Living Stones Pilgrimage Registration

2026 Living Stones Pilgrimage

April 12 – 23 or April 12 – 25 with Optional Jordan Add-on

To be assured of your place on this tour, please complete this form and make payment as instructed. If you prefer to pay with a check, print the completed form and mail it with your registration deposit of $500 – check made payable to Pilgrims of Ibillin (Mail to: 4500 19th Street, #435, Boulder, CO 80304)

Registrations and complete fees due no later than Friday, March 13, 2026.

By completing the following registration application, you affirm that you have been advised and are aware of the U.S. State Department Travel Warning to Israel and the West Bank.

*** If you intend to pay with a credit card please be sure to tick the box that will have you cover the credit card processing fees ***

Step 1 of 2

Name (exactly as it appears on your Passport) *

First

Last

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

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

Passport Expiration Date *

Name that you prefer to be called if any

Preferred pronouns

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

Birthdate *

Trip Information

Please select which option you are choosing:

April 12 - 23, 2026 - No Jordan Add-on
April 12 - 25, 2026 - With Jordan Add-on

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 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? *

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. *

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

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