2018 Hawaii District Immersion Trip to Korea Registration Form

2018 Hawaii District Immersion Trip to Korea Registration Form Event Dates: May 18-25, 2018 Deadline: August 31, 2017 Qualifications: Pastor & spouse, lay leaders (Spouse must fill out a separate form) Legal Name:_________________________________________________________________________ Birthdate:________________________________________ Circle: Male Female Spouse’s name (if attending):____________________________________________________________ Phone Number: _____________________________ Email: ___________________________________ Home Address:_______________________________________________________________________ Title:_______________________________ Local church:____________________________________ If Lay Leader, please describe your position in detail: ____________________________________________________________________________________ ____________________________________________________________________________________ Are you planning to stay longer than the dates of the event? Circle: Yes No If you circled Yes, write down your anticipated dates:_________________________________________ IF ACCEPTED, you must pay $500.00 deposit (non-refundable) within 7 days after receiving an email confirmation of acceptance. You will be informed later for the airfare’s remaining balance.