REGISTRATION FORM FOR OCTOBER 21st, 2025 PILGRIMAGE TO MEDJUGORJE FULL NAME (as it appears on your passport) * First Name Last Name Date of Birth * MM DD YYYY Gender Male Female Departure Airport Do you need a single room (extra charge) ? YES NO Name of person you will share a room with Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Emergency contact (person not traveling with you) Passport expiration date MM DD YYYY NOTES and SPECIAL REQUESTS Thank you!
