top of page

VODMTT FAST CAMP REGISTRATION FORM

arrow&v

CAMP DATE*

arrow&v

NAME*

GENDER

arrow&v

MARITAL STATUS*

arrow&v

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.

arrow&v

DATE REGISTERED

CAMP FEES: (Please select payment option)*

arrow&v

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


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

bottom of page