El Salvador Mission Trip | Online Registration January 1-8, 2023

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Email *

****** $1200 PER PERSON (MUST BE PAID BY December 1, 2022) ****** FOR MORE INFORMATION, CONTACT ELI BALDERAS OR SILVIA HAGEN at 210-435-6211 Ext. 209 or Elijah.balderas@stdominicsa.org

YOU WILL NEED A PASSPORT.
PASSPORTS MUST BE VALID MORE THAN 6 MONTHS AFTER OUR DEPARTURE.
I have read and agreed to all the terms and conditions set forth in this form.
PLEASE PRINT AND DROP OFF A COPY OF YOUR PASSPORT AFTER SUBMITTING THIS REGISTRATION FORM.

I acknowledge by registering for this Mission Trip, I will be responsible to pay the total fee of $1,200 by December 1st, 2022. You may take your payment to the Church in person or you may visit the following website and make your payment online (Notice: To ensure your payment makes it to the right place, please select the FUND, Mission El Salvador | There is a section to add notes if you choose):

https://giving.parishsoft.com/app/giving/stdominicsa

I Acknowledge

First Name on passport *

Last Name on Passport *

Street Address *

City/State/Zip Code (Ex. San Antonio, TX 78228) *

Phone Number (Ex. 210-123-4567) *

Passport Number (Located on the top right) *

Date of Issue *

YYYY

Place of Issue *

Expiration Date *

YYYY

Birth Date *

YYYY

Do you have any special needs, i.e. Health Medical, Food? *

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