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Derbyshire Baptist Church Youth

Take up your Cross and Follow me!

Register for PASSPORT 2010


PASSPORT:

July 19-24, 2010

 

This year, PASSPORT will be at Gordon College, just outside of Boston, Massachusetts. The cost will be $175 per participant.

 

Please Note: There are limited spaces for this trip. Registrations are accepted on a first come, first served basis. Signing up does not guarantee you a space. Any registrations submitted after the trip has filled will be added to a waiting list. To sign up, complete all fields of the form below and click "Sign Up!"


Cost: $175 per participant

Signup Deadline: March 14, 2010

Payment Deadline: April 14, 2010




Participant's Name:             

Parent's Email Address:       

Mailing Address:                 

Home Phone Number:          

Emergency Contact Name:   

Emergency Contact Phone:   

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