UKANDU Missions
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First Name
Middle Initial
Last Name
Birthdate
Gender
Male
Female
U.S. Citizen
Yes
No
Address
City
State
Zip Code
Phone #
Email
Trip Dates
June 1-7
June 8-14
June 15-21
June 22-28
June 29 - July 5
July 6-12
July 13-19
July 20-26
July 27 - August 2
Home Church
Trip Leader's Name
Trip Leader's Phone #
Parent's Name (if under 18)
Parent's Phone # (if under 18)
Spanish Speaking
None
Beginner
Moderate
Conversational
Fluent
Prior Experience
Image Verification
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Copyright © 2006 UKANDU Missions, Inc. All rights reserved.
A NON-PROFIT, 501 (c) (3) TAX-DEDUCTIBLE MINISTRY
