Welcome to Appalachian Impact 2020 Registration. The 2020 mission dates are July 5 - July 11, and the total cost will be $450 per person, which includes transportation, room, meals and supplies.
By completing this application and submitting your non-refundable deposit of $50**, you are reserving a spot for the 2020 trip. This form must be completed by the person who is participating in the mission trip.

**A $50 non-refundable registration fee is required for each participant. This amount will be applied to the total cost of the trip. Click the link on the information page for online payment, or make a check payable to Grace Chapel with "Appalachia Registration" on the memo line. Mail the check to the address on the website or drop it off during office hours. Your registration is not complete until the deposit is received.
Full Name
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Full Address
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Phone Number
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Your answer
Are you...
Your answer
Is this your first time participating in an Appalachian Impact Mission Trip?
What is your home church?
In a few sentences, explain why you would like to participate in Appalachian Impact
Your answer
Each participant will receive an Appalachian Impact T-shirt. What size would you like?
There will be several different opportunities to serve, requiring various degrees of skill and experience. Please indicate below the areas in which you would be willing to serve.
For Michigan based participants, you are required to help with the fundraising dinner and square dance, date TBD, and participate in team meetings March 8, April 26 and June 14. Are you able to do this?
If your answer is no, a member of the leadership team will contact you to discuss the circumstances that are preventing you from doing so.
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