Thank you for your interest in God’s work in Costa Rica. Fill out and submit the following form which will be mailed to Paul Bernhagen at benbern@racsa.co.cr. God’s richest blessings to you in Christ Jesus!
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GROUP INFORMATION *Group Name: *Pastor or Overseer: *Address: *Phone Number: CONTACT PERSON *Contact Name: *Phone Number(s): *E-mail Address: KNOWLEDGE OF CAMP PENUEL COSTA RICA Briefly describe how you came into contact with the ministry: FLIGHT INFORMATION Carrier and flight number arriving in Costa Rica: Departure city before Costa Rica: Arrival date in Costa Rica: Estimated arrival time in Costa Rica: Number of people on the mission team: Are any of the group members arriving separately? Yes No If yes, please enter their flight information here: GROUP GRID (INFORMATION) Please provide the following information for each team member. Name / Gender / Age / Passport # / Spiritual Gifts or Special Talents for God's Service Team Member 1 Team Member 2 Team Member 3 Team Member 4 Team Member 5 Team Member 6 Team Member 7 Team Member 8 Team Member 9 Team Member 10