Come and Build Home (March 11-17, 2023)

Please fill out this form and click submit.

Sign up here

Join Leland Jackson and young adults from Kansas, Nebraska and elsewhere to building homes in Mexico (there will be an afternoon at the beach). March 11-17

$400.00 covers everything except your passport. (Don't forget to fill out the medical form too.)

Participant's Name

*

Birthdate

*

Grade or Adult

*

Please select one option.

6th 7th 8th 9th 10th 11th 12th Adult

Parent's Name

*

Phone

*

Address

*

Email

*

This address will receive a confirmation email

Why are you participating in this Mission Trip?

*

What construction experience, gifts, talents, or experiences do you bring?

*

If not a member of Our Redeemer, to which church do you belong?

If you do not have a church home, would you like to find out more about Our Redeemer?

*

Please select all that apply.

Yes No

If your child has allergies or other health concerns that we should know about, please fill out the youth medical information form (located on the website: OurRedeemer.life). Thank you.

Payment $400

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

Please Fix the Following

Close