Hurricane Harvey Relief Missions Trip
Depart: October 21 (6:00 AM)
Return: October 23 (9:00 PM)

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Name *

Phone Number *

Use Format: (000) 123-4567
Date of Birth *

Must be at least 14 years of age to volunteer for this trip
How long have you been attending Shoreline CIty? Are you an owner? *

Why are you interested in this relief missions trip? *

Please list any prior relief efforts you have volunteered for (max of 2)

What skills or qualifications do you hope to use while on this trip? (general construction skills, plumbing, electrical, etc...) *

Have you had a tetanus shot within the last 10 years? *

Tetanus shot is required for this trip
Please list any questions or concerns here

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