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Group Mission Trip Registration January 16-23, 2018

This form is for individuals that are part of a group or organization. You are likely already assigned a particular mission trip date and are working through a team leader. 

We are excited to have you become a part of the incredible work our Lord is accomplishing in Guatemala. We look forward to working and growing alongside you as we Love “…the least of these” in the name of our Lord and Savior Jesus Christ!

If you have answered the call to join the team listed above please fill out this form fully and accurately. Passport information must be EXACTLY as it appears on your passport! If you do not have your passport number yet please leave blank and send it to us when you receive it via email. Once we receive this form and your trip deposit, we will consider you a registered team participant for the specific departure date chosen. 

Contact Information

Please enter the church or group you are affiliated with.
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First Name
Last Name

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Full name as it appears on your passport (including middle name)
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Primary Phone
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Date of Birth

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Select One

Passport Number

Expiration Date

Company Name

Medical Insurance Policy Number
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Date of last tetanus shot

Please list any food or other allergies, diagnosed medical conditions, and/or medications your are currently taking.
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Emergency contact name, phone, and relation to you.
Waiver and Terms
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Type your name for electronic signature. (Parent/Guardian if you are a minor)