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2019 JH Mission Trip Registration
Organization: Group Mission Trips
Destination: Grand Rapids, MI
Dates: June 16-21
Cost: $300
Student-Adult Ratio: 5-1

Parent Meeting: 1/20/19
$50 Deposit Due: 2/3/2019
Final Payment Due: 5/12/2019

Student Name *
Your answer
Student Grade *
Student Birthday *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Parent/Guardian Phone *
Your answer
Parent/Guardian Email *
Your answer
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