S.LA.M. Trips Registration

2023 S.L.A.M. TRIPS registration

Church/Organization Information

Name:*

Email:*

Phone:*

Fax:

Website Address:

Street Address 1:*

Street Address 2 (optional):

City:*

State:*

Zip:*

Group Leader Information

First Name*

Last Name*

Address*

City*

State*

Zip*

H Phone

W Phone*

Group Information

Choose Date of Attendance*

Choose Alternate Date of Attendance*

Gender Breakdown (enter a number for each)

Boys*

Girls*

Ages of Group (enter a number for each)

Under 12*

12-15*

16-18*

Adults*

Mode of travel (number and type of vehicles)*

Please list physical skills of adults/students in your group (plumber, carpenter, electrician, drywall, etc.)*

Has your group taken a mission trip in the past five years?*

Yes
No

If yes, where?

Would you be willing to make a pre-trip visit before your group comes out?*

Yes
No

How did you hear about SLAM TRIPS?*

Website
Mail
Friend or Colleague
Other

Additional Information

CAPTCHA Code:*

Registration Information

Connect With Us

Annaweinita Miller
Cell (509) 930-7558

Email: annaweinita@mendingwings.net
Contact Form

Mending Wings
Address: P.O. Box 324
Wapato, WA 98951

Registration Information

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