Mission & Service Engagement Trips FORM Please tell us yourself Name Name and Age of your Child, if participating Date of Birth Mailing Address City State Zip Telephone: Work Cell Home Email: What is your relationship to Trinity Wall Street one) ☐ Staff Congregation relative Staff relative Visitor/Friend ☐ ☐ ☐ F M ☐ 36-55 ☐ 56 and over Gender (check one) Age Group (check one) ☐ ☐ ☐18-35 IMPORTANT NOTE: Trinity Wall Street encourages all members of our One Parish community to participate in Mission & Service Engagement Trips. The demographic information requested above will help ensure diversity of all types in each group. PLEASE RETURN THIS APPLICATION BY THE DEADLINE(S) LISTED ON THE PAGE TO: Maggy Charles 120 Broadway New York, New York 10271 Phone: 212.602.0709 Fax: 212.602.0717
Mission & Service Engagement Trips Please tell us yourself Name Name and Age of your Child, if participating Date of Birth Mailing Address City State Zip Telephone: Work Cell Home Email: What is your relationship to Trinity Wall Street one) ☐ Staff ☐ Congregation relative ☐ Staff relative ☐ Visitor/Friend Gender (check one) ☐ F ☐ M Age Group (check one) ☐18-35 ☐ 36-55 ☐ 56 and over IMPORTANT NOTE: Trinity Wall Street encourages all members of our One Parish community to participate in Mission & Service Engagement Trips. The demographic information requested above will help ensure diversity of all types in each group. PLEASE RETURN THIS APPLICATION FORM BY THE DEADLINE(S) LISTED ON THE PAGE TO: Maggy Charles 120 Broadway New York, New York 10271 Phone: 212.602.0709 Fax: 212.602.0717
2016_Application_Mission_Trips4.docx