Casas Por Cristo: Nov. 14-17, 2024

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Participant's Full Name(Required)

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Participant's Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Participant Email(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Relationship to Participant(Required)

Emergency Contact Phone(Required)

Emergency Contact Email(Required)

Dietary Restrictions

Please list allergies or medical concerns

Are you interested in arriving a day early?(Required)

Are you willing to go to Juarez a day early, on November 13th, to be on the set up / concrete crew?

I Am

I Am Not

Do You Have a Current Passport?(Required)

Passport must be valid six months through the end of the trip.

I Do

I Do Not

Payment Type

Cost of the trip is $225/person. This does not include travel to and from El Paso, nor the hotel stay in El Paso.

Electronic Payment

Check

I am interested in a scholarship or a payment plan

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