2017 Mega Mission Trip Registration
July 9-15, 2017

Please provide the information for the person going on the mission trip. Once you have submitted this online form, you will be directed to some additional forms that will need to be printed out and given to Julie Tucker, along with the payment link in the details of the confirmation page. The price for this trip is $650.

If you have any questions, please email missions@concordia.cc.

Participant First Name
Your answer
Participant Last Name
Your answer
Participant Email
Your answer
Participant Cell Phone
Your answer
Participant T-shirt Size
Is Participant Under 18 Years of Age?
What grade will you be going into Fall 2017? (If you are a college student or adult please select accordingly)
If Participant is under 18 years of age, please provide their Parent/Guardian information below:
Parent/Guardian Name
Your answer
Parent/Guardian Phone
Your answer
Parent/Guardian Email
Your answer
Name of Person Who Paid for this Trip
Your answer
In order to complete your registration, the following form MUST be completed for each person:

- Concordia Health Form: http://goo.gl/adeULd
- Next Step Ministries Form: http://trips.nextstepministries.com/10144117/individual-participant-form/

If you have any questions, please contact Julie at JulieT@Concordia.cc.

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