Participant Registration

Participant Registration Form

Name

First Name

Last Name

Team

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

Birthdate

MM

DD

YYYY

Food Allergies

Make a Payment

Online payments can be made through PayPal using your credit or debit card or you can pay through Venmo (search Encuentro Missions). There is a $15 service fee for each individual online payment. There is no service fee if you mail a check to Encuentro Missions (P.O. Box 1755, Valparaiso, IN 46383). If sending a check, individuals need to write name in the memo for clarification. We are not offering refunds.

Make Payment