Register your Team for a Specific Date

	This registration is for teams working with the Flood Recovery Office of the United Methodist Church.

1.	Group Name*

2.	Contact Name*

3.	Address

4.	City, State

5.	Zip

6.	Phone Number

7.	Traveling Cell #

8.	Email

9.	Week Desired to Work

10.	Arrival Time

11.	Departure Time

12.	Team Sleeping
	Area Church Hotel Registrant has arranged accommodations

13.	If Sleeping in a Church, Team Cooking
	Would like meals provided for an extra $10 per person per day Would like access to a church kitchen

14.	Size of Group

15.	Group Type
	Adults    Senior High    Junior High    RV

16.	Specialized Skills
	Just Want to Help    Carpentry    Trim Work    Finish Drywall

17.	City of Service Preference
	Cedar Rapids Waterloo/Cedar Falls Oakville Palo Olin Waverly

	Youth Teams: For the best mission experience, please provide 1 skilled adult to every 5 students.

	All Teams: We will have the materials availabe for you on site. However, in the course of every construction project - little things may needed. We have a very small staff, please be flexible to purchase those items.

18.	Questions?

	Someone will contact you soon. Thank you.