GROUP LEADERS: Please complete this form and submit payment only after HoM verbal approval at (909) 499-6734 (* Required )
This is the first of 4 steps to completing the registration process. Complete the following form and click the "Next" button
(Step 1)
Church Name *
Group Name
Group Type (Families, Men's, HS, JHS, College, Life Group, etc.)
Contact Person Name *
Contact Person Title
Contact Person Email *
Contact Cell Phone *
Contact Other Phone What type Home Work
Days of Mexico Trip * Friday - Sunday Thursday - Sunday Friday - Saturday Saturday - Sunday Other
Dates of Mexico Trip *
Destination (Note:EOC Formerly Campo De Sueños) Rancho Casitas Ensenada Outreach Center(EOC)
Group Type (number of participants requested)
Number of Houses to be built for Families *
Number of Houses to be built at Rancho Casitas
Number of trailers to be rented from Hands of Mercy @ $120 per week.
Note: Receipt of a facilitation fee of $250 per house will reserve your Mexico dates
Dates of Pre-build in US
Location of Pre-build in US
Note: We recommend pre-build in your church parking lot as an outreach to your community.
Main construction Contact Person Name *
Main construction Contact Person Cell Phone *
Main construction Contact Person Email *
Estimated number of participants attending Pre.build
