High School Mission Trip Registration: Detroit

July 11-18 | This registration form is for the High School Mission Trip to Detroit, MI from July 11-18. Please read the mission trip information packet before registering. If you need an information packet, please email ngilbert@oursaviorsonline.org

Youth Name

*

Youth Email

Youth Phone

Parent/Guardian Name(s)

*

Parent/Guardian Phone

*

Parent/Guardian Email

*

This address will receive a confirmation email

OSLC Member

*

Please select one option.

Yes No

If no, list home church

T-Shirt Size

*

Do you plan to volunteer at fundraisers for $100 off registration

*

Please select one option.

Yes, I will fundraise No, I will not fundraise Option

Payment

Deposit (170.00) Full price with fundraising (680) Full price without fundraising (780) Pay later (0) I need a scholarship (0)

Amount

By checking this box you have read and understand the rules and payment schedule regarding the High School Mission Trip to Detroit and agree to said terms

*

Please select all that apply.

I agree to the terms laid out in the contract

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 11-18

This registration form is for the High School Mission Trip to Detroit, MI from July 11-18. Please read the mission trip information packet before registering. If you need an information packet, please email ngilbert@oursaviorsonline.org

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