WALLBUILDERS SUMMER INSTITUTE TOUR APPLICATION

Welcome to the TBCTL family! We can't wait for you to experience the Bible come alive with us.

Complete the application below, and start your journey.

NOTE: This registration is ONLY for college students who attended the WallBuilders Summer Institute at the American Journey Experience (Mercury One). All other passengers will need to register with your group in our registration portal.

EACH PASSENGER MUST COMPLETE THE FORM BELOW

PASSPORT INFORMATION

COMPLETE THE FOLLOWING INFORMATION EXACTLY AS IT APPEARS ON YOUR PASSPORT
If your passport is being processed, enter 'TBD' and provide information as soon as it is received.

Name (as it appears on your passport)

Date of Birth

Passport Number

Passport Issue Date

Passport Expiration Date

(Passport MUST be valid for 6 months after travel return date.)

CONTACT & PERSONAL INFORMATION

First Name

Last Name

Preferred Name for Name Badge (first name only)

Phone

Address

If yes, what is their name?

(They will still need to complete their own registration form.)

Do you have any medical conditions we need to be aware of?

Do you have any special accomodations due to a medical or physical need?

EMERGENCY CONTACT INFORMATION

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

WALLBUILDERS SUMMER INSTITUTE INFORMATION

What year did you participate the Program?

Tell us a little about yourself.

What are you most looking forward to experiencing in Israel?

I agree to the terms & conditions

Success!

Note: All applications will be approved by WallBuilders and Mercury One. Space is limited, and this registration form is not a guarantee that you will be attending this particular tour.