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Overnight Service Trip
Friday, April 12 (arrive at hotel by 7:00 p.m.) to Saturday, April 13 (departing for home by 4:00 p.m.)
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Name(s) of Adult Participants
Your answer
Date of Birth of Adult Participants
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Name(s) of Child/Youth Participants
Your answer
Date of Birth & Grades of Child/Youth Participants
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Hotel Accommodations, please choose:
$145 per person (single room)
$90 per person (based on double occupancy)
$70 per person (based on triple occupancy)
$60 per person (based on quadruple occupancy)
Saturday Only Rate - $35
Saturday Only (no hotel accommodations needed)
I would like a room by myself.
My family of up to 4 people to be in one hotel room.
I am open to a roommate, please assign me someone if available. (Or request a roommate in Other Box below)
Other:
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Email
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Cell Phone(s)
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Please list for each participant: Special Accommodations / Dietary needs / Allergies / Medications
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An Emergency Contact's Name & Phone
Your answer
Health Insurance Carrier
Your answer
Policy #
Your answer
What special skills do you or your family bring to this trip?
Construction/Building Skills
We can bring tools.
Very flexible, you tell us what to do, we go
We love board games.
Good at getting the group energized and excited
Inquisitive and ask deep questions
Good at caring for the group, making sure all feel well, stay hydrated, and are enjoying themselves
Enjoy making new friends
Can help with organization
I love working with children.
I would babysit for the youngest participants.
Other:
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