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Middle School Mission Trip 2017
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* Indicates required question
Parent's Name
*
Your answer
Here's how I want to help out (choose as many as you like)
Join the crew for the entire week
Help with picking up the rental van(s)
Bring a dish to share to one of the meetings
Other:
Student 1's Name (first and last).
Your answer
This student...
Is definitely going!
Wants to go, but not 100% sure yet
Is bummed that they can't make it this year
Clear selection
Student 2's Name (first and last)
Your answer
This student...
Is definitely going!
Wants to go, but not 100% sure yet
Is bummed that they can't make it this year
Clear selection
Student 3's Name (first and last)
Your answer
*Confidential* I would like to speak to you about a payment plan or a scholorship for my student(s)
Yes
No
Maybe
Clear selection
This student...
Is definitely going!
Wants to go, but not 100% sure yet
Is bummed that they can't make it this year
Clear selection
I have the following questions or additional comments:
Your answer
Submit
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