RLBC Mission Trip 2010: New Orleans
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Mission Trip 2010 will be in New Orleans. Mark your calendar for July 17-24. We will be partnering with Hands On New Orleans (handsonneworleans.org) on a number of different projects that may include construction and community gardening, as well as homeless, assisted living and HIV/AIDS ministries, just to name a few. Additional details will follow as planning proceeds, but please indicate your level of interest in this trip by completing this short survey.

If you have questions or need additional information, please contact Garland Hamic or Sandy Washington.

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1. Which members of your family (including yourself) are interested in participating in Mission Trip 2010?

Which members of your family (including yourself) are interested in participating in Mission Trip 2010? Family Member #1:
Family Member #2:
Family Member #3:
Family Member #4:
Family Member #5:
Family Member #6:

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2. For the family members listed in the previous question, please provide the following information:

	Gender	Age group (as of 7/17/2010)	Likelihood of participating
Family Member #1:	For the family members listed in the previous question, please provide the following information: Family Member #1: Gender	Age group (as of 7/17/2010)	Likelihood of participating
Family Member #2:	Family Member #2: Gender	Age group (as of 7/17/2010)	Likelihood of participating
Family Member #3:	Family Member #3: Gender	Age group (as of 7/17/2010)	Likelihood of participating
Family Member #4:	Family Member #4: Gender	Age group (as of 7/17/2010)	Likelihood of participating
Family Member #5:	Family Member #5: Gender	Age group (as of 7/17/2010)	Likelihood of participating
Family Member #6:	Family Member #6: Gender	Age group (as of 7/17/2010)	Likelihood of participating

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3. What phone numbers would you like us to use to contact you?

What phone numbers would you like us to use to contact you? Primary phone number
Additional phone numbers (please indicate home, cell, spouse's cell, etc.)

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4. What e-mail addresses would you like us to use to contact you?

What e-mail addresses would you like us to use to contact you? Primary email address
Additional email addresses (please indicate the owner of each address)

5. What additional information would you like to provide concerning your family's participation in Mission Trip 2010?

What additional information would you like to provide concerning your family's participation in Mission Trip 2010?

RLBC Mission Trip 2010: New OrleansExit this survey

*1. Which members of your family (including yourself) are interested in participating in Mission Trip 2010?

*2. For the family members listed in the previous question, please provide the following information: