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Dauphin Island Trip 1st step - Registration Form
This is a form for students wishing to attend HCC's Dauphin Island Mission trip on JUNE 21-27th in Dauphin Island (the Sunset Capital of Alabama!) The form needs to be filled out for EACH STUDENT GOING. The trip is open to Harrisburg Youth who have finished 6th-12th grade.
COSTS:
The trip costs $325 without a scholarship. With a HCC camp scholarship, the trip costs $175. We generally have kids stay the night at the HCC building on Friday, June 20, then depart early on Saturday 21, and return the following Friday (June 27th) in the evening. If your child participates in the HCC Assistant Staff program ($100 off of trip) AND receives a church scholarship ($150 off of trip) then your total trip cost could be only $125. Cost includes: Transportation, lodging, meals while in Alabama (except for one meal out).
IF FINANCES ARE AN ISSUE, PLEASE LET US KNOW.
You can email Corey Whitaker at
cchcorey@hotmail.com
for questions or financial needs. Filling out this Registration form gets your name on our trip roster! To finalize your spot on the trip, you will need to pay your portion of the trip payment at our team meeting on Sunday, June 1st at 5:30pm in the church basement.
Youth Section.
First and last name of youth planning to attend the trip.
First Name
Last Name
Email address for youth planning to attend the trip (school email WILL NOT WORK)
Parent Or Guardian Section.
First and last name of parent/guardian.
First Name
Last Name
Email address of parent/guardian
Phone number of parent/guardian
Finance Section
Do you want to apply for a scholarship for this trip? (It reduces the price from $325 to $175).
Yes
No
Are you interested in the Assistant Staff Program? (Summer service program where youth are mentored by our summer staff and spend time serving in the community. Open to students completing 7th-12th grade. Assistant staff earn $100 towards an HCC activity)
Yes, I am interested and would like more information.
No, I am not interested at this time.
Do you want to purchase a trip T-shirt for an additional $15? (All sizes are adult sizes except "youth small"). Payment will be due at time of trip payment.
Yes, Size Youth Small
Yes, Size Small
Yes, Size Medium
Yes, Size Large
Yes, Size XL
Yes, Size XXL
No Shirt please.
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