Kentucky Mission Trip Registration

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Dates: June 29-July 5

Cost: $650 pre-fundraising This includes all meals, transportation, registration, and activities. It does not include additional snacks on the road (you can pack your own) or souvenirs.

Adventure Activities: White water Rafting and Hiking

Service Activities: a variety of home repair/improvement projects including light construction, grounds maintenance, and painting. Additional opportunities such as working with the elderly and children exist as well.

A Deposit of $200 is due after filling out this form.

Student Name *

Student Phone Number *

Student Email Address *

Parent Name *

Parent Phone number *

Parent Email Address *

I (the parent) have interest in chaperoning this trip.

Yes

Maybe- I need additional information

Clear selection

Please check the box to tell us that you understand the following: After submitting this form, a $200 non-refundable deposit is due to Amanda or Kristen. Checks should be made out to St Paul Lutheran. If you've already paid a trip deposit for Colorado, you do not need to make this payment. *

I understand

Required

Submit

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