AP #47: September 12-15.2019 | Moderator: Ed perry

Location: Camp buckner | mARBLE FALLS TX

For inquires and more detail: Info@AustinPilgrimage.org

We are so excited that you're joining us for Pilgrimage!

The total cost (includes 3 days, 3 nights lodging and all meals) is $199. No payment due at this time.

If you have questions, please email the registrar.

Please do not let cost keep you from attending. We have full and partial scholarships available.
Please submit your registration and then contact the treasurer to request a scholarship.

Your Information

Your Name

First Name

Last Name

Gender

Female

Male

Birthdate

YYYY

Email Address

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Why do you want to attend Pilgrimage?

Additional Information

Please let us know of any accommodations you will need for the weekend or any additional information you feel we should know.

Dietary Requirements

Please list any allergies or special dietary requirements we need to be aware of.

Spouse Information

If Applicable

Spouse's Name

If applicable

First Name

Last Name

Spouse's Email

Spouse's Phone

(###)

###

####

Wedding Anniversary

YYYY

Will your spouse be registering?

Yes

Emergency Contact

Emergency Contact Name

First Name

Last Name

Emergency Contact Email

Emergency Contact Phone

(###)

###

####

Church Information

If Applicable

Your Church Name and Phone

Your Pastor's Name and Email

If someone had encouraged you to attend Pilgrimage, please provide their name and contact information.

Participant Registration w/o payment link

AP #47: September 12-15.2019 | Moderator: Ed perry

Location: Camp buckner | mARBLE FALLS TX

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