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Adult #1 Last Name Adult #1 First Name Adult #1 Email Member Username
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Children

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Show Child information to other Members
Note: Child information will be available to instructors in either case.

Privacy: Include my member information in the membership on-line directory? Yes No Weekly Email Update: Would you like to receive a weekly email update? Yes No
Conversation Emails:
None Email Push Notifications (App only) Both

Would you like to receive notifications IMMEDIATELY? Yes Important (Recommended) No

Delivery Type (For Email): Whole Thread New Part Only

Daily Digest (An email summary of activity sent once, daily.): Yes No
Select which conversation categories you would like to be notified about: Fundraisers
Meetings
Announcements
General Questions

Classifieds Emails:
Classifieds - Many Emails: Would you like to receive ALL classified notifications IMMEDIATELY via email: Yes No Classifieds - Daily Digest: Would you like to receive ALL classified notifications ONCE A DAY via email? Yes No
Additional Questions

Personal Information 1. (Adult #1) Date of birth: 2. (Adult #1) Age at the time of the trip: 3. (Adult #1) What is your t-shirt size? 4. Does Adult #1 have a passport? 5. (Adult #2) Date of birth: 6. (Adult #2) Age at the time of the trip: 7. (Adult #2) What is your t-shirt size? 8. Does Adult #2 have a passport? 9. What is your church affiliation? 10. Please indicate your assent to the following:

I understand that participating in fundraising is not optional.

I understand that I am required to make my family and friends aware of my intention to serve and give them opportunities to support me prayerfully and financially.

I commit to making every effort to attend planning meetings.

I commit to praying for the trip and participating in preparations as much as possible.

By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

Finances & Fundraising 11. If you have already given your family contribution for this year's trip through FBC Glen Rose or Casas, please indicate the total amount that was given in the question below and indicated who received your gift.
Use your Ctrl & Shift keys to select multiples.
12. In addition to your family deposit, what do you commit to contributing toward the trip? This amount is from personal gifts, individual fundraisers (not group fundraisers), or gifts from family & friends given directly to you/your family. 13. What fundraisers do you plan to participate in (mark all that apply)?
(1 required) Bake sale/lemonade stand
Garage sale
Dinner at church
Silent Auction
Signup Genius for family gifts, paper products etc
Donations in kind
Other
14. If you answered "Other" above, please provide more details about the fundraiser: 15. At the time of registration, a minimum registration fee is due and must be paid:

$100/Individual

(1 required) I understand
16. If you cannot meet the registration fee, would you like to request scholarship help? Yes
No

Transportation 17. What are your plans for transportation? Ride in church vans
Drive to border and then ride in church vans
Drive to and within Mexico in my personal vehicle
18. Are you willing to drive a church van in Mexico or plan to drive your own vehicle? 19. Please name anyone in your family that gets carsick and needs special accommodations when riding in a church van:

Health & Accommodations 20. (Adult #1) Do you have any dietary restrictions? Those with dietary restrictions may be required to bring supplemental food. (1 required) None
GF
DF
Soy free
Other
21. If you answered "other" above, please explain: 22. (Adult #2) Do you have any dietary restrictions? Those with dietary restrictions may be required to bring supplemental food. None
GF
DF
Soy Free
Other
23. If you answered "other" above, please explain: 24. (Adult #1) Do you prefer to sleep: in a bunkbed
on a cot/air mattress in the dorm
on a cot in the dining hall
in a tent
25. (Adult #2) Do you prefer to sleep: in a bunkbed
on a cot/air mattress in the dorm
on a cot in the dining hall
in a tent

Team Placement & Skills 26. Do you want to be on a site that has street ministry? Yes
No
Either way
27. Please list other team members that are related to you that you would like to serve with: 28. Please list any non-related individuals/families that you HAVE TO be on the same team with: 29. List 1–2 individuals that you would prefer to be on the same team with. This is NOT guaranteed. 30. (Adult #1) Do you speak Spanish?
(1 required) Sí, I am fluent in conversational Spanish
I understand most and can get my point across
A little
None
31. (Adult #1) If you answered yes above, would you be willing to interpret a sermon or a dedication ceremony for your team? Yes
No
32. (Adult #2) Do you speak Spanish? Sí, I am fluent in conversational Spanish
I understand most and can get my point across
A little
None
33. (Adult #2) If you answered yes above, would you be willing to interpret a sermon or a dedication ceremony for your team? Yes
No
34. (Adult #1) Would you be willing to lead a devotional? Yes
No
35. (Adult #2) Would you be willing to lead a devotional? Yes
No

Payment Instructions

If you would like to receive a tax-deductible letter at the end of the year, up to $500 per person can be made through the link on our donate page. This money will go directly to Casas Por Cristo and will be earmarked for our team's building supplies, missionary fees, and lodging. Above and beyond the $500/person, we ask that you make your payment via Venmo or check made out to Cari Dague. This money will go towards our food, fuel, insurance, family gifts, and street ministry supplies. If you do not need a tax-deductible receipt, you may choose to submit 100% of your payments through Venmo. Deposits are non-refundable.

Our Venmo address is Mexico Missions Fund@Cari-Dague.

Payment Options
$100.00 – 1 registrant
$200.00 – 2 registrants
$300.00 – 3 registrants
$400.00 – 4 registrants
$500.00 – 5 registrants
$600.00 – 6 registrants
$700.00 – 7 registrants
$800.00 – 8 registrants
$900.00 – 9 registrants
$1,000.00 – 10 registrants

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