Spring Break Youth Mission Trip

to Joplin, Missouri for disaster relief, rebuild & recovery
March 11th-17th, 2012

Priority Registration Deposit due February 12th, 2012 - flyer, information & forms found on registration confirmation page or download here.
 

Participant Name:      

Participant Type: 

Address: 

City:                 Zip

Phone: 

Email: 


$250 Youth Registration if before 2/12/12
$300 Youth Registration if after 2/12/12

$150 Adult Registration

 

$100 deposit is needed to secure spot - due with registration

Final Payments due before departure.

All payments turn into the church or youth office.
Registration is not complete until amount due is turned into the church or youth office.

 

What size mission t-shirt do you want?  (adult sizes)

My 2012 FUMC Rockwall Medical Form & Waiver is on file        I need a medical release (found in forms on confirmation page)

I have tools:  hammer, gloves, etc...


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