San Diego High School Service Trip

San Diego High School Service Trip

July 13-20. Grades 9-12. Cost is $1500 with opportunities to fundraise to help off set the cost. Registration is limited at this time. Deposit and Form are due 1/7 or until filled. A wait list will be created if we fill our spots.
Student Name*

First NameLast Name
Student Phone Number*
Please enter a valid phone number.
T-shirt Size
Student Grade
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact if Parent/Guardian is not available*

First NameLast Name
Phone Number*
Please enter a valid phone number.
By signing below

I agree to

• Participate in meetings, group building activities, and fundraisers

• Communicate with Leigha about missed meetings and fundraisers before the date of the event

• Actively participate in church life to help deepen my relationship with my peers, adults and God.

I understand

• That the deposit is not refundable and will not be returned even if my spot is replaced by someone else.

• I will be responsible for the total cost of $1500 if I back out after March 1.

• Final Payments are not due until May 30th
Signature*

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Permission

I give permission for my child to participate on the service trip to San Diego, Califorina, under the supervision and direction of Hope Lutheran staff and other designated adult leaders. I give permission for my child’s image to be used in Hope Lutherans publications, including online publications.
Signature*

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