2008 Registration Form
Project Dates:  June 7-14, 2008 @ William Jewell  College 


Group Leader Name  ___________________________________________________________________________


Group Leader’s Position ________________________________________________________________________

Office Phone:____________________________________   Cell Phone: __________________________________

 
Mailing Address: ______________________________________________________________________________


e-mail: ________________________________________________  FAX  _________________________________


Church Name: ________________________________________________________________________________


Denomination or Affiliation: ______________________________________________________________________


Estimated Group Size ____________________   (Reminder 1 adult for every 5 students of the same gender)
 

Recent Group Mission Trips / Projects: ______________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

 I have read and signed the Group Leader Agreement: _________________________________________________

Deposits of $50 per participant due with registration.   Checks payable to William Jewell College/Matt25
If you have any questions related to the project call Jeff Buscher  @  816-415-7560 
or e-mail buscherj@william.jewell.edu