Spring Break Youth Mission Trip

in Cumberland Mountains, Tennessee
March 13th-20th, 2010

Deposit due February 7th, 2010 - flyer & information found below or download here

I've already registered but need to print the forms & packing list again...


Participant Name:      

I am a youth   adult parent/chaperone

Address: 

City:                 Zip

Phone: 

Email: 

$100 Youth / $50 Adult Deposit due Sunday 2/7/10
Registration is not complete until deposit is turned into the church or youth office. 


Do you want a Mission Trip T-Shirt?

       I want a Rockwall Youth Mission Trip T-Shirt

                  Adult sizes     Small   Medium   Large   X-Large   XX-Large

Do you have a friend who wants to go?
           Name -
 

My 2010 church medical form is on file or I need a medical release (can be found on following confirmation page)

Please list any previous mission trip experience: 

I have tools:  hammer, apron, paint brush, gloves, etc.


Registration is not complete until deposit is turned into the church or youth office. 




/files/Directory Pictures/Youth/Spring Break Flyer 2.png