Mission Trip Chaperone Registration Form

  • Mission Trip Chaperone Registration Form

  • Dates & Times

    Potential Dates: June 12-18 - Louisville, KY; June 19-25 - Greenville, SC; July 10-16 - Nashville, TN; July 17-23 - Greensboro, NC
  • Mission Trip Cost

    The total cost of the trip is estimated at $150.00 per chaperone.
  • Cancellation/Refund Policy

    If you must cancel your reservation, $100 of the deposit will NOT be refunded. If you cancel and you have paid for the trip, if your spot cannot be filled by May 1, 2022, you are responsible for the entire trip balance.
  • Participant Information

  • Safe Environment Information

  • Signature

    In signing below and submitting your $150.00 deposit, you are financially committed to the cost of this trip, by personal payment and have read and agreed to the above Cancellation/Refund Policy.
  • MM slash DD slash YYYY

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