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Kentucky Relief Mission's Trip
Let's be the hands and feet of Jesus!
Name
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First
Last
Phone
*
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Email
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Date Of Birth
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On this trip we will spend extended periods of time in the sun and doing physical labor.
Do you have any medical or physical restraints that we should know about?
*
Yes
No
If yes, please list below *this does NOT disqualify you from the trip
Any questions or additional thoughts?
