2023 Short Term Missions Registration Form

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Thank you for your desire to partner with Agua Viva Ministries to reach Mexico for Christ! Once you submit this completed form, please send a check with your non-refundable deposit to:

Agua Viva Ministries
ATTN: STM
340 W. 26th St. STE K
National City, CA 91950

If you have any questions, please contact us at booking@aguaviva.com.

Name of Church/Organization: *

Address: *

City: *

State: *

Zip: *

Contact Person: *

Contact Person Phone: *

Contact Person Email: *

Church/Organization Phone:

Church/Organization Website:

Name of Head Pastor: *

Head Pastor Email: *

Name of Missions Pastor:

Missions Pastor Email:

Is this new contact information? *

Yes

Agreement *

I have read and agree to follow the guidelines addressed in the booking information. I, as a group leader, commit to leading my group through the training material to be provided by Agua Viva Ministries upon acceptance of this registration form.

I agree

Required

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