CCY Kansas City Mission Trip Summer 2026
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Participant Name
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Participant Phone
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Address
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Adult Leader
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Insurance Card
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Payment
1 Attendee ($250.00)
Pre-Approved Scholarship ($50)
Leader ($0)
1 Attendee ($250.00)
Pre-Approved Scholarship ($50)
Leader ($0)
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ME
MH
MI
MN
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MP
MS
MT
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ND
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NH
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NL
NM
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OH
OK
ON
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PE
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