High school

mission camp Registration

june 29-july 4

***9th graders can choose between middle school and high school trip***

High Schooler's Name *
High Schooler's Name
Date of Birth *
Date of Birth
Phone *
Phone
Parent's Name *
Parent's Name
Parent's Phone Number *
Parent's Phone Number
Have you paid your deposit? *
Total cost is $250. A deposit of $100 must be paid online (click button at the top of page) before completing this registration form.