Mission Trip Registration

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Fields marked with an * are required

Student Information

Student's Name *

Student's Birthdate *

Grade Level (2022-2023) *

Shirt Size *

Parent/Guardian Information

Name *

Cell Number *

Email *

What's 1 + 3? *

Don't forget to pay your deposit* below after submitting your registration!

*only if you don't have enough in your student account - talk to Eric if you aren't sure.