2023 Jacob's Well VBS Mission Trip to East Side Green Bay

July 31-August 2023 | Place: Local mission trip to East Side Green Bay
Cost: $77 ($50 each additional family member)
Ages: 9th grade and up (anyone younger must be accompanied by a parent)

Name

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Phone

Address

Age

What is the best way to reach you?

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Getting To Know You

What is your current connection to Jacob's Well Church?

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Attender Member Other

Have you participated in a Mission Trip in the past?

Please select one option.

Yes No

If yes, when and to where?

What interests you most regarding participation in this particular trip?

Please list two of your character trait strengths which will be beneficial to the team.

What is your approach to conflict and unexpected events?

Please write your spiritual journey testimony here. (Do you have a saving faith in Jesus Christ? When did you trust in Jesus Christ?)

What specific skills or hobbies do you have that might benefit the mission trip? (such as carpentry skills, guitar, speaking Spanish)

Do you have any medical conditions that we should be aware of?

If you are under 18 years old, are your parents supportive of your participation in this mission trip?

Do you acknowledge that your registration is not complete until the registration fee of $77 ($50 for each additional family member) is paid to Jacob's Well Church by May 18, 2023?

Please select all that apply.

Yes

Payment (Card or Check)

Registration fee ($77) Additional family member registration fee ($50) I prefer to pay the registration fee by check (made out to Jacob's Well Church) ($0) Please contact me regarding a scholarship ($0)

Amount

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Expiration Date/CVC

Name on Card

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Description

July 31-August 2023

Place: Local mission trip to East Side Green Bay
Cost: $77 ($50 each additional family member)
Ages: 9th grade and up (anyone younger must be accompanied by a parent)

2023 Jacob's Well VBS Mission Trip to East Side Green Bay

Description

Please Fix the Following