Bus Registration

Rosa Mystica Bus Pilgrimage registration form.

* Indicates required field

Group Leader Name *

First

Last

Phone Number *

Request Date of Arrival to Rosa Mystica *

***Reservation is confirmed upon receipt of payment and office approval. Once approved, confirmation will be mailed to you. You must bring the confirmation certificate to the shrine for admission. Upon arrival, on site manager will review you confirmation and welcome your group***

Group Name and Parish *

Please call us at 516-624-9033 if you have any questions.

Group Size (Number of People) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Food Assistance *

Food is needed Food is not needed

Preferred Language for group *

***Please review before hitting submit. Once you hit submit it will take you to paypal to pay for the registration fee. Once payment is submitted we will contact you for more information. Registration fee is per bus. Please enter the number of buses you will be traveling with.***

Submit

Retreat/Communion Breakfast in Muttontown, Long Island

35.00

Rosa Mystica Bus Pilgrimage registration form.

Retreat & Communion Breakfast RSVP