St. George & St. Rueiss Uni/Grad Texas Monastery Trip

Time:  Friday, May 9^th – Saturday, May 17^th

IMPORTANT DATES:

Tuesday, March 11th : Non-refundable $100 deposit due

TBD: remaining ~ $700 – $900 (includes flight and transportation)

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Name *

First

Last

Church *

Home Church

Initial deposit payment

Date of Birth *

Gender *

• Male
• Female

Phone *

Email *

Address (For Tax Receipt) *

Address Line 1

City

State / Province / Region

Postal Code

Passport Items

Passport Status *

• I have a valid passport
• I do not have a valid Passport

Name

As Appears on Passport

First *

Middle

If Applicable

Last *

Other

Date of Birth as appears on Passport *

Passport Nationality *

Issuing Country

Passport Number *

Passport Expiration Date *

Health Items

Health Card Number *

Emergency Contact *

First

Last

Emergency Contact Relation *

Emergency Contact Phone Number *

Terms and Conditions *

• The Church has invested every effort to ensure that our services are conducted in the safest possible way. If you continue with this registration, you indicate that you understand the risks involved and will not hold the Church responsible for any illness or medical complications that may occur.

Texas Monastery Initial Deposit *

Price: $100.00

When you submit the form, we'll take you to PayPal to make the payment. Please note that your place on the Texas Monastery trip is not reserved until payment is made.

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