High School Mission Trip Sign Up (June 23-27)

Required fields indicated with *

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Student Name *

Grade in Fall 2021 *

Parent Phone *

Parent Email *

Allergies

*I give permission for Signal Crest UMC to photograph my child. Photographs may be used on the website, social media, or printed materials. * Select One * Yes

*I understand that by signing up, I am financially responsible for the entire cost of this trip. * Select One * Yes

*I understand that in order to reserve this space, I must pay a non-refundable $50 deposit. * Select One * Yes

To prove you are a human, please tell us which is slow? Please answer question. Snail Jet Speed of Light

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