Pre-Registration 

Parents and students can pre-register for Mission Trip 2019.

Students must be going into 9th-12th grade in 2019.

A $50 deposit must be submitted to Crossroads Church in order to reserve a spot.

Please complete the form below

Student First Name *
Student First Name
Parent Name *
Parent Name
Student Cell *
Student Cell
Parent cell *
Parent cell
Home Phone *
Home Phone
t-shirt sizes are adult sizes.
Permission Confirmation *
By Checking this box, I confirm that I give my permission for my student to pre-register for Mission Trip 2019. I also agree to make the necessary $50 deposit and subsequent payments.
$50 Deposit Confirmation *
Address *
Address