2026 Youth Mission Trip Dinner Reservation Form

Contact Information

Name

Phone

This address will receive a confirmation email

Number Attending

Adults ($40 each, plus $1 processing fee if paying online)

Children ages 6 to 12 ($10 each, plus $1 processing fee if paying online)

Children 5 & under (free)

Payment

Choose # of Adults below to pay in advance

Choose # of Children (ages 6-12) below to pay in advance

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Sunday, April 19, 5:00 - 7:00 pm

Thank you for supporting the Youth Mission Fundraiser. This event will run from 5:00 to 7:00pm. Dinner will be served from 5:30 - 6:30 pm. There will be a limited silent auction, as well as children's activities.

2026 Youth Mission Trip Dinner Reservation Form

Description

Please Fix the Following