Please fill out this form to register for the
Summer Mission Trip to Baja from May 25 to June 1, 2008
and someone will contact you as soon as possible:
Name:
Address:
Phone:
Email:
Gender:
M
F
Roomate Preference:
Disabilities/Special Needs:
Below, please give us information for a person to contact in case of an emergency:
Name:
Address:
Relationship:
Phone:
