Vermont Mission Trip Sign Up
We are heading up to Northeastern Baptist College the week of July 7th - 13th. The cost for the trip is $XXX and it requires a $50 deposit by the end of March. Turn in all money labeled to the church office. (If you do not label your payment, you may not get credit.)
Email address *
First Name *
Your answer
Last Name *
Your answer
Gender *
Phone Number *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Mailing Address *
Your answer
What church do you regularly attend? *
Your answer
T-Shirt Size *
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Do you have any special skills that would benefit the team? (Construction, electrical, painting, etc.)
Your answer
Do you have any restrictions or special circumstances the team leaders need to know about? (Health, allergies, disabilities, etc.)
Your answer
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