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: _________________________________________________
If you have any questions related to the project call Jeff Buscher @ 816-415-7560
or e-mail buscherj@william.jewell.edu