Youth Colorado Mission Trip 2026

1
Student's Name
First Name
Last Name
2
Grade
7th
8th
9th
10th
11th
12th
3
Student Phone Number
Please enter a valid phone number.
4
Parent Name
First Name
Last Name
5
Parent Phone Number
Please enter a valid phone number.
6
Student Shirt Size
Please Select
Please Select
XS
S
M
L
XL
XXL
3XL
7
How would you like to pay* This field is required.If you choose to pay in person, please remember that you're spot on the trip is not reserved until you have paid. See Cory Cartwright for more payment information.
In Person
Online
8
EmailThis is where we will send the receipt for your payment.
example@example.com
9
Youth Colorado Mission Trip
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My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
Total costUSD
NON-MEMBER Mission Trip Cost
Please select if you are NOT a giving member of Walnut Street Baptist Church.
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MEMBER Mission Trip Cost
Please select if you ARE a giving member of Walnut Street Baptist Church.
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Total cost
Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
ACH Bank Transfer
Account Holder Name
Should be Empty: