REGISTRATION 03/25/25 - MEDJUGORJE

REGISTRATION FORM FOR MARCH 25th, 2025 PILGRIMAGE TO MEDJUGORJE

FULL NAME (as it appears on your passport)

First Name

Last Name

Date of Birth

YYYY

Gender

Departure Airport

Do you need a single room (extra charge) ?

Name of person you will share a room with (if any)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Emergency contact (person not traveling with you)

Passport expiration date

YYYY

NOTES and SPECIAL REQUESTS