NTPP Participant Registration
Please fill out this information as completely as possible. The participant fee is $225.

Fees may be paid in advance by mailing a check payable to NTPP to our Registrar at:

Sharman Palos
3204 Westgate Lane
Richardson, TX 75082
214-415-1688

You can also pay online at our website: ntpp.org - click the link at the bottom left hand side that says "Payments or Donations"

If you are attending with your spouse, please fill out the form separately for each of you.

First Name *
Please enter the name you would like on your name tag
Your answer
Last Name *
Your answer
Gender *
Street Address *
Your answer
City *
Your answer
State (xx) *
Your answer
Zip Code *
Your answer
Church you attend
Your answer
Pastor's name and address of church
Your answer
Home Phone # (xxx-xxx-xxxx) *
If you use your cell as your home number, please enter 'none'
Your answer
Cell Phone # (xxx-xxx-xxxx) *
If you don't have a cell phone, enter 'none'
Your answer
Birthday (mm/dd/yyyy) *
Your answer
Email Address *
Your answer
Weekend you would like to attend *
Occupation *
Your answer
What is your marital status? *
If you are married, are you attending with your spouse?
Do you smoke? *
Emergency Contact information (name, relationship, and phone number) *
Your answer
What are your hobbies and interests? *
Your answer
Who encouraged you or inspired you to sign up for Pilgrimage?
Your answer
Dietary restrictions, allergies, physical limitations, snoring concerns or anything else the staff needs to know to make your weekend more comfortable. *
Your answer
It is the desire of this Pilgrimage community that no one feeling a call to attend a Presbyterian Pilgrimage should be turned away. Would you like someone to contact you regarding a full or a partial scholarship? *
"I authorize North Texas Presbyterian Pilgrimage to make use of photos or video taken by staff during designated photo opportunities, which will be used to record the weekend for participants and provide publicity for future weekends." *
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