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WHEN| June 16 - 28, 2014

WHERE| Shizuoka, Japan / Tokyo, Japan

 

WHO| High School Students 

COST| $3,200/person (personal/group fundraising)


By filling out the form below you are applying to be selected as part of the team going to Japan. Once you apply we will get back with you for a follow up. Please be patient as this process can take time. After submitting the form, click 'Add to Cart' and proceed to checkout.

***There is a $100 deposit to apply for the Japan Mission Trip. If you are not selected the $100 will be refunded.

 

Student must fill out the application below completely in order to submit.


Student Name *
Student Name
Student Cell Phone *
Student Cell Phone
Choose the grade you are currently in for the 2013-2014 school year
Parent's Name *
Parent's Name
Name on credit card being used for deposit *
Name on credit card being used for deposit
RELATIONSHIPS / CHARACTER / TESTIMONY
I AGREE TO THE FOLLOWING: *
by checking each box below you are agreeing to its statement
PARENTAL PERMISSION *
Parental guardians must read and agree to the following by checking the corresponding box below