Santa Fe, New Mexico Youth Mountain Camp

Attendee's Information

Name

This address will receive a confirmation email

Phone

Address

Parent/Guardian/Emergency Contact 1

Name

Phone

Parent/Guardian/Emergency Contact 2

Name

Phone

Personal Information to help us

Allergies: FOOD (please include hard-wired food preferences. Mission Trip isn't the time to cause intestinal discomfort.)

Allergies: All others, including what we should watch for as warning signs.

Learning Superpowers (ADHD, ASD, etc.). and best ways to support the student with tasks, social, etc.

Medications, amount, and schedule (you will pack only what is needed in a gallon sized bag that will be kept with our main first aid kit)

Health Insurance Information: In Case Of Emergency

Company

Insured

Group Number

Scan of back and front of health insurance card

Upload (8MB)

Planning information to help streamline projects and fun

Things you can do (it's okay if you can't)

Walk 3-5 miles Carry 50+ pounds Make food under direction Offer empathy Speak Spanish Option

What do you do to ensure that you can make it through a week? (Example: Christine needs 30 minutes of no one talking to her, morning caffeine, and time to journal or do art.)

What aspects of your personality do you want to share? (I.E. Christine is an introvert who values knowledge but also loves brainstorming and finding solutions to problems, ensuring equity for all people, and farm animals.)

What is the MOST FUN THING you can think of doing on a church trip? If the sky is the limit? If there is a limit of $20 per person?

What suggestions do you have for breakfast, lunch, dinner, and snacks?

Other odds and ends

T-shirt Size

S M L XL XXL XXXL check here for other

Preferred Communion Bread

White Wheat Hawaiian Gluten Free

Share three people and their contact information if not members of AHUMC to invite to support through prayer and other ways.

Share the five adults in your life from church that are pouring into you and offering guidance in your life. (18-old.)

Check all days, adding them to your calendar, so that we know, YOU KNOW, what days are the meetings for this trip.

April 2, 12:15 p.m. Meeting April 30, 4-6 p.m. Italian Dinner Fundraiser May 7, 12:15 p.m., Team Bonding May 21, evening meeting - last questions and more expectations

Payment Options

Deposit

Share your intended payment plan.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Santa Fe, New Mexico Youth Mountain Camp

Description

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