Day Trip Participant Registration Form

Select the Day Trip Date

Select your Group Leader

First Name

Last Name

Street Address

City

State

Zip Code

Country

Email Address

Contact Preference

PLEASE SELECT ONE OF THE COMMUNICATION OPTIONS BELOW TO RECEIVE THE TYPE OF INFORMATION YOU WANT IN THE FORMAT YOU DESIRE. BELOW IS A DESCRIPTION OF THE OPTIONS:

Option 01: I want all my correspondence with Project Mexico to be ELECTRONIC, including news updates and newsletters. By doing so, I am choosing to opt-out of paper mailings.

Option 02: I want to receive BOTH ELECTRONIC AND PAPER correspondences from Project Mexico, including electronic news updates and newsletters, as well as mailed paper newsletters.

Option 03: I want to receive ONLY PAPER CORRESPONDENCE from Project Mexico. I do not want to receive electronic news updates.

Option 04: I have provided my email but DO NOT want to receive any correspondence from Project Mexico, either by email or paper. I understand that I will however, still receive Email Donation Confirmations and occasional important Executive Director Messages.

Phone Number

(###)

###

####

Gender

Male

Female

Birthday

YYYY

Please provide the name and city of the parish where you regularly worship.

If a family member is joining your group, please provide their name and relation to you.