ONLINE SIGN-UP FORM

In order for a space to be reserved, a $200 deposit must be sent in along with completing this form.
By filling out the form, you agree to send in the $200 deposit by check.
The check should be made to In Your Name Lord Pilgrimages.

Each person signing up must fill out an individual form.

Name *
Name
Would you like us to assign a roommate to you or would you like a single supplement ($500) ?