This Registration Form is to be completed by the Primary Adult Leader.  Once we receive your online registration form, you will be contacted within 48 hours that your group has been registered.  

About Group Registration:

• Registrations will be accepted on a first-come first-served basis.

• A non-refundable, but transferable, deposit of $50 per person is due at the time of registration with the remaining $75 per person due on arrival.

• Due to the nature of this event, youth must have finished 5th grade by the time of the Servant Event to attend.

• A ratio of no more than seven youth to one or two adults is established.

• Questions about registration should be sent to:

Nik Locker
Director of 516 Missions
Phone: (206) 335-3587
Mailing Address: 4 Elm Street, Exeter, NH 03833

What happens once you submit your group registration?

-Groups will have 1 week to submit a non-refundable deposit of $50 per person to secure their group slots.

-You will receive a confirmation within 48 hours that your group has been registered.  

-You may add more to your group until the event reaches capacity.

-Should a participant drop out; a Youth may be substituted one for another.

-Once we receive your Online Registration Form and Non-refundable Deposit, we will send you a group registration packet with individual registration materials and forms.

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* 1. Church Information:

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* 2. Primary Leader Contact Information:

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* 3. Requested Service Retreat Dates:

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* 4. Number of Participants:

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* 5. Transportation:

Because we will be breaking up into several work crews, we will be relying on participating churches for transportation to and from the worksites. Please indicate to the best of your ability at this time the following:

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* 6. How did you hear about this event?

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* 7. Deposit Payment Instructions: