2021 Mt. TOP step one registration

Mountain TOP 2020. Dates: June 27-July 3, 2021. About $360 per person. Adults no charge.

Registration for Mt. TOP 2021. Please note that we will register people on a first-come basis based on the time stamp on this form entry.

Also, note that that Mt. TOP requires you to be entering 9th grade to participate in Day Camp. Rising 7th and 8th graders are welcome to participate in Service Project.

To learn more about what we do at Mt. TOP with their Youth Summer Ministry click here: https://www.mountain-top.org/youthmissions

We have a waitlist for youth on this trip. If you’d like to be added to the list please fill out the form below and we will be in touch.

2021 Mountain Top Mission Trip

Participant First Name *

Participant Last Name *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Email Address That Gets Checked *

Phone Number to use for communication *

Age summer 2021 * Entering 7th grade Entering 8th grade Entering 9th grade Entering 10th grade Entering 11th grade Entering 12th grade Graduated Senior Adult who'd Like to come along

Male or Female * Male Female

Day Camp or Service Project? Note: We are limited to 14 youth doing day camp. These spots will be filled on a first come first serve basis. NOTE New Mt. TOP rule states that you must be ENTERING 9th to participate in Day Camp. entering 7th and 8th graders are welcome to participate in Service Project. * Day Camp: provide a day camp for children in the county (Entering 9th grade and up) Service Project: minor home repair, painting, yard clean up (Entering 7th grade and up) No Preference. Either one to help balance out numbers if needed.

By checking this box I understand that I am signed up for this trip and that a non-refundable $150 deposit is due to Saint Luke’s by February 1, 2021. I also understand that Mountain Top registrations are ordered on the time stamp when I submit this form and I may or may not get a spot on the trip. *

yes, I’m on board

If you are human, leave this field blank.