Dominican Republic Missions Trip

Dominican Republic for 9th - 12th graders from May 27 - June 3rd, 2024
December 15th, 2025 Information Meeting at 11:30 AM in the Student Center.

Student Name*
First Last
Gender
- Male
- Female
Grade*
Student Phone
Please list any food allergies or medical conditions we should be aware of.
Parent Name*
First Last
Parent Phone*
Parent Email*
Can your photo be taken
- Yes
- No
After you Submit | please read below
- Please be sure to check the email you listed above. This email will provide you with the link to officially register and pay for your child. Make sure to check your spam folder as well. If you do not receive a confirmation email please contact Christy Penley at cpenley@pulpitrock.com