Appalachia Service Project Registration Current 9th-12th Grade Youth and Adults July 16-22, 2023
Please be sure to read the ASP Information Document before completing this registration form. If you need a copy, e-mail Alan Bancroft at alan.bancroft@carypresbyterian.org or it can be viewed online here: https://files.constantcontact.com/79668b53401/43e56101-17bc-48c1-9f30-6b95c419642f.pdf
Participant Name
*
First Name
Last Name
Please initial here that you will attend training meetings, participate in the work day, and assist with fundraising efforts.
*
Clear
Participant E-mail (this is how we will communicate about this trip. List an account you check regularly.)
*
example@example.com
Participant Phone Number
*
Caregiver Name (for youth registrations)
First Name
Last Name
Caregiver E-mail (for youth registrations)
example@example.com
Adult Participants and Parents – Please list family vehicles that you are willing to either drive or send on the ASP trip. Include make, model, and how many total passengers it holds.
First time to attend this conference?
*
Yes
No
Registration Fees: If you plan to pay by check, don't select anything here, and click Submit Form below.
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ASP Registration Fee
This covers all costs for this trip. This fee is non-refundable unless you find someone to take your spot. You can pay online here, or you are welcome to submit a check to the church.
$
200.00
Credit Card
Submit Form
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