These forms are Adobe Acrobat PDF forms. They can be downloaded, printed on your printer and filled out. You will need Adobe Acrobat reader installed on your computer. Click here for Adobe download site  

REQUIRED FORMS

All three forms are required to be filled out for participation in the trip. The PCUSA General Release, Indemnification Agreement and Authorization for Medical Treatment form also requires a witness to your signature.

Spaces are allotted on a first-come, first serve basis; registration is confirmed once all three forms are completed and returned with the registration fee. The check and the three forms can be sent or brought to Monte Gomke, UMD Housing & Residence Life, Lake Superior Hall 149, 513 Niagara Court, Duluth MN 55812-3046 by February 1, 2008 to confirm a space for the trip.

FORMS

• Registration & Personal Data Form
• University of Minnesota Release of Liability Form
• PCUSA General Release, Indemnification Agreement and Authorization for Medical Treatment Form

PLEDGE FORM

This pledge form can be used to raise money for yourself for the trip. You can contact your parents, relatives, friends, etc. and ask them to support your trip to New Orleans to help the residents rebuild their homes. The money you raise will be for your own use. It will not go into a pot and be split among all the participants.

• Pledge Form

Page Author - Duane Long, Email: dlong@d.umn.edu
The views and opinions expressed in this page are strictly those of the page author. The contents of this page have not been reviewed or approved by the University of Minnesota.

© 2007 by the University of Minnesota Duluth Lutheran Campus Ministry. United Campus Ministry and the UMD Diversity Commission
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Page URL: http://www.d.umn.edu/lcm/neworleans.html
Page Last Updated: October, 2007
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