2020 Youth Summer Mission Trip Application
We are super-excited that you are interested in the 2020 Mission Trip!! Please take a few minutes to tell us about you and your intentions to sign up for the mission trip.

PLEASE keep in mind that this form is the first step of a three part application process. Your application is not complete until we also receive:

* Your signed Mission Trip Participant Agreement (available online or at the Parish Office)
* Non-refundable $50 deposit

If you have any questions, do not hesitate to contact John in the Parish Office.
(715) 849-3930 x306 (Office)
(715) 513-7205 (Mobile)

About You
Please be sure to complete this form in full so that we can keep in touch with you throughout the Mission Trip preparation process ahead.
Participant FIRST Name *
Your answer
Participant LAST Name *
Your answer
Participant Address *
Your answer
City *
State *
Zip Code *
Your answer
Participant Email *
If you do not have an email address, please mark N/A
Your answer
Participant Home/Primary Phone Number *
If your entire household uses cell phones, please select one primary phone number to to contact you (even if you repeat an entry below)
Your answer
Participant Cell Phone Number *
This is a required question. However, if you do NOT have a cell phone please enter "555-000-0000"
Your answer
Who receives Text Messages in your family? *
We want to be able to send you text alerts for mission trip planning details. (Select all that apply)
Participant Gender *
Participant Birthday *
Parish of Membership *
Please specify which parish/church you belong to
Participant T-Shirt Size *
All Sizes listed are adult sizes
I am Registering as a: *
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