Adventure Serve Mission Trip 2023

July 16-22 | Registration for Adventure Serve Youth Mission Trip - 9th-12th grade students - Please complete all information.

July 16-22
Location: Appalachian communities in Kentucky and Tennessee

1st Deposit (Now-March 17): $125.00
2nd Deposit (registered by 03/17): $300.00
2nd Deposit (registered after 03/17): $350.00

Student Name

*

Student Phone

T-Shirt Size

*

Please select one option.

YL S M L XL 2XL 3XL

Parent Name

*

Parent Phone

*

Parent Email

*

This address will receive a confirmation email

I understand my student's registration is not complete until I have submitted a complete Medical Release and paid in full. http://bit.ly/GCCMedicalRelease

*

Please select all that apply.

Yes

Payment

1st Deposit ($125.00) Other Amount ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 16-22

Registration for Adventure Serve Youth Mission Trip - 9th-12th grade students - Please complete all information.

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