Camino Registration Form

Camino Registration Form

To book for a place on the Camino, you must complete the form below accurately.
Select Camino:*
Your Name:*

First NameLast Name
Birth Date:*

DayMonthYear
Mobile Number:*

Area CodePhone Number
Email Address:*
Type of address: (above)*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender:*
Please Note: Submission of registration does not guarantee acceptance to the Camino. Agapé Ireland staff will evaluate applicants and be in touch about acceptance. Agapé Ireland reserves the right to refuse applications based on internal criteria.
Please Note: All particpants in the Camino must also complete and return the 'Waiver of Liability Form' and Pay a deposit.

If under 18 years of age a parent/guardian must complete the appropriate 'Waiver of Liability Form' found here.
Should be Empty: