Registration Form Name * First Name Last Name Email * Phone (###) ### #### Trip * Texas Diocese Zion - May 14-19 Evergreen Clergy - May 23-26 Advanced Trip - June 5-8 Youth Trip - July 5-8 Evergreen YA Trip - July 11-14 Beginner Trip - July 17-19 Intermediate NY Trip - July 24-27 Seminarian Retreat - August 10-16 Grand Canyon Trip - August 25-30 Poconos Trip - September 11-15 Maine Katahdin Trip - October 1-4 ABCRGR Day Retreat - October 7 Allergies/Health Concerns Dietary Concerns/Restrictions Message Concerns and questions Thank you!