The Road Mission Trip 2017 Sign Up Form

Sign up on the form below for our Local Mission trip. August 1st-5th

**Children 7 yrs. old - 11 yrs. old may participate in the trip at no cost, however children 12 and older will be charged a participant fee as well.

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the Road Mission Trip 2017 Sign Up Form

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Name: *

Address:

E-mail address: *

Trip One: 9am-2pm ($25 non-refundable) Your trip will not be confirmed until your donation is made. (12 yrs. - adult)

Trip Two: 5-9:30pm ($25 non-refundable) Your trip will not be confirmed until your donation is made. (12 yrs. - adult)

I need Chilld Care for my children. (newborn-6yrs. old)

I have a neighbor that needs help, or I have a project that I think we could do as part of this mission trip... (Please Describe)

I need child care (how many children) newborn-6yrs. old? *

I have (how many children) 7-11 yrs. old participating in the mission trip at no cost?

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Note: Fields marked with * are required

Confirm Your Trip by Clicking on the Donate Button Below