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VODMTT FAST CAMP REGISTRATION FORM

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CAMP DATE*

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NAME*

GENDER

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MARITAL STATUS*

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MAILING ADDRESS

TELEPHONE #'S - Home / Mobile*

EMAIL*

HOME CHURCH

ADDRESS OF CHURCH

PASTOR'S NAME

PASTOR'S / CHURCH TEL. #

NEXT OF KIN

NEXT OF KIN TEL. #

ANY PRESENT MEDICAL CONDITION that could be hazardous during fasting

DISCLAIMER: The Valley Of Decision Missions T&T ('VODMITT'), is not responsible for any illness of or injury (whether physical, mental or emotional) to campers while on this camp. Persons with any medical condition that may pose a risk during fasting are advised to seek a doctor's advice before beginning a fast. Each person who attends camp does so voluntarily. I have read and understood the above disclaimer and I agree to all its conditions.

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DATE REGISTERED

CAMP FEES: (Please select payment option)*

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CAMPER'S SIGNATURE

Payment for Camp

WiPay Payment by CREDIT CARD or INTERNATIONAL DEBIT CARD


Payments via WiPay invoice at a minimal fee of 3.5% of the invoice value plus US$0.25.   Invoices are generated in US$ and TT$ currency.


STEPS TO PROCESS PAYMENT TRANSACTION

1. Enter amount to be paid or donated

2. Select currency (TT$ or US$)

3. Enter your name and details of transaction

         Continue

4. Select type of Card to be used

         Continue Payment

5. Enter Card and Personal information

         Confirm Payment


https://tt.wipay2.me/valley_of_decision_missions_tt

YOUTH FORUM 2021 REGISTRATION FORM

GENDER

FULL NAME*

ADDRESS

PHONE CONTACT

AGE (Need for group separation)*

EMAIL ADDRESS*

WHICH SOCIAL MEDIA PLATFORM DO YOU USE MOST?*

HOW & WHY DO YOU USE YOUR PREFERRED MEDIA PLATFORM?

PARENT/GUARDIAN - (Required for children under 18 years)

TEL. CONTACT OF PARENT/GUARDIAN

RELATIONSHIP TO CHILD

PARENTAL CONSENT / APPROVAL

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