MIX Waitlist
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Grade Entering
*
Your deposit will not be due until we have a ticket for your student.
*
Please select one option.
YES
I understand that my $75 deposit is non-refundable .
*
Please select one option.
YES
I understand that if I back out of the trip within 30 days of the trip I will be responsible for any cost that maybe charged to the church.
*
Please select one option.
YES
Submit
Description
Please fill out this form and click submit.
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Please Fix the Following
