Guerrero Clinic

2017 Summer Eye / Dental Clinic application

Registration for the summer clinic is closed unless you are an Optometrist (not a student), Dentist or Optician.  
Additionally, we have no more spots for the Copper Canyon Trip. 


Work days are Wednesday July 26th through Friday July 28th (with Post Ops on Saturday July 29th).   We may also see some patients on Tuesday afternoon July 25th.

There are multiple flight options depending on where your trip starts and whether you want to go to the Copper Canyon following the clinic.  Please reference the graphic below.
The application must be submitted before payment is made. 
Payment must be made before any hotel or airline reservations are made.
A confirmation email/invoice is generated and emailed to you when you submit your application.  

Payment Information
Option 1: Via PayPal (pre-filled amount on invoice)
Click the link in your confirmation email after completing the form
Option 2: PayPal (manually enter amount)
Click here: http://goo.gl/0rVKg8 or go to the Donate tab to the left or send money to walter@guerreroclinic.org
Option 3: By Check
Please make checks payable to The Guerrero Crystal Foundation and send them to
    The Guerrero Crystal Foundation
     PO Box 1566
     Lake Jackson, TX 77566
If you pay by check, please email Robert Yudkin (robert@guerreroclinic.org) and let him know.
Please scroll down for application
APPLICATION (Click on link below)
Scroll down for application. 
Contact Robert at 214-213-6808 if you encounter problems or have questions filling out application
Scroll down for application. 
Contact Robert at 214-213-6808 if you encounter problems or have questions filling out application
Scroll down for application. 
Contact Robert at 214-213-6808 if you encounter problems or have questions filling out application