Project Ignite Light Summer Trip: Student Application

PROJECT IGNITE LIGHT SUMMER TRIP: STUDENT APPLICATION
Please read all details Project Ignite Light Youth Trip information form available at ndsm.ag/projectignitelight prior to submitting this form.

Registration for the Project Ignite Light Summer Trip is $80.

All registration must be completed no later than May 26, 2024.

Completed registration includes completion of this application and submission of a pastoral reference. Send your primary youth or lead pastor the following link so that they can submit the reference form: Pastoral Reference Form
Registrant Information
Full Name*

First NameLast Name
MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate*

MonthDayYear
Date
Grade*
Grade as of Fall 2023
Home Church*
If your church is not listed, please select "Other"
Other Church and City
T-Shirt Size*
How will you be arriving to Project Ignite Light?*
Name of person dropping off/picking up student
If two different people, please clarify which person will be doing each and clearly separate the names with commas.
Relationship of person dropping off/picking up student
If two different people, please clarify which person will be doing each and clearly separate the relationships with commas.

Payment
Pay Through Church
If selecting the 'Pay Through Church' option, you are responsible to pay your church for the total amount listed below. The church will transfer your payment to North Dakota Student Ministries.
Total Due
Total Due - Airtable

Total Due*

USDTotal

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Payment