When

Wednesday, June 22, 2022 at 5:00 PM PDT
-to-
Sunday, June 26, 2022 at 1:00 PM PDT
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Where

Tecate, Mexico

Contact

Ray Meltvedt
www.clubdust.org
(408) 205-3045
raymeltvedt@gmail.com

Club Dust 5 Day Trip June 22-26, 2022

Family based adventure in giving. 5 day trip building homes, distributing food and shoes and helping the poorest of the poor. All ages and skill levels are welcome!

* Required information

Personal Information

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
* Address 1:
Address 2:
* City:
* State:
* ZIP Code:
* Country:
Cell Phone:
Are you taking prescription medication? If so, please explain details below of what you're bringing and who will help you to remember to take it as prescribed.
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Do you have medical skills? If so, are you willing to be identified as such during this trip? (Medical experts wear a orange vest to make clear to us who has medical knowledge if that help is needed by a ClubDust participant.)
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Do you have building experience? (Carpentry, roofing, electrical, etc.)
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Promo Code

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Fee

Type	Fee
Child (anyone 12 and under)	$400.00
Adult (anyone over 12)	$500.00

Personal Information

* Who is your emergency contact? (Please list name, relationship, and telephone number.)
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Are you willing and able to help fund one of the homes we are building for this trip? (Foundation home=$7000.00, Portable (POP) home=$2900.00) If so, please contact Ray Meltvedt at raymeltvedt@gmail.com or (408)205-3045
*
Will you board bus at San Diego Airport on June 22nd?
- Yes
- No
Do you have any allergies? If so, explain in detail.
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Do you speak spanish? If so, are you willing to wear a green vest as a way for others on the trip to know you are willing to translate for them?
Do have any other medical conditions? If so, please explain.
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What size T-shirt do you want?
Are you here with a group affiliation or have someone you want to work with?

Items for sale

Item	Max Limit	Price
Donation towards home materials Donation towards building materials for the homes and bunkbeds being built at Club Dust Select up to 100
$50.00 donation towards food being given away	91	$50.00 each
$50.00 donation towards shoes being given away	90	$50.00 each
$50.00 donation towards home materials	79	$50.00 each
Donation towards food Donation towards providing food for the families having homes built at Club Dust	1	$50.00 each
Donation towards Childrens Education Donation towards paying school tuition, uniforms and supplies for children having homes built at Club Dust	1	$100.00 each
Donation towards a Pop-up Home	1	$2,900.00 each
Donation towards a foundation home	1	$7,000.00 each

Payment

Payment Method

Pay with PayPal or Credit Card
Pay By Check
Please make check payable to:
Club Dust
32866 Via Del Amo
San Juan Capistrano, CA 92675

Payment Summary

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When

Where

Contact

Club Dust 5 Day Trip June 22-26, 2022

Personal Information

Promo Code

Fee

Personal Information

Will you board bus at San Diego Airport on June 22nd?

Items for sale

Donation towards home materials

Donation towards food

Donation towards Childrens Education

Donation towards a Pop-up Home

Donation towards a foundation home

Payment

Payment Method

Payment Summary