JTD Corpus Christi 2023/2024 Pilgrim Application

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This form must be submitted electronically. Do not print and mail this form.
Payment must be sent by mail. Details about payment are explained at the end of this form.

Minimum Age: 18 years old and out of high school.

Email *

First Name *

This is the name that will be printed on your name tag for the weekend. Please enter whatever name you prefer to go by.

Middle Name

Last Name *

Gender *

Male

Female

Date of Birth *

YYYY

Occupation *

T-Shirt Size *

Sizes are based on unisex T-shirts. A T-shirt MAY NOT necessarily be provided on any given weekend.

XXL

Other:

Phone Number *

The phone number must be in the following format: (123) 456-7890

Phone Type *

Cell

Home

Work

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