Registration Information
Your registration indicates that you are committing to travel with Gasconade Valley Baptist Association to do inner city mission work in Memphis, Tennessee, July 2-7, 2023. You also agree that you will pay $100 by March 26 to reserve your spot. You also agree that you are responsible for paying the remaining balance of $245 by April 30.
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Email *
First Name *
Last Name *
Email *
Mailing Address *
City, State ZIP Code *
Cell Phone number *
Age of Participant  
[Any student younger than a freshman in high school must be accompanied by a parent on the trip. Children younger than 5 are not allowed to attend.]
 *
If under 18 Parent or guardian contact
Emergency Contact person *
Emergency Contact phone *
Where do you attend church? *
Do you have any food allergies or physical limitations we need to be aware of? *
Comments or questions
I understand that the cost to participate is $345 per person. I will pay $100 to reserve my spot by March 29. I will pay the remaining $245 by April 30.
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