Name *

First Name

Last Name

Phone *

(###)

###

####

Mission Week(s) *

Your team must be available for all days

July 2-5 (4 days)

July 8-12

July 15-19

July 22-26

July 29-Aug 2

Aug 6-9 (4 days)

Aug 12-15 (4 days)

Community(ies) you will be serving *

Flemingdon Park

Jesse Ketchum

Kingston-Galloway

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

I have read the Mission Team packet and understand that it is my responsibility to ensure that each of my team members comprehend their position while serving Toronto City Mission’s Sonshine Day Camp. *

Yes

No

Date Signed *

MM

DD

YYYY