Registration Stamford, CT
day 1a
Friday July 16, 2021

The pilgrimage sets off from Holy Name of Jesus RC Church
325 Washington Blvd, Stamford, CT 06902
July 16, 2021 at 7:00 am Arrive at 6:00.
$150 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 *
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)
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.
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