International Mission Trip

2017

Ready to sign up for our 2017 Mission Trip? Fill out the online registration form below and submit your payment to Pastor Sean in the church office ASAP. Your spot is not secured until you have submitted your deposit. If you have questions, please contact Pastor Sean or call the church office. We are looking forward to an awesome inaugural trip in June 2017!

Full Legal Name: *
First Name
Middle
Last Name
Adult or Student? *
2016-17 Grade: *
Your Email Address:*
Your Phone:*
Parent OR Emergency Contact Name:*
Parent/Emergency Contact Phone:*
I understand that by signing up I am responsible not only for attending the trip, but that I am responsible for attending group meetings and training sessions as published.*
I commit to being fully involved in all fundraising activities as required, to include preparation for and participation in the Missions Auction in March 2017.*
I commit to ensuring that all forms and paperwork required is completed and turned in on time - and I understand that I must acquire a U.S. Passport in advance of the trip.*
I understand that this trip requires a significant financial commitment from me/my family. I will submit my initial deposit with this registration and commit to submitting further payments as scheduled or arranged.*

For security reasons, the 'DATABASE Web Form' block can only be shown on a page that uses SSL security (https).

This form is not available.

Payment

Payment Summary

Based on your selections, there is no payment due at this time.

Please click the 'Process' button to complete your submission.


Total:

This form allows partial payment with a minimum of .

Amount to pay: $
Remaining Balance:

Credit Card/Name - Payment Method

* Indicates a required field

Your transaction was successful
Submission ID: JIM
Confirmation code: JIM
Select family members to auto add to form:
Jim Smith
Jim Smith