Registration Page

Please fill out this form completely. Include the $75 per person application fee/Deposit (non-refundable). We must receivethe registration fee in order to reserve your spot. This amount comes off the total price. Please send all deposits and forms to:

YWAM
Mission Adventures
c/o Phil Cunningham
100 W.  35th St. Suite C
National City CA 91950

***Just write YWAM on the check (cheque for Canadian’s). All amounts are in US dollars.

That is the Mission Adventures Network office where all finances will go through for the upcoming 2010 summer.

Group Application

Please fill out this form completely. Include the $75 per person application fee/Deposit (non-refundable). We must receive the registration fee in order to reserve your spot. This amount comes off the total price.

GENERAL INFORMATION (please print)

Group Name: _______________________ Group Leader’s Name: ________________________

Mailing Address: _______________________________

City: ______________________________________ State/Prov: _______ Zip: _____________

Ph: Church: __________________ Home: _____________________ Cell: _________________

Email: ____________________________ Emergency Phone No. ________________________

(While group is away)

What is the expected size of your group? _______

Total application fee enclosed: $____________________ (Non-Refundable)

Name List.

1.____________________

2.____________________

3.____________________

4.____________________

5.____________________

6.____________________

7.____________________

8.____________________

9.____________________

10.___________________