Participant Registration /La Montana Christian Camps- Short-term Opport/intern /La Montana Christian Camps- Latin America Assistance

Register each person coming to Costa Rica with your group by filling out the information below. We must have received this information ONE MONTH before your group travels to La Montana Christian Camps. Names should be submitted AS THEY APPEAR ON THE INDIVIDUAL'S PASSPORT.

ALL individuals attending, not just minors need to a have a form submitted.

Group/Church Name

Date Attending La Montana Christian Camp

First Name

Last Name

US PASSPORT #

CANADIAN PASSPORT #

Gender

Male

Female

Current Grade

Child

7th

8th

9th

10th

11th

12th

College

Adult

Age (optional)

Your contact info:

Email Address

Phone Number

What is the best way to reach you?

Email

Phone

Please enter your full address:

Street Address

City

State

FULL CANADIAN ADDRESS

Zip Code

T-Shirt Size

Small

Medium

Large

X-Large

XXL

Additional Information/Dietary Restrictions/Medical Notes/Physical Restrictions/Allergies

Costa Rica Short Term Mission Participant Registration