REGISTRATION FORM 2018
YOUTH SUMMER MISSION TRIP Barrington UMC • First UMC West Dundee El Mesias UMC • Trinity UMC • Bethel NFC
Yes! I would like to attend: June 6-9 St. Louis, MO – Graduated 3rd – 8th grade students ($300) June 24-30 Washington, DC – Graduated 8th-12th grade students ($600) Student Name ______________________________________ Age ____________ Church_________________________________ Grade completed _____________ Address ___________________________________________________________ __________________________________________________________________ Home phone __________________________ Cell _________________________ Email _____________________________________________________________ A deposit of $100 per person is due with reservation form, and the final balance is due June 1. Checks should be made payable to Barrington UMC. I have enclosed my deposit of $100.00 Each student must have a completed medical release, covenant, and photo release form turned in prior to the trip. Students are expected to fundraise for the mission trip as a part of being on the team. Stock certificates and the mystery dinner are our primary fundraisers this year. Should you have any questions about the mission trips, please contact Pastor Maddie Johnson,
[email protected].
