IMPORTANT: this application should only be completed by the trip leader.
Trip Leader Name
*
First Name
Last Name
Trip Leader Phone
*
Trip Leader Email
*
Church Name
*
Church City
*
Pastor's Name
*
First Name
Last Name
Pastor's Email
*
Trip Destination
*
Trip Dates
*
Is this trip in partnership with a C&MA ministry?
*
Yes
No
Please explain
*
Trip Cost / Person (participation fee + transportation)
*
All Group Participants
*
Submit
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