Episcopal Youth Navajoland Trip
Sponsored by Albuquerque churches in Episcopal Diocese of the Rio Grande
Trip for youth in 6th-12th grades
Friday, October 27, 4pm - Sunday, October 29, 4pm
Good Shepherd Mission
1 Kit Carson Drive, Fort Defiance, AZ

For more registration information and to arrange for transportation, contact the trip sponsor from your parish:
St. Michael's and All Angels: Fr. Joe Britton (JoeB@all-angels.com)
St. Mark's: Deacon David Martin (edu@stmarksabq.org)
St. Thomas of Canterbury: Mother Sylvia Miller-Mutia (sylvia.miller.mutia@gmail.com)
St. John's Cathedral: Fr. Michael Drinkwater (mdrinkwater@stjohnsabq.org)
St. Francis: Paula Mote (pmote@dioceserg.org)
St. Chad's: Leslea Lehoucq (l.lehoucq@stchadsabq.org)

For information about Navajoland and planned activities, please contact Fr. Joe Britton (JoeB@all-angels.com or 345-8147).

Student Attendee Information
Student Name *
Your answer
Current grade in school *
6th
7th
8th
9th
10th
11th
12th
Select
Student Email
Not required. Emails will be sent also to parent/guardian.
Your answer
Student Cell Phone Number
Your answer
Home Parish *
Your answer
Dietary restrictions/allergies?
Your answer
Parent/Guardian Information
Parent/guardian name(s) *
Your answer
Parent/guardian primary phone number *
What is the first phone number we should call if we need to reach you?
Your answer
Parent/guardian secondary phone number
Your answer
Parent/guardian Email *
Your answer
Would you (the parent or guardian) be interested in chaperoning? *
Emergency Contact *
Person besides parent/guardian whom we may contact in case of emergency
Your answer
Emergency Contact Primary Phone Number *
Your answer
Emergency Contact Secondary Phone Number
Your answer
Other things we should know about the student attending the trip?
Your answer
Trip fee
After you submit your registration information, please return your registration fee to your church trip sponsor. The cost of the trip is $100/participant.
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