Name of the Church, Group, or Individual:_______________________________________________

Mark One .....
_____ Week Long Mission Trip

_____ Special Week-Long Mission Trip (Spring Break/Winter Break)

_____ Weekend Mission Trip

_____ Overnight Mission Trip

_____ One Day Mission Trip

_____ Work Team

Name of contact person:__________   ______    ______ E-mail address:____           ___________

Address:____________________________              ___________________________________

City/State/Zip Code:________________              ______________________________________

Phone Number:___________________________ Number in Group:________________



Please call to check on available dates for your group at 770-634-1122.

Confirmed Date:                             

Week-Long Mission Trip: Once the date is confirmed, a non-refundable deposit of $500 is due with the application to reserve your mission trip within two weeks. Please make sure you are coming when you send your deposit. Any group who has not sent a deposit risks losing their first-choice date. 

Special Week-Long Mission Trip: Once the date is confirmed, for any group of three or more people, a non-refundable deposit of $500 is due with the application to reserve your mission trip within two weeks. Please make sure you are coming when you send your deposit. Any group who has not sent a deposit risks losing their first-choice date.

One Day, Over-Night or Weekend Mission Trips: Once the date is confirmed, a non-refundable deposit of $100.00 is due with the application to reserve your mission trip.

Mail Deposit Check to:

Church On The Street

P.O. Box 1868

Kennesaw, Georgia  30156