Living Stones Pilgrimage Registration Nov 2026

Contact: note before?

Name (exactly as it appears on your Passport) *

First

Last

Name that you prefer to be called if any

Email Address *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Preferred Phone *

What Type of Phone is this? *

Cellphone, ok to receive text messages
Cellphone, no text messages please
Home phone
Work phone

Preferred pronouns

Birthdate *

Passport Number (or note if you'll receive a new passport by time of tour) *

Please send a clear copy or image of the signature page of each person’s passport (can be emailed to: admin@pilgrimsofibillin.org or copy can be mailed to the same address for checks to be mailed.)

Passport Expiration Date *

Trip Information

Please select which option you are choosing: *

November 1 - 12, 2026 - No Jordan Add-on
November 1 - 14, 2026 - With Jordan Add-on

Room Preference, Select One

Single Room Supplement - $400.00
Double Room - $0.00

Room Preference, Select One

Single Room Supplement - $500.00
Double Room - $0.00

If you chose Double - please indicate if you have a preferred roommate:

We do our best to honor your request although cannot guarantee

Travel History? Have you traveled to Israel and/or Palestine before?

Why are you interested in this Pilgrimage?

Medical Information

Do you have any medical or dietary considerations and allergies? *

Please provide details about medical conditions and/or allergies that are important for the trip leader to know about:

Do you have any specific dietary requirements not covered above? *

Please provide details of dietary requirements, if any

If other, please specify

Emergency Contact Information: Name *

Emergency Contact Phone

Emergency Contact: Email *

By entering my name here, I signify that I have read the Notes and Conditions for this tour and agree to the terms listed therein. *

Please select the payment you wish to make at this time:

Pilgrimage Deposit - $500.00
Full Pilgrimage Payment - $2,600.00
Remaining Payment (having already paid the deposit) - $2,100.00

If you have paid a deposit of another amount and need to pay the remaining portion that is different than these options given, please let us know and we can have you pay a custom amount.

Please select the payment you wish to make at this time:

Pilgrimage Deposit - $500.00
Full Pilgrimage Payment - $3,100.00
Remaining Payment (having already paid the deposit) - $2,600.00

If you have paid a deposit of another amount and need to pay the remaining portion that is different than these options given, please let us know and we can have you pay a custom amount.

Payment Method *

Credit Card
Pay by Check
Payment is covered by another registrant

Address to mail check to is: Pilgrims of Ibillin, 4500 19th Street, #435 Boulder, CO 80304

Credit Card Processing Fee *

I'd like to cover credit card processing fee

Please check this box if you plan to pay with a credit card as the fees do add up, thank you!

Credit Card Processing Fee

Fee: $0.00

Total due at this time

Item Quantity Qty Total

There are no products selected.

Room Preference, Select One - Single Room Supplement 1 $400.00

Room Preference, Select One - Double Room 1 $0.00

Room Preference, Select One - Single Room Supplement 1 $500.00

Room Preference, Select One - Double Room 1 $0.00

Please select the payment you wish to make at this time: - Pilgrimage Deposit 1 $500.00

Please select the payment you wish to make at this time: - Full Pilgrimage Payment 1 $2,600.00

Please select the payment you wish to make at this time: - Remaining Payment (having already paid the deposit) 1 $2,100.00

Please select the payment you wish to make at this time: - Pilgrimage Deposit 1 $500.00

Please select the payment you wish to make at this time: - Full Pilgrimage Payment 1 $3,100.00

Please select the payment you wish to make at this time: - Remaining Payment (having already paid the deposit) 1 $2,600.00

Credit Card Processing Fee 1 $0.00

Total $0.00

Stripe Credit Card