Nicaragua Trip 2024 Registration Form

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Email *

Name as appears on passport *

Passport Number (please confirm accuracy) *

Email *

Phone Number *

Mailing Address *

Payment Method *

Venmo (@jcarter-LL)

Mail Check made out to Live and Love Ministries (610 Classic Trail Ringgold, GA 30736)

Online at https://liveandloveministries.com/give

T-Shirt Size *

I understand the financial liability of the upcoming 2023 Nicaragua Trip and will be responsible for payment in full of all monies spent by Live & Love Ministries on my behalf for said trip should I default or decide not to attend. I agree to hold Live and Love Ministries and LB4C harmless of any liability resulting from injuries or loss of property sustained by myself for the duration of the trip. *

I agree

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