Registration Form

Liability Waiver: I certify that my (and/or my family's) participation in this event will be voluntary and that such participation carries risks inherent both to such activities and to the travel involved. For myself and any who would claim under me, I release Sojourners Ministries, Inc., its directors, officers, employees, and agents, from any liability for loss, injury, or damage to my person (or any member of my family) or property which may result from my/our participation. Signature of each Participant, Parent and/or Guardian if under 18.

Please send $100.00 registration fee (part of total fee) AS SOON AS POSSIBLE to: Phil & Nancy Smick, 2015 Bowling Green, Denton, TX 76201, W: (940) 380-0186, H : (940) 566-8789, PhilSmick@compuserve.com

Select desired trip:
You must submit one form per trip and one form per individual.
Thanksgiving Grand Tour! [$250; Nov 1999]
Go East! [$495; Summer 1999]
Discover American Cities Tour (from Boston) [$350; Summer 1999]
Go West! #1 [$375; Summer 1999]
Go West! #2 [$495; Summer 1999]
Go West! #3 [$495; Summer 1999]
See Colorado! [$395; June 13­19 1999]
Ski Colorado! [$395; Dec 1998]

Select appropriate one:
Mr.
Mrs.
Ms

Last Name:

First Name:

Age:

Email Address:

English Level 1-10 (best):

Address in USA:

City in USA:

State in USA:

Zip:

Phone:

School/College:

Major:

Home Country:

Food restrictions:     

Medical needs:    

Health Insurance Number:

PURPOSE of Buses 'N' Beds Program Service Trips:
As an organization in partnership with American families and churches, we promote goodwill and hospitality to international students and their families in the United States. Sojourners Ministries, Inc. encourages genuine openness in understanding cultural and spiritual differences.

ANY Comments: