Mexico Family Camp

Please use this form to complete your registration for Mexico Family Camp from June 20-27, 2009. Please note: you only need to fill this out once. If you have completed this before, return to the Family Camp Homepage. To update your registration, you may refill out the pertinent fields and submit it as necessary or contact Linda Barringer.

Advised:Print this registration form prior to hitting submit button for your records.

Method of Payment (Select One):
Check (Be sure to send your payment as described on the Registration page)
Credit Card (If you have not used the shopping cart for credit card payment, please do so first.)

Prrincipal contact for your family

Full Name:
Age Male Female
Tshirt Size:

Relationship to your family:
Home Church:
Home Phone #: (XXX) XXX-XXXX
Work Phone #: (XXX) XXX-XXXX
Alternate Phone, Cell or Pager #: (XXX) XXX-XXXX
Email Address: XXX@YYY.ZZZ
Street Address:
City: State:
Zip: Country:
Emergency Contact:
- Full Name:
- Phone #: (XXX) XXX-XXXX

Family Members (full names please)

1. Name Tshirt Size:
    Age    Male      Female
2. Name Tshirt Size:
    Age    Male      Female
3. Name Tshirt Size:
    Age    Male      Female
4. Name Tshirt Size:
    Age    Male      Female
5. Name Tshirt Size:
    Age    Male      Female
6. Name Tshirt Size:
    Age    Male      Female
7. Name Tshirt Size:
    Age    Male      Female

For more, please use the comment box below.

Non-Family Members or those with different addresses attending with you (full names please)

1. Name Tshirt Size:
Age Male Female
Phone #: (XXX) XXX-XXXX
Email: XXX@YYY.ZZZ
Street Address:
City: State:
Zip: Country:
Emergency Contact:
- Full Name:
- Phone #: (XXX) XXX-XXXX

2. Name Tshirt Size:
Age Male Female
Phone #: (XXX) XXX-XXXX
Email: XXX@YYY.ZZZ
Street Address:
City: State:
Zip: Country:
Emergency Contact:
- Full Name:
- Phone #: (XXX) XXX-XXXX

For more, please use the comment box below.

Mission Experience and Abilities (check the box that best represents you and your family members and clarify below if needed.)

First mission trip of any kind Interest in being site leader Medical/First Aid
Crowd breakers/mixers Recreation experience House framing experience
Concrete experience Roofing experience Can speak Spanish Puppets ministry
Vacation Bible School/Crafts experience Musical experience
Other:

Airline arrival information

Name of airline Flight number
Arrival Date (mm/dd/yy) Arrival time AM PM

Please check here if you are planning to drive to San Diego and meet the group at the airport Saturday morning, June 20th

There is one night’s lodging at Holiday Inn on the Bay in San Diego on departure included in the cost of your trip. Families will be put in one room; singles will be grouped with other singles (males with males, females with females). If you are single (or a couple) traveling with a church group and would like to room with someone in particular, please indicate them below. We will do our best to honor your request. Married couples or families of two wishing to have a private room at the Holiday Inn on the Bay may do so for an additional fee of $100.00
I would like to room with:

All flights arriving on Saturday, June 20th in San Diego must be scheduled to arrive before noon PST (no exceptions!).
Schedule departing flights on or after June 27th.

Clarification, Comments or Questions:

To update your registration, you may refill out the pertinent fields and submit it as necessary or contact Linda Barringer.