Mission Trip Confirmation
By filling out this form you are confirming that the student's name listed below will be attending the Short-Term mission trip to Rio Grande Valley, Texas from June 23-28, 2019, and understand that there are no refunds.
Student's First & Last Name *
Your answer
Student's Email *
Your answer
Home Address *
Your answer
Student's Phone number *
Your answer
Parent/Guardian 1 Name *
Your answer
Parent/Guardian 1 Phone Number *
Your answer
Parent/Guardian 1 E-mail address *
Your answer
Paren/Guardian 2 Name
Your answer
Parent/Guardian 2 Phone Number
Your answer
Parent/Guardian 2 E-mail
Your answer
Will the Parent/Guardian be attending the mission trip? *
Dietary Restrictions *
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