MEXICO OUTREACH OCTOBER 2018
Registration for our October 4-6th Outreach trip. Please fill out the following information.
Email address *
FIRST NAME *
Your answer
LAST NAME *
Your answer
BIRTH DATE (MM/DD/YYYY) *
Your answer
DO YOU HAVE A PASSPORT OR PASSPORT ID CARD? *
ARE YOU UNDER 18 *
HOW WELL DO YOU SPEAK SPANISH? *
T-SHIRT SIZE
NOTE: T-SHIRT SIZES RUN SMALL
CELL PHONE NUMBER *
Your answer
FRIDAY PROJECT: I AM SIGNING UP FOR *
NOTE: IF SIGNING UP FOR FOOD TEAM, YOU MUST SIGN UP FOR BOTH DAYS
SATURDAY PROJECT I AM SIGNING UP FOR
NOTE: IF SIGNING UP FOR FOOD TEAM, YOU MUST SIGN UP FOR BOTH DAYS
CONSTRUCTION PROJECT
PLEASE LIST YOUR CONSTRUCTION SKILLS
Your answer
PAYMENT OPTION
^ THERE IS A $100 REGISTRATION FEE THAT WILL NEED TO BE PAID IN ORDER TO BE FULLY REGISTERED.

OPTION 1: GIVE IT TO YOUR LOCAL CHURCH MEXICO REGISTRATION LEADER.
AGAPE - EUGEN BALA
BETHEL - MIKE ANTIMIE
EMMANUEL - ANGELO TINA
NEW HOPE - BEN VLAD
FRPC - DANNY & DEBY PETRISOR

OPTION 2: PAY ONLINE

I AM SUBMITTING REGISTRATION DUES VIA *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of New Hope Christian Ministries.