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VODMTT FAST CAMP REGISTRATION FORM

TYPE OF CAMP

CAMP DATE*

NAME*

GENDER

MARITAL STATUS*

MAILING ADDRESS

TELEPHONE #'S - Home / Mobile*

EMAIL*

HOME CHURCH

ADDRESS OF CHURCH

PASTOR'S NAME

PASTOR'S / CHURCH TEL. #

NEXT OF KIN

NEXT OF KIN TEL. #

ANY PRESENT MEDICAL CONDITION that could be hazardous during fasting

DISCLAIMER: The Valley Of Decision Missions T&T ('VODMITT'), is not responsible for any illness of or injury (whether physical, mental or emotional) to campers while on this camp. Persons with any medical condition that may pose a risk during fasting are advised to seek a doctor's advice before beginning a fast. Each person who attends camp does so voluntarily. I have read and understood the above disclaimer and I agree to all its conditions.

DATE REGISTERED

CAMP FEES: (Please select payment option)*

CAMPER'S SIGNATURE

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Payment for Camp

WiPay Payment by CREDIT CARD or INTERNATIONAL DEBIT CARD

Payments via WiPay invoice at a minimal fee of 3.5% of the invoice value plus US$0.25. Invoices are generated in US$ and TT$ currency.

STEPS TO PROCESS PAYMENT TRANSACTION

1. Enter amount to be paid or donated

2. Select currency (TT$ or US$)

3. Enter your name and details of transaction

Continue

4. Select type of Card to be used

Continue Payment

5. Enter Card and Personal information

Confirm Payment

Click the link below to pay via WiPay

FAST CAMP REGISTRATION FEE

US$20.00 (incl. Transaction Fee)

TT$100.00 (add Transaction Fee)

https://tt.wipay2.me/valley_of_decision_missions_tt

You can now use the link above to pay for our

Fast Camp Fee, send your Love Offering/Haiti Contribution

in one transaction amount.