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High School Mission Trip
Charleston, WV
July 14-23, 2023
Deadline to register is
January 31, 2023!
Payment Schedule
Registration Form
First Name
Last Name
Age in July 2023
Youth Cell
Youth Email
Parent/Guardian Name(s)
Parent/Guardian Email(s)
Parent/Guardian Cell(s)
Adult T-shirt Size
S
M
L
XL
Please indicate:
YES, I will fundraise.
NO, I will not fundraise.
We have read and understand the rules and payment schedule regarding the High School Mission Trip. We agree to these terms.
Parent/Guardian Digital Signature
Youth Digital Signature
Register
