1. 1 Registration Form
  2. 2 Review
  3. 3 Receipt

= Required

FAMILY INFORMATION
STUDENT INFORMATION
Student (1)






Student (2)






EMERGENCY/MEDICAL INFORMATION
A medical form will be included in the Information Packet. In order to be accurate and current at the time of the trip we will collect those forms two months before the trip.


PAYMENT INFORMATION
Fundraising opportunities are available. A payment schedule taking into account those fundraisers will be communicated to you at a later date. Deposit is non-refundable after 3/1/20.


Submitting this form indicates your permission for Prince of Peace to use your student(s) image in publications and other forms of media unless discussed in person AND in writing to the Family Ministry Director.