Calvary Chapel Summerviille - Israel-Petra Tour Form

NOTE: Your name and date of birth
MUST match your passport EXACTLY

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Email

Date of Birth

Gender

Emergency Contact

Emergency Contact Phone Number

Dietary Restrictions (if any)

Allergies (if any)

Roommate Request (if applicable)

I would like my own room (optional)

Cancellation, Refund and Penalty Policy

$100.00 cancellation fee applies to all registrations
After November 9, 2025 airline/tour penalties may exceed 50%
Cancellations within 4 weeks of departure will incur a 100% penalty

NOTE: Travel insurance is highly recommended.

Signature

Note: If paying by check you can give
it to Carol Copeland or place it in the tithe box
**and note "Israel-Petra Tour" on the memo line.
You also need to give Carol a copy of your passport.**