Mission Iditarod       March 4-10, 2021   Application


Name                                                                        Birthdate            


City                                           State                  Zip                           

Phone (cell)                                      Email                                             

Employer or School                                            

Position held                                                                               

T-Shirt Size

Home Church                                                                              

Health Concerns or Disablities? (if so, please detail on the back)                                   

Emergency Contact Name and phone                                                           


Please send by snail mail or email a brief recommendation from your pastor, church pastoral staff member or someone else  and a $100 application fee (applied toward your total cost)

Contact Scott Kirby with questions.   gograceworks@aol.com  or 907-440-4974. Mail application to Global Partnership Ministries, 4149 Checkmate Drive, Anchorage, AK  99508   graceworksak.com