PC Students Mission Trip Memphis Parents Registration & Payment 2024
This is REGISTRATION and PAYMENT
for
2
024 Paragould Campus Students Memphis Mission Trip, June 9-14.
Total
COST: $345
Last day to register is April 30
FINAL PAYMENT
is
DUE
by May 31
Questions? Contact Colby Boyd at
cboyd@cbcj.net
The form below is
PARENT
information and Payment. Registration is only complete after this form is filled out
and
payment is made.
* First Name
* Last Name
* Email
* Mobile Phone
* Address
* City
* State/Province
* Zip/Postal Code
* How many students (7th-12th) are you registering for the Memphis Mission Trip?
Select one
1 ($345.00)
2 ($690.00)
3 ($1,035.00)
4 ($1,380.00)
5 ($1,725.00)
6 ($2,070.00)
* List each Students Name (First/Last) and Current Grade 2023-24
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