Primary Traveler Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Room Type Requested *

Select One Option

Double Occupancy : I have a Roommate ($1,300 Per Person)

Double Occupancy : I need a Roommate ($1,300 Per Person)

Single Supplement + $425 ($1,725 per person)

Secondary Traveler/Roommate Name

OPTIONAL

First Name

Last Name

Secondary Traveler Phone

OPTIONAL

(###)

###

####

Secondary Traveler Date of Birth

OPTIONAL

MM

DD

YYYY

Emergency Contact Name (Not Traveling With You) *

First Name

Last Name

Emergency Contact Phone Number *

(###)

###

####

DEPOSIT: A $200 per person deposit is required to secure a reservation. Your reservation is not considered confirmed until St. Michael’s has received both the deposit and completed reservation form. Final payment will be due April 2, 2026. Payment can be made by check, Visa, American Express, Discover, or Master Card. Payments not received on time will be subject to a minimum $200 per person penalty and may result in reservation cancellation without refund. COST INCLUDES: Transportation, lodging, 5 dinners, 5 breakfasts, activities, tours, tips, photo book. DOES NOT INCLUDE: Lunches, beverages, meals on the road, travel insurance, or additional activities. CANCELLATION: When signing up for a tour offered by St. Michael’s, a deposit is required to confirm your reservation. Part of the deposit for the advertised tour includes a minimum of $100 per person service fee assessed is non-refundable and non-transferable. The reason for not traveling can be either the traveler cancelling or the tour being postponed, suspended or cancelled due to but not limited to acts of acts of God, war, terrorist acts, political unrest, epidemics, pandemics, or government imposed travel restrictions. St. Michael’s Episcopal Church or its agents are responsible for any losses or damages of personal property, injuries, thefts, or unforeseen expenses incurred by any tour member. PILGRIMAGE MEMBERSHIP & MOBILITY REQUIREMENTS: The Tour Director retains the right to require any non-sufficiently mobile persons to stay behind when deemed necessary, and also terminate the membership of any member displaying disruptive behavior, delaying or endangering fellow members and/or interfering with the operations of the tour.

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