New Orleans Mission Trip Waiting List

Student's Name *

Student's Name

First Name

Last Name

Parent's Name *

Parent's Name

First Name

Last Name

Parent's Email Address *

Parent's Cell Phone Number *

Parent's Cell Phone Number

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Please place my student on the New Orleans Mission Trip waiting list

Please understand that by filling out this form your student will be placed on a waiting list based on when this form is filled out. This does not guarantee a spot on the trip, only a placeholder in case a student drops from the trip or if we are able to increase our total number going on the trip (policy set by YouthWorks).

I Understand and Agree