Offices & CLC:   325 Hill Road                            Sanctuary: 214 Hill Road 
                      Kingsport, TN  37664  
                               Phone (423) 323-2187   Fax (423) 323-8335
SummerMissionReg

Student Ministry Summer Mission Trip
REGISTRATION
(Register On-line to be involved - see form below.)

 

ON-LINE REGISTRATION:  Fill out the form below and Submit. 

If you are interested in being a part of this Student Ministry, please place a check mark in the appropriate box, fill in the contact information, and click on the Submit button below.


I WANT TO BE PART OF THIS MINISTRY AS
AN ADULT LEADER;
A STUDENT PARTICIPANT
Name:               
Street Address:  
Zip:                    
email:
Phone Number   
T-Shirt Size (S, M, L, XL, XXL, XXXL)    

 

 

 

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