NTPP Participant Registration
Please fill out this information as completely as possible.  The participant fee is $225.
$50 of the fee is due upon registration. The remaining $175 is due at the weekend.

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

Dwight Nichols
2600 Sherrill Park Drive
Richardson, Tx, 75082
214-415-9140

You can also pay online at our website: ntpp.org - click the link at the bottom left hand side that says "ABOUT ONLINE PAYMENTS / DONATIONS"

Cancellation Policy:
Due to commitments required by the retreat facility, the $50 deposit cannot be refunded if cancellation occurs within 3 weeks of the start of the Pilgrimage weekend.

If you are attending with your spouse, please fill out the form separately for each of you.
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Full Name *
What should we call you, for example on your name-tag or in email? *
Gender *
Street Address *
City *
State (xx) *
Zip Code *
Church you attend
Pastor's name and address of church
Home Phone # (xxx-xxx-xxxx) *
If you use your cell as your home number, please enter 'none'
Cell Phone # (xxx-xxx-xxxx) *
If you don't have a cell phone, enter 'none'
Birthday (mm/dd/yyyy) *
MM
/
DD
/
YYYY
Email Address *
Weekend you would like to attend *
Occupation *
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) *
What are your hobbies and interests? *
Who encouraged you or inspired you to sign up for Pilgrimage?
Dietary restrictions, allergies, physical limitations, snoring concerns or anything else the staff needs to know to make your weekend more comfortable. *
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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