EmailMe Form - 2019 Summer Mission Trip

2019 Summer Mission Trip

What and When: The youth at St. Timothy's and their chaperones are going to Atlanta, Sunday, July 7th through Friday, July 13th. We will leave around 3 p.m. on Sunday and return in the evening on Friday.

Who: All active youth who are in 6th through 12th grade during the 2018-19 school year.

What's the cost: The trip is $250 with a $125 deposit due at the time of registration. Deposit are nonrefundable and scholarships are available on an as needed basis. Please mail in deposits to 630 Mississippi Ave, ATTN: Elizabeth Burns, Signal Mountain, TN 37377 or place them in Elizabeth's mailbox in the copy room at church.

Parent Name
Parent Phone Number
### - ### - ####
Parent Email
Additional Parent Name
Additional Parent Phone Number
### - ### - ####
Additional Parent Email
I understand that my family is responsible for the $100 deposit even if my youth is unable to go on the trip.
Yes
No
I understand that I will need to fill out a paper medical release for before my youth leaves to go on the trip.
Yes
No
I would like Elizabeth to contact me about financial assistance for my family.
Yes
No
Information for Student #1
Student Name
First Last
Gender
T-shirt size
Birthday
MM / DD / YYYY
Grade (2018-2019 school year)
Student Email
Student Phone
### - ### - ####
Does the participant have any allergies, physical limitations, dietary restrictions, etc that Elizabeth and the other adult leadership should be aware of during the trip?
Information for Student #2
Student Name
First Last
Gender
T-shirt size
Birthday
MM / DD / YYYY
Grade (2018-2019 school year)
Student Email
Student Phone
### - ### - ####
Does the participant have any allergies, physical limitations, dietary restrictions, etc that Elizabeth and the other adult leadership should be aware of during the trip?
Information for Student #3
Student Name
First Last
Gender
T-shirt size
Birthday
MM / DD / YYYY
Grade (2018-2019 school year)
Student Phone
### - ### - ####
Does the participant have any allergies, physical limitations, dietary restrictions, etc that Elizabeth and the other adult leadership should be aware of during the trip?
Student Email

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Information for Student #1

Information for Student #2

Information for Student #3