Jr. High Missions Week 2024

June 10-14, 2024 | Eligible Students: Current 6-12th grade students
*High School students will serve as mentors and leaders.

When: June 10th-14th
Cost: $100/student

Please fill out the following form and submit it to register your student - one form per student. Nathan will be following up with you on any additional forms or details.

Name of Student

Name of Parent(s)

This address will receive a confirmation email

Emergency Contact Phone #

Plans

Please select all that apply.

Serve and lodge with us the whole week. Alternate participation plan is needed. Discuss Financial Assistance

If you need to discuss an alternate plan and/or financial assistance, please select the "Cash/Check/Other" option below.

Payment

Full Amount ($100) Deposit ($50) Cash/Check/Other ($0)

Amount

Parent Volunteer Options

Please select all that apply.

Adult Leader (All 5 Days) Adult Leader (1 Day) Driver (from church to service sites) Provide an Evening Dinner Provide a Noon Lunch On Call Adult Leader (You'd be willing to step in for another adult if someone gets sick)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 10-14, 2024

Eligible Students: Current 6-12th grade students
*High School students will serve as mentors and leaders.

When: June 10th-14th
Cost: $100/student

Please fill out the following form and submit it to register your student - one form per student. Nathan will be following up with you on any additional forms or details.

Jr. High Missions Week 2024

Description

Please Fix the Following