CARAVAN 2023 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.

Are there any important CARAVAN datas that the participant can't make?

April 1 (Sat.) Volunteer Day with Children's Ministry April 23 (Sun.) CARAVAN Meeting #1 (additional dates TBD) June 9–16, Volunteer for VBS Aug. 6 (Sun) CARAVAN Sunday Participant can make all dates

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 23, 2023?

Yes, the participant is already fully vaccinated. The participant is not fully vaccinated, but will be fully vaccinated by July 23.

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 separately at the mission site?

CARAVAN Deposit & Payment

The total cost of the CARAVAN trip is $850. We are requesting an initial deposit of $400 with registration. The final payment ($450 per CARAVAN participant) should be made by June 1, 2023. We’ll be sending you a final payment request after initial registration. The cost of this trip includes transportation, visiting organizations, anti-racism training during the trip, leader expenses, lodging, and meals. This trip will be subsidized by the SVPC Youth Ministry CARAVAN fund.

SCHOLARSHIPS: If finances are a hardship, please still sign up! There is a section where you can select a discount within the form. Please contact us (youth@sunnyvalepres.com) for questions about scholarships, but they are offered to anyone, without exception.

CARAVAN 2023 Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

CARAVAN 2023 Registration Form

Description

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