Youth Mission Registration! Staunton 2026

Name

Name of Youth

This address will receive a confirmation email

Phone

t-shirt size

Small Medium Large XL XXL

Does your youth have any Food Allergies?

Payment $150.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

The Youth Mission Trip will be July 5-11th in Staunton Virginia, reach out to Pastor Sarah or Jason Brugman for questions or details!