2017 MissionSA Registration
July 23 - 27, 2017

Please provide the information for the person going on the mission trip. Once you have submitted this online form, you will be directed to some additional forms that will need to be printed out and given to Julie Tucker, as well as a payment link. The cost for this mission trip is $350. If you have any questions, please email missions@concordia.cc.

Participant First Name
Your answer
Participant Last Name
Your answer
Participant Email
Your answer
Participant Cell Phone
Your answer
Participant T-shirt Size
Gender
Is Participant Under 18 Years of Age?
What grade will you be going into Fall 2017? (If you are a college student or adult please select accordingly)
If Participant is under 18 years of age, please provide their Parent/Guardian information below:
Parent/Guardian Name
Your answer
Parent/Guardian Phone
Your answer
Parent/Guardian Email
Your answer
Name of Person Who Paid for this Trip
Your answer
In order to complete your registration, the following forms MUST be printed off and filled out for each person and returned to Julie Tucker (juliet@concordia.cc):

Liability Form: 17 & Under: http://goo.gl/eDJmrj
Liability Form: 18 & Over: http://goo.gl/ozv8qP
Blueprint Ministries Health Form: http://goo.gl/0FUuuk
Concordia Health Form:http://goo.gl/adeULd
Power Tool Use Form: http://goo.gl/2rnK1c

Payment must be made prior to trip: http://goo.gl/ebdD74

If you have any questions, please contact Julie at the email listed above.

Submit
Never submit passwords through Google Forms.
This form was created inside of Concordia Lutheran Church & School. Report Abuse - Terms of Service - Additional Terms