Please fill out and submit a form for EACH PERSON traveling.
All fields marked with a * are required:

Select tour you are registering for: * Please select desired tour ------------------------------------ IS23 Awesome Israel June 2-13, 2012 ------------------------------------ E07 England/Wales Sept 2-13, 2012 ------------------------------------ T01 TREK to ZION-new tour! Sept 10-15, 2012 ------------------------------------ N58 Palmyra to Kirtland June 12-17, 2012 N60 Palmyra to Kirtland Oct 8-13, 2012 ------------------------------------ M69 Missouri/Nauvoo/Winter Quarters April 3-9, 2012 M70 Missouri/Nauvoo/Winter Quarters June 16-22, 2012 M71 Missouri/Nauvoo/Winter Quarters July 21-27, 2012 M72 Missouri/Nauvoo/Winter Quarters Oct 13-19, 2012 ------------------------------------ GT10 Grand Tour June 4-15, 2012 GT11 Grand Tour Sept 24-Oct 5, 2012 ------------------------------------ KA10K Kirtland Week with Karl Anderson Aug 7-12, 2012 KA11 Sharon-Palmyra-Kirtland w/Karl Anderson Sept 15-22, 2012

Toured with us before? Yes No

Name of person registering: (If over 18, must exactly match government photo ID, e.g. drivers license or passport) *

Name you will wear: (e.g. Jack)

Birthdate (month,day,year - i.e. July 4, 1976) *

Sex* Male Female

Same Address Registration: Check this box if this registration is for a person from the same address as a previous entry. If you've already given your phone and address information once, you can skip to the "Tour Member Profile" for any other registrations from the same household.

Home Phone

Cell Phone

Work Phone

Street Address

Address Line2

City

State / Province / Region

Postal / Zip Code

Country

Rooming With:

Emergency Contact Name: (someone NOT on the tour with you)

Emergency Contact Phone number: (someone NOT on the tour with you)

Offer prayer on the bus or church meeting. No ThanksWould Do If AskedWould Like To Do

Bless food on the bus at meal times. No ThanksWould Do If AskedWould Like To Do

Conduct a hymn without accompaniment. No ThanksWould Do If AskedWould Like To Do

Conduct a hymn with accompaniment. No ThanksWould Do If AskedWould Like To Do

Read a scripture out loud to the tour group. No ThanksWould Do If AskedWould Like To Do

Read a historical account to the tour group. No ThanksWould Do If AskedWould Like To Do

Prepare and give a short historical lesson on an assigned topic. No ThanksWould Do If AskedWould Like To Do

Assist with luggage handling for those in need. No ThanksWould Do If AskedWould Like To Do

Serve food on the bus. No ThanksWould Do If AskedWould Like To Do

Assist tour host sound equipment. No ThanksWould Do If AskedWould Like To Do

I have had experience in the following church or other functions:

Officer or teacher in YW, YM, or Primary organizations

Teacher of adults (RS, Priesthood, SS)

Full-time missionary

Temple worker

Bishopric

Piano/Organ Accompanist in Church Meetings

Vocal soloist

Physical limitations

Stairs are difficult (carrying luggage)

Motion sickness (serious)

Other Special needs

Prescription drugs you are taking if any

For the drugs listed above, please state briefly the associated medical problem being treated.

Please indicate any skills or training that might be useful to the tour in a medical emergency

* Please enter your return email address here: *(Note: If this is a registration from the same household, then please enter the email address of the first person that registered)