ADULT Registration Form for Staunton Mission Trip, July 5th-11th

This is for adult participant interest, if you're looking for the youth participant interest form, please recheck the email for another link.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Please pick all that apply to you!

*

Please select all that apply.

I am interested in being a youth chaperone for events and work teams I am interested in being on a work team with other adults I am interested in helping with logistics like organizing meals and helping maintain the space we stay in I am not sure what I'd be interested in but I'd like more information

Are you related to a youth planning to go on the trip? If so, who?

t-shirt size

*

Please select one option.

Small Medium Large XL XXL XXXL

Do you have any food allergies?

Would you be willing to help transport youth and adults, and if so, how many seats total (including the driver) does your vehicle have?

*

Payment

I would like to make my payment for the mission trip here ($150) I have already made my payment of $150 through the offering or other means, specifically marked "Youth Mission" (0)

Amount

Do you have any questions?

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

This is for adult participant interest, if you're looking for the youth participant interest form, please recheck the email for another link.

Please Fix the Following

Close