Spring Break Service Trip 2026

March 15-18 in Dallas, TX.
 
We will join with Holy Cross Lutheran, Wichita for a couple days of intentional and varied service projects and practice putting our faith into action and into words as we share God’s love with those we encounter.

Limited to 9 Youth and 1 Adult (prefer female)

2026 Spring Break Trip Medical Release and Permission Form

Student Medical Release for the 2026 Spring Break trip to Dallas

Student Information

Student Name(Required)
Home Address(Required)

Contact Information

Mother Name
Father Name
Emergency Contact Name(Required)

Medical History

Month/Year
Does student have...
If "yes" please explain in accompanying box.
Is student subject to...
If "yes" please explain in accompanying box.
Medication(Required)
If necessary, you have permission to give my youth:
Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.
Please provide a picture of your medical card.