Rockport Adult Registration THE ADULT REGISTRATION FOR THE 2018 ROCKPORT MISSION TRIP Participant Name* First Last Attending…* Choose which you plan to attend; the full week (June 24-30) or the partial week (June 24-26). Full Week (June 24-30) Partial Week (June 24-26) Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone* Cell Phone number prefered Email* Age Group* If you are under 19, please complete the Youth Mission Trip Registration form found at www.sppcsa.com/youth/missiontrip Young Adult (19-24) Adult (25+) Shirt Size* S M L XL 2XL 3XL Driving We will be taking several 15 passenger vans and will be in the need of responsible drivers (25 or older). If you’d be willing to transport passengers in your own vehicle, please indicate so & your available seating in the “other” field. (Note: We would prefer to not have many personal vehicles) I am willing to drive a 15 passenger van. I would like to bring my own vehicle. I would prefer to not drive. Pertinet Skills Please list any skills you have that might be useful for this trip. Trip Deposit* The cost for this trip is $2000. In order to reserve your spot, please submit a $50 nonrefundable deposit. The deposit is non-refundable, but is transferable. If you cannot attend, you may transfer it to a new person registering for this trip. Make the check payable to SPPC and “2018 Mission Trip” in the memo line. I am submitting a $50 non-refundable deposit. Background Check* Since this trip will include minors, all attending adults must have a background check on file at the church within the past 3 years. I have a background check on file. I will submit the background check form. Upload Background Check You can print the Background Check form from the “how to register” section of the trip webpage: www.sppcsa.com/adults/missiontrip Participation Policy* I understand that when I attend this event, I am committing to be a part of this San Pedro Presbyterian team. I understand that participation with the group is expected at all times. I will respect all of the leaders in charge, and the decisions that they make. I understand that if I fail to comply with these rules will be sent home at my (parents/guardians) expense. I agree Additional Comments Name This field is for validation purposes and should be left unchanged.