Corpus Christi North Dakota Mission Trip

July 20 27, 2013

A service trip to a Chippewa Indian Reservation to do

home repairs and help with summer camp.
WHO? High School Teens, College Students, Adult Leaders
COST? $160.00 non-refundable deposit required per person. We also need to raise $300 per person.
o All REMAINING FEES NOT COVERED BY FUNDRAISING ARE DUE BY July 1, 2013.
o Participants are required to attend several group meetings for sensitivity training, spiritual development
and group business issues. Parents are always welcome to attend.

o If you have any questions, please call Mark Herwaldt at 630/483-4226 or e-mail at ccym@sbcglobal.net
Choose One:
Yes! I am a high school teen who wants to commit to the 2013 North Dakota Mission Trip.
Yes! I am a college student who wants to commit to the 2013 North Dakota Mission Trip.
Yes! I am an adult who wants to commit to the 2013 North Dakota Mission Trip.
Name: _____________________________________________ Age: ________
School (if applies): ________________________________________________________
Address: ______________________________________________________________
City: _________________________________________________ Zip: ____________
Phone: ______________________ Cell Phone: __________________________
E-Mail: ________________________________________________________
Participant Signature: ________________________________________________
Parent Signature (Anyone under 18): _________________________________________
T-Shirt Size __________
(Please make checks payable to Corpus Christi Church)