Registration Form - Urban Mosaic's "Urban Deep Dive / Inmersión Urbana"
Thank you for your interest in visiting Urban Mosaic! We are looking forward to your visit. To help us prepare, please complete the information below. We will send more information in the coming weeks to help you prepare for your trip.

Gracias por tu interés en visitar a Mosaico Urbano! Será un placer recibirte. Para que podamos preparar, favor de completar la información abajo. Enviaremos más información en las próximas semanas para ayudarte a preparar para la visita.
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Email *
Date of Visit / Fecha de Visita:
Indicate the trip/event that you are interested in participating in. / Indica el viaje o evento en el que quisieras participar.
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IMPORTANT SCHEDULE NOTE
If you are flying in to Mexico City, please arrive BEFORE 2pm on Friday and depart AFTER 9pm on Sunday evening (leaving early Monday morning is also an option). Local attendees may arrive in Texcoco by 5pm and depart on Sunday by 6pm. Thank you!
Personal Information / Información Personal
First Name / Nombre *
Last Name / Apellidos *
Church or Organization / Iglesia u organización *
Cell Phone (e.g. 555-555-5555) / Celular ( 55 5555 5555) *
Email Address / Correo electrónico *
Street Address / Dirección
City / Ciudad
State / Estado
Zip Code / Código Postal
Dietary Restrictions, allergies, medical conditions / Restricciones diéticas, alergias, condiciones médicas
Flight information (if available) / Información de vuelo
How did you hear about the "Urban Deep Dive"? / ¿Cómo te enteraste de la "Inmersión Urbana"? *
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