Nicaragua Missions Trip 2026 Registration Form
Please fill out your details to preregister for the trip and reserve your spot with a $100 fee. Email dpierrelouis@vfbt.org for more information.
Participant's Full Name
*
First Name
Last Name
Participant's Grade (in 2026)
*
Please Select
6th
7th
8th
9th
10th
11th
12th
Other
Participant's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Guardian's Full Name
*
First Name
Last Name
Parent or Guardian's Email
*
example@example.com
Parent or Guardian's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Trip Reservation Fee
*
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Nicaragua Missions Trip Reservation
Reserve your spot for the 2026 Nicaragua Missions Trip (July 29th–August 4th).
$100.00
$
100.00
Product Name
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Preregister
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