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Atlanta Pilgrimage - Additional Registrants Form

Contact info, insurance, and waivers for additional registrants.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Your Name*
Mailing Address*
Please list name(s) of participants you wish to share a room with (ie. family, spouse, partner, friend.)
Emergency Contact*

Medical Information

Insurance Policy Holder Name

Consent and Liability Release

The undersigned does hereby give permission for the registered Participant(s) to attend and participate in this group trip and associated events sponsored by Savannah Presbytery.
Participant: Please type your full name below to indicate your consent and agreement.*
If traveling individually, please note NA.
Date Signed*
Clear Signature