Name: Pilgrimage to El Salvador – March Break, 2024
Start: 2024-03-08T00:00:00-05:00
End: 2024-03-15T23:59:59-04:00

Please begin registration here

Name*

First Last

Pronouns

Which pronoun(s) do you prefer? Please use the space below if you are comfortable sharing.

Address*

Phone Number & Extension, if any*

Cell Phone Number*

Email*

Enter Email Confirm Email

Community of Faith*

For Applicants under the age of 18

Name and relationship of Legal Guardian who we may contact:

Guardian Home Phone:

Guardian Mobile Phone:

Guardian Email Address:

Privacy information and consent

The East Central Ontario Regional Council (ECORC) protects your personal information by adhering to all legislative requirements with respect to privacy. The collection of information on this registration form is for the purposes of the East Central Ontario Regional Council (ECORC) only.

Consent*

I agree to the privacy policy and the collection of personal information.

About Me:

As of today, I am 14 years old or older.*

Yes
No

As of March 6, 2024 I will be 18 years of age or older, but under the age of 30.*

Yes
No

As of March 6, 2024, I will be age 30 or older.*

Yes
No

I participated in a previous Bay of Quinte or ECORC trip to El Salvador*

Yes
No

I am in possession of a valid passport that is valid through September 30, 2024. (If not, you will need to apply for or renew your passport)*

Yes
No

I have health conditions that may impact my ability to participate in certain activities. (If yes, the leadership will be in contact with you to discuss accessibility options.)*

Yes
No

Due to medical needs, a companion will need to travel with me.*

Yes
No

Due to medical needs, a service animal will need to travel with me.*

Yes
No

Sleeping accommodation is generally in “camp” style rooms with bunk beds, and shared toilet and shower facilities. I am comfortable sharing a room with other persons on the trip (e.g. 8-10)*

Yes
No

Getting Ready to Go

Visiting a partner takes preparation, and the following activities are planned. Fall gatherings, likely by Zoom, in October, November, and early December, of approximately one hour. An in-person gathering in January 2024. Up to two additional Zoom gatherings (February and/or one week prior to departure) of approximately 1 hour. You will also need to spend some of your own time learning about El Salvador and what it means to be in partnership.

I commit to participating in the preparation activities.*

Yes
No

Travelling Expenses

Traveling to El Salvador is expensive. At the time of writing, the cost of the trip is estimated to be approximately $2,000/person. In addition, we will be raising funds and collecting various school and medical supplies to bring with us as gifts for our partner and its many ministries.

To help with budgeting, at this time I estimate that I am able to contribute towards reserving my place.

(If you are unable to contribute, the leadership will contact you with other options. A contribution is not required in order participate. )

Yes
No

Estimated Contribution: $_______

Recognizing that different persons and communities of faith have differing abilities to pay and to fundraise, and in recognition that this is a shared venture of the ECORC all fundraising will be coordinated and pooled.*

I commit to participating in the pooled fundraising activities and to promoting our partnership in my Community of Faith.

Yes
No

For All Applicants:

Electronic Signature*

Please consider this my electronic signature, confirming my request to participate in the 2024 ECORC/IBE Partnership Program. I understand that spaces are limited. For persons under the age of 18, please print the confirmation email after submission, and have it signed and dated by your legal guardian. Then scan or take a photo of the pages and email it to kwilson@united-church.ca

Date

Name of Legal Guardian if under 18

First Last

End of registration - click Submit to complete

Name

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Pilgrimage to El Salvador – March Break, 2024

March 8, 2024 - March 15, 2024

2024 ECORC/ IBE Partnership Program