2019 Rancho 3M Regional Missions Trip

Contact Info

Name

Mobile Phone

This address will receive a confirmation email

Gender

Male Female

Age Range

If your church wasn't listed above, Church Name

Registration Info

Is this your first trip to Rancho 3M?

Yes No

Are you able to speak Spanish?

Yes No

Do you have a valid Passport?

Yes No Planning to get one

(If you're a minor) Have you gotten your Parental Consent Forms signed/notarized? (these can be printed from the R3M Visitor Packet)

Yes No I'm Not a Minor

Do you have any allergies or dietary restrictions?

Occupation

Please indicate any areas of ministry you think you'd be particularly helpful on the trip Children's Ministry Activities (11 yrs & under) Youth Ministry Activities (12-18 yrs) Kitchen Crew Construction Team (skilled and unskilled, but manual, work) Painting (exterior/Interior) Cleaning / Organizing Leading one of our Morning Devotions Evangelism

Any Additional Comments/Questions?

Payment Info

Registration $200

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2019 Rancho 3M Regional Missions Trip

Description

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