Nicaragua Mission Trip 2020 - Registration Form

    Deadline to register is December 15th or when available spaces have been filled.
    • MISSION TRIP PARTICIPANT INFO
    • First Name
      Last Name
    • PARENT INFO
    • First Name
      Last Name
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    • ADULT VOLUNTEERS - The mission trip cannot happen without adult volunteers. Please consider joining us and sharing this experience with your child and the rest of our wonderful youth. We promise you will be blessed! Adults (including young adults) should indicate their interest below.
    • First Name
      Last Name
    • EMERGENCY CONTACT INFO
    • First Name
      Last Name
    •  
    • SPECIAL DIETARY NEEDS FOR PARTICIPANT?
    • PARENT AGREEMENT
    • By submitting this form I agree that my son/daughter has permission to participate with LUMC Youth in the Sr. High Nicaragua Mission Trip to El Ayudante in Leon, Nicaragua on June 20-27, 2020. I will turn in a check for the $100 deposit (payable to LUMC Youth) and understand that his/her space is not reserved until that deposit is received in the church office. If I have not already done so, I will complete a 2019-2020 "Parental Consent, Medical Emergency & Liability Release Form" for my child. I will also have my child complete and turn in the Mission Trip application form found on the LUMC Youth website (www.lumcvb.org).