2012 World Changer St Louis July 14th - July 21st Registration

 

First Name                          Last Name 

 

Contact Number

  

What grade you will have completed by the end of this school year?

6th Grade   

7th Grade   

8th Grade   

9th Grade   

10th Grade

11th Grade

12th Grade

 

Please enter age:

 

If you are an Adult, 21 years or older, please select one or more of the positions that you want to full-fill on the trip.

As an adult participant you are automatically classified as a chaperon.  Please click title names for more information.

 

Crew Encourager            

Crew Chief                     

First Aid Coordinator       

 

 

Please summarize as to why you would like to participate in World Changers. 

If you have participated on a previous WC trip, please summarize positive past experiences.