Mission Possible Registration

Mission: Possible Waiting List Application
Spring Break 2012
Mission: Possible commitment would be from Friday, March 10, until Saturday, March 17, 2012.
You will be contacted if a space for you on a M:P trip should become available.  You will then have 3 business days to pay the non-refundable $125 deposit.

First Name:
Last Name:
Date of Birth:
Address:
Phone/Ext:
E-Mail:
Year in School:
Freshman Sophomore Junior Senior+
Sex:
Male Female
T-Shirt Size:
XSmall Small Medium Large XLarge XXLarge

Do you have any Allergies?:

If you are 21 are you willing to be a driver for your site?:
Yes No or N/A

Have you been on M:P before? If so, where did you go and how was the experience:

What special traits/aspects will you bring to the group and worksite?:

What is your experience with service?:

What are your expectations for the trip and why do you want to go?: