Progressive Pilgrimage

Raymore + First Christian | November 5-16

Registration Form

Please complete a separate form for each traveler.

Full Name as it appears on your passport (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Date of Birth MM/DD/YYYY (required)

Nationality (required)

Passport Number (required)

Passport Expiration Date MM/DD/YYYY (required)

Passport Issue Date MM/DD/YYYY (required)

Preferred Phone (required)

Secondary Phone

Email (required)

Emergency Contact Name (required)

Emergency Contact Phone (required)

How did you hear about this trip?
From my ChurchProgressive Pilgrimage EmailProgressive Pilgrimage Facebook PostFrom a Friend

Special Instructions (roommate name, single supplement desired, dietary requirements, airport changes, excursions, etc.)

Terms and Conditions
I have read and accept the Terms and Conditions.

Once you submit this form, you will be redirected to PayPal to complete your deposit of $500 per person. If you prefer to submit your deposit by check, please make check payable to “Kainos Partners” and mail to 27 Mort Avenue, Lowell, MA 01850. Your registration is not complete until deposit is received.

Your payment will be billed by Kainos Partners, Inc., our parent company.

Please review the complete Terms and Conditions. ENROLLMENT IN AND PAYMENT FOR THE TOUR, CONSTITUTES YOUR ACCEPTANCE OF THE CONDITIONS AND STATEMENT OF RESPONSIBILITY.

Your Guides



Eric and Heather Doss are the founders of Progressive Pilgrimage and will be your guides for every journey. Eric has a Masters Degree in History and loves to teach. Heather is an ordained minister in the Presbyterian Church (USA) and will provide spiritual, cultural, and logistical support.

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