JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration for Walking St. Cuthbert Way
Event Timing: June 6-14, 2022
Contact Elizabeth Cantrell at (229) 435-9726 or
ecantrell@flintriverpresbytery.org
* Indicates required question
Email
*
Your email
Name of Registrant #1
*
Your answer
Name of Registrant #2 or N/A
*
Your answer
Contact Info for Registrant #1 (Address, Home and/or Cell number, Email Address)
*
Your answer
Contact Info for Registrant #2 or N/A (Address, Home and/or Cell number, Email Address)
*
Your answer
Emergency Contact for Registrant #1 (please include contact information)
*
Your answer
Emergency Contact for Registrant #2 (please include contact information) or N/A
*
Your answer
Relationship between Registrant #1 and #2
Your answer
Please check one of the following options for rooms:
*
Registrant # 1 and Registrant #2 will share a room and bed.
Registrant #1 and Registrant #2 will share a room, but require two beds.
Registrant #1 and Registrant #2 prefer separate rooms.
Other:
Are there any dietary restrictions for Registrant #1?
*
Your answer
Are there any dietary restrictions for Registrant #2 or N/A?
*
Your answer
Registrant #1 and #2 plan to:
*
Travel independently before our organized trip.
Travel independently before and after our organized trip.
Take only this organized trip with no independent travel plans.
Other:
Registrant #1 and #2 are:
Interested in staying additional nights on Holy Island. (If so, you'll be contacted by Marilyn Tucker-Marek.)
Not interested in staying additional nights on Holy Island.
Other:
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Flint River Presbytery.
Report Abuse
Forms
