Registration Wallington, NJ
day 2
Saturday July 17, 2021

The pilgrimage sets off from Most Sacred Heart of Jesus RC Church
127 Paterson Avenue Wallington, NJ 07057
July 17, 2021 at 6:00 am Arrive at 5:00.
$100 payment due on day of departure
Email *
First Name *
Last Name *
Phone Number *
Please provide your cell phone number that you will bring with you to the pilgrimage
Address *
City *
Zip Code *
State *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Personal Information *
Coronavirus *
Number of times participating in the pilgrimage *
Please select the number of times you have participated in this pilgrimage. (including this year)
Accidents
In case of emergency, please call
First Name *
Last Name *
Phone Number *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy