2022 Washington D.C. March for Life with AMOH

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Thursday, January 20 - Saturday, January 22, 2022

$195 per person. Embroidered A Moment of Hope winter hat is included.
Family discount: $195 for the first registrant, $95 for each additional family member.

*** Each person traveling will need to fill out this form ***

This form and payment reserves your seat on the bus. Each individual is responsible for their own lodging bill at the group hotel. Once the form is submitted, you should receive an email confirmation. If you do not receive the confirmation email, check your spam folder before submitting a second form.

Email *

Prefix (Dr./Mr./Mrs./Ms.) *

First Name *

Last Name *

Suffix (Jr., Sn., III.)

Street Address 1 *

Street Address 2

City *

State *

Zip Code *

Cell Phone *

Names of those travelling with you (note: each needs to register individually)

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact - Phone Number *

Church Where I am a Member or Attend *

How did you hear about the AMOH Bus Trip to DC? *

A copy of your responses will be emailed to the address you provided.

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