Mission:  Sr. High Mexico 2010
Reach Up. Reach In. Reach Out.
Mexico 2010 Home
Application
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Student Information: 
Name:   Birthdate: Grade: 
Address: State: Zip:
Phone: Cell Phone: 
Email:
Parents Information:
Father's Name Mother's Name
Phone: Cell Phone
Email Email2
Questions:
Do you Have a Passport?
Have you ever been on a mission trip?
If so where?
Do you speak Spanish?
If so how well?
Why you want to go on this short term mission?

Do you have any special skills that you feel might be relevant to the trip?  I.E. Prayer, singing, playing a musical instrument, construction, drama, crafting, computer hacking or ninja skills

What are your expectations for this trip?

Do you have any health concerns for this trip?