fees"
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$50
$100
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Authorization for Photography & Videography
*
I authorize Presbyterian Pilgrimage to make use of pictures or video taken during the weekend involving me. This will be used to document the weekend for the participants and to provide publicity for future weekends.
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