Intent Form

COSTA RICA Mission Trip Intent Form

July 1-10, 2026
Student's Name
Student's Birthdate

MonthDayYear
Date
Phone
Email
example@example.com
Assume all sizes are adult sizes
T-Shirt Size
Sports Shorts Size
Parent 1 Name
Phone
Email
example@example.com
Parent 2 Name
Phone
Email
example@example.com
Please READ AND CHECK

1. I have read and agree to the preceding Requirements and Guidelines pertaining to the 2026 Sr. High Mission Trip to Costa Rica.2. It is my desire and intent to fulfill all requirements for participation.3. My $100 NON-REFUNDABLE deposit accompanies this letter as proof of my good intentions.
Student Signature

Clear
Type Name
Date

MonthDayYear
Date
I as a parent have read and understand the attached and will support my student's commitment to this trip.
Parent/Guardian Signature

Clear
Type Name
Date

MonthDayYear
Date
Parent/Guardian Signature

Clear
Type name
Date

MonthDayYear
Date
Upon Submission, you will be re-directed to the "Release of Rights" form.
Should be Empty:

COSTA RICA Mission Trip Intent Form