Westby Coon Prairie and Vang 2020 High School Youth Mission Trip Registration Form
Student Name
Your answer
Address (Street, City, State, Zip)
Your answer
Mobile Phone Number
Your answer
Email
Your answer
High School Grade 2019-2020 School Year
Your answer
Parent(s) Name
Your answer
Parent Mobile Phone
Your answer
Parent Email
Your answer
A $50.00 deposit is required to hold your spot on the trip. After October 20, 2019, this deposit in non - refundable.
While there are fundraising opportunities available and the church will help with the cost of the trip, the remaining balance of the trip is ultimately your responsibility. If you need assistance, please talk with Pastor Dan. I understand that this balance is my responsibility even if I have to withdraw from the trip.
Student - By typing my name and current date, I am signing this form and registering for the trip.
Your answer
Parent - By typing my name and current date, I am signing this form and registering my son or daughter for the trip.
Your answer
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