Del Rio Mission Trip 2024 Registration
Del Rio, Tx and Acuna, Mexico - July. 26-29, 2024. Transportation will be provided.
Name
*
First Name
Last Name
Date of Birth:
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
Male
Female
Payment Method
Please select a payment method. A processing fee of 3.5% will be charged for online payments.
Payment Method
*
Online ($207)
In Person ($200)
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Additional Information
Please fill out any relevant information pertaining to the trip.
Do you have any medical issues, allergies, or any other information that you would like trip leaders to be aware of?
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