Mission Trip 2026 - Harlingen, TX

July 5-11, 2026 | Please fill out this form and click submit.

For more information on Adventure in Missions please visit: https://adventures.org/trips/destinations/south-texas/
Grant Ripperger will be sending out updates through the parent email that is provided on this form.

*Mar 30-May 5 – Registration $450 ($200 deposit)*

*May 5 - Registration Deadline*

*June 24 - Leader meeting @ Westland Youth Garage 7:30 - 8:00 pm*

*June 28 - Mandatory Parent Meeting @ Westland Chapel 12:30PM-1:00 pm*

We do not want finances to be the reason any student sits this out. If your family needs scholarship assistance, please reach out to Grant directly and he will walk you through the process.

Grant Ripperger

grant@westland.cc

(281) 925-8475

Student Name

Parent Email

This address will receive a confirmation email

Address

Parent Phone

Student Date of Birth

Shirt Size

Please select one option.

S M L XL XXL

Grade Completing

Please select one option.

12th 11th 10th 9th 8th 7th 6th

Name of School

Emergency Contact

Emergency Contact Number

Allergies

Medications you are currently taking:* Regarding medication, every person bringing medication to camp will need to include a signed Medication Form in a Ziploc bag with their medications. **Forms will be available at the parent meeting, June 28.

Name of Insurance

Insurance Phone Number

Policy/Group/ID Number

Payment

Deposit ($200) Paid in Full ($450) Sponsor ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 5-11, 2026

Please fill out this form and click submit.

For more information on Adventure in Missions please visit: https://adventures.org/trips/destinations/south-texas/
Grant Ripperger will be sending out updates through the parent email that is provided on this form.

Mission Trip 2026 - Harlingen, TX

Description

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