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To secure your spot, simply fill out the form below and make your deposit. A passport is not required at the time of sign-up. However, a valid U.S. passport is required for all international travel. All personal information is encrypted according to current regulations. More information can be found here.

Finally, we always recommend travel insurance, especially for any unexpected medical expenses that may or may not be covered by your domestic plan. You may purchase a plan here.

You will be prompted to make your deposit upon completion of the form. Your spot is not secured until the deposit is received.

To upload a color photocopy of your passport, please click here.

By signing below, you agree to the terms and conditions.

Please do not fill out this form until you are ready to make your deposit. Thank you.

First name (as it appears on your passport)

Last name

Preferred name

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

State

Phone

Emergency Contact Name

Emergency Contact Phone

Passport Number

Passport ISSUE date

Passport Expiration Date

Please list any health conditions (optional) and food allergies here. We will do our best to accommodate, but please know that not all needs can be accommodated. We will work with you on a food or health plan regardless of your situation!

I would like to check a bag for an additional fee, usually charged by the airline. (NOTE: This is NOT recommended as bags will be walked with up to a mile between certain sites. All flights come with a personal item and carry-on bag.)

Roommate Preference #1

Roommate Preference #2

Check this box if you are registering for land-only.

Check this box for normal registration (flights included).

Deposit Amount

Kapaun Deposit $500

Wichita Deposit$1000

Group

Kapaun Mt. Carmel: July 14 - 23

Wichita: Dec. 28 - Jan. 6

Signature

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Peloquin Pilgrimages

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