Winter Break Mission Trip | December 30th - January 6th

Please complete the following contact information and we will contact you with additional trip details.  The cost of the trip is $150 which includes transportation, lodging and food upon arrival.  Additional spending money for food while traveling is needed.  If you have questions, please contact 

* 1. First Name

* 2. Last Name

* 3. Email Address

* 4. Phone Number

* 5. University Attending 

* 6. Level of Disaster Relief Training

* 7. In what part of the state will you be prior to a December 30th departure?