Register

Group Registration Form (Step 1)

GROUP LEADERS: Please complete this form and submit payment only after HoM verbal approval at (909) 499-6734 (* Required )This is the first of 3 steps to completing the registration process. Step 2 is to complete the following form and click the “Next” button.  The final step is to send in your deposit to secure your dates in Mexico.

1. Church Name(required)
2. Group Name
3. Group Type (Families, Men’s, HS, JHS, College, Life Group, etc.)
4. Contact Person Name(required)
5. Contact Person Title
6. Contact Person Email(valid email required)
7. Contact Cell Phone(required)
8. Contact Other Phone
9. What type Home Work
10. Days of Mexico Trip Friday - Sunday Thursday - Sunday Friday - Saturday Saturday - Sunday Other - explain in box below (required)
11. If "Other" explain here
12. Dates of Mexico Trip
13. Beginning Date(required)
14. Ending Date(required)
15. Destination (Note:EOC Formerly Campo De Sueños) Rancho Casitas Ensenada Outreach Center (EOC)
16. Size of Group(1 house max= 25)(2 house max= 50, etc)
17. Number of Houses to be built for Families (required)
18. Number of Houses to be built at Rancho Casitas
19. Number of trailers to be rented from Hands of Mercy @ $120 per week.
20. Name and Address of Location of Pre-build in US
21. Note: Receipt of a deposit of $472.34 per house will reserve your Mexico dates. This includes windows, stoves and roof caps you will receive in Mexico.
22. Main construction Contact Person Name
23. Main construction Contact Person Cell Phone (required)
24. Main construction Contact Person Email (valid email required)
25. Date of Pre-Build(required)
26. Location of Pre-Build(required)
27. Estimated number of participants attending Pre.build (required)