Revive

- Young Adult Mission Trip

We would love for you to be a part of our Revive trip to Seattle, Washington this summer! The trip dates are June 1-8 and the official trip price will be announced soon. Sign up now to reserve your spot and have the experience of a lifetime!

For more information, feel free to email our Young Adult Pastor, TJ Sanford: tj@antiochbr.com.

 
(as it appears on Driver’s License)
Birthday *
Birthday
Phone Number *
Phone Number
Emergency Contact Phone Number *
Emergency Contact Phone Number
(i.e. mom, dad, grandmother, etc.)
Which Lifegroup are you a part of? *
(Please answer in 2-3 sentences)
(Please answer in 2-3 sentences)
(Please answer in 2-3 sentences)

After submitting your application, pay your $75 deposit here under “Revive - Young Adult Mission Trip to Seattle, WA”