The Street Church
PO Box 782
Colorado Springs, CO 80903
(719) 494-9912; (719) 393-5639

1.  Name of the church, group or individual

2.  Contact Person

     a. address

     b. email

     c. phone

3.  Date(s) you would like to reserve:

4.  Goals for your mission trip:

5.  Comments

The Street Church will contact you as soon as possible to confirm the dates you requested and to discuss other details.  Once the dates are confirmed by us and your group, a non-refundable deposit (50% of the total) is due to reserve your mission trip.  Please make sure you are coming when you send your deposit.  Money is spent on food and materials for the poor and will not be returned .