CARAVAN 2022 Chicago Registration Form

CARAVAN Participant's Name

Are you registering as a 1) student 2) advisor/staff 3) super senior advisor?

student advisor/staff super senior advisor

Participants Pronouns [ex. she/her, they/them, he/ his, she/they, etc.]

Participant's Email Address

This address will receive a confirmation email

Participant's Cell Phone Number

Participant's Mailing Address

Participant's T-Shirt Size

Is it okay to use photo/video material of this student/ super senior advisor/ advisor for printed or digital media?

Yes No

Have you ever been safe church cleared by SVPC for a previous role (staff, adult volunteer, advisor, etc.) you had?

Yes, I have been safe church cleared. No, I have not been safe church cleared. I am a FLASH (middle school) or CLUE (high school) student.

Please check all the dates here https://sunnyvalepres.com/caravan/. Are there any that the participant can't make?

Does the CARAVAN Participant have any dietary needs?

Sunnyvale press requires that students be fully vaccinated to attend CARAVAN. Will the student be fully vaccinated, meaning vaccinated and boosted, by July 15, 2022?

Yes, the participant is already fully vaccinated. The participant is not fully vaccinated, but will be fully vaccinated by July 15.

Parent/ Guardian/ Emergency Contact 1 Full name

Parent/ Guardian/ Emergency Contact 1 Email Address

This address will receive a confirmation email

Parent/Guardian/Emergency Contact 1 cell phone number

Parent/Guardian/Emergency Contact 2 Full name

Parent/Guardian/Emergency Contact 2 email address

Parent/Guardian/Emergency Contact 2 cell phone number

Will the CARAVAN participant be traveling with us from the Bay Area or do they plan to join us in Chicago from a different location?

CARAVAN 2022 Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

CARAVAN is the annual week-long service and learning trip organized by Sunnyvale Presbyterian Church Youth Ministry. This experience will give students an opportunity to live out the biblical model of loving our neighbors, while being “Rooted in Christ, Reaching Out in Love.”

Questions? Email youth@sunnyvalepres.com

Need a scholarship? There are selections for those who are in need of full or half scholarships for CARAVAN in the payment section of the registration form. More questions about scholarships? Reach out to youth@sunnyvalepres.com

CARAVAN 2022 Chicago Registration Form

Description

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