Rockport Youth Registration ONLINE REGISTRATION FOR YOUTH 2018 SPY Mission Trip Registration Youth registration for SPY Mission to Rockport, TX Participant Information Participant Name* First Last Address* Please provide the participant’s primary 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 Age Group* Adults, please complete the registration found at sppcsa.com/adults/missiontrip Middle School High School Young Adult (19-24) Shirt Size* S M L XL 2XL 3XL Parent/Guardian Infomation Parent/Guardian Name (1)* First Last Email* Phone Address If this is different than the participant’s address listed above. 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 Parent/Guardian Name (2) First Last Email Phone Address If this is different than the participant’s address listed above. 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 Payment & Policy Info $200 cost includes lodging, most meals, supplies, transportation, and activity fees. Scholarships available if needed. Payment Options* A $50 nonrefundable deposit is due at the time of registration. 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 checks payable to SPPC with “2018 Mission Trip” in the memo. I am submitting a $50 non-refundable deposit. Scholarshi Information A $50 nonrefundable deposit is due at the time of registration. 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 checks payable to SPPC with “2018 Mission Trip” in the memo. I am in need of a full scholarship I am in need of a partial scholarship Partial Scholarship If a partial scholarship is needed, how much are you able to pay? 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 Upload Permission & Release Form You can print the Permission and Release Form from the “how to register” section of the trip webpage: www.sppcsa.com/youth/missiontrip Phone This field is for validation purposes and should be left unchanged.
