Black Madonna Pilgrimages 2017 Application Form Please complete both Application and Enrollment Forms, then submit payment. Name First Last Email Enter Email Confirm Email What is your interest in this program? What calls you to participate? Please describe briefly.Please describe your interest in the Black Madonna. Have you visited any sites previously?What does a pilgrimage mean to you?What is your international travel experience? Please describe briefly.What is your current profession?Do you have any health problems? Do you have problems walking? Problems with stairs?Do you have any diet restrictions? Please describe.How did you hear about this program?Do you have any additional comments, questions, concerns?