Mexico Ministry Trip

February 2-8 | Mexico Ministry Trip
Casa de Luz - Primo Tapia, Mexico
February 2-8

If you have any questions feel free to email katie@era.church

Deposit - $200/person
Total Cost - $900/person

Your Information

Name

This address will receive a confirmation email

Phone

Address

Date of Birth

Additional Family Members

If you are registering additional family members, please provide their information here. If you wish to register someone outside of your immediate family, please complete a separate registration form.

If you don't need to add family members, you can just skip to the next section.

Family Member 1

Name

Email if applicable

This address will receive a confirmation email

Date of Birth

Family Member 2

Name

Email if applicable

This address will receive a confirmation email

Date of Birth

Family Member 3

Name

Email if applicable

This address will receive a confirmation email

Date of Birth

Family Member 4

Name

Email if applicable

This address will receive a confirmation email

Date of Birth

Some Housekeeping

Does each person being registered have a valid passport (check the expiry date ;)

Please select all that apply.

Yes Will need to get that

Are there any reasons why anyone being registered might be denied entry to the USA or Mexico?

Please select all that apply.

No Yes

If yes - Please explain

Does anyone being registered have any allergies?

Does anyone being registered have any dietary restrictions we should be aware of?

Is there any other information that you think might be important for us as we plan for the trip?

Payment

Registration Fee

Deposit ($200 CAD) Full Fee ($900 CAD)

Amount

Additional Family Members

NA ($0 CAD) Deposit x 1 ($200 CAD) Full Fee x 1 ($900 CAD) Deposit x 2 ($400 CAD) Full Fee x 2 ($1800 CAD) Deposit x 3 ($600 CAD) Full Fee x 3 ($2700 CAD) Deposit x 4 ($800 CAD) Full Fee x 4 ($3600 CAD)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

February 2-8

Mexico Ministry Trip
Casa de Luz - Primo Tapia, Mexico
February 2-8

If you have any questions feel free to email katie@era.church

Deposit - $200/person
Total Cost - $900/person

Mexico Ministry Trip

Description

Please Fix the Following