Trip registration
Contact: Angela Grover or Woody Paul
*Room reservations not included in Adult rate. Reservations can be made at Basilica De San Juan for the dates you will attend.

scholarship forms available upon request.
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Last Name: *
First Name: *
Email *
Phone *
Age Category: *
Would you like to have a roommate? *
Transportation:  *
If you are driving your own vehicle, how many total seats do you have (including driver):
If you are driving your own vehicle, please list others riding with you.
What days will you attend? *
Required
Dietary or other restrictions, other comments
I will pay by 2/15 via: *
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