Mission Team Registration: Mail-in Payment

Use this form to register for our Mission team to the Dominican Republic, January 13-20, 2024, and prefer to mail a check for payment of your deposit or team fee.

If you wish to pay your deposit or team fee online, please click here.

Contact Information

Name, as it appears on your passport

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State

State/Province

ZIP/Postal Code

Phone

Text Messages

May we send you text messages at this number?

Yes

Personal Information

Date of Birth

(mm/dd/yyyy)

T-Shirt Size

Please select a size for your team T-shirt. Only adult sizes are available.

Small

Medium

Large

X-Large

2X-Large

3X-Large

Sex

Female

Male

Preferred Nickname

Enter the name you prefer to be called, if different from the name shown on your passport.

Spanish Fluency

Rate your level of fluency with the Spanish language, with 1 being No Knowledge/Experience speaking Spanish, and 5 being Very Fluent Conversationally. (Spanish language knowledge is not required; translators serve with us throughout the week).

1) No knowledge/experience

2) I learned a few words/phrases in High School Spanish class

3) I have the basics down; can definitely ask for the bathrooms

4) I know enough to get myself into trouble

5) I can help the translators!

Home Church

What is the name & location of your home church? If none, enter N/A.

Passport

Please upload a clear copy of the signature (ID) page of your passport. Either a scan (PDF format) or photo (JPEG or PNG format) is acceptable. If you prefer, you may submit your passport copy by mail. Instructions are provided in your confirmation email.

Important Things to Know

The trip cost is $725, which includes lodging, meals, in-country transportation, travel medical insurance, and materials needed for the team’s service project. A non-refundable deposit of $100 must be received within 7 days of submitting this registration. The balance is due December 15, 2023. Note: Airfare is not included in the trip cost.

Signature

Please type your name above, acknowledging your request to register for the Mission team to the Dominican Republic on January 13-20, 2024, and your agreement to the deposit and payment terms provided in the "Important Things to Know" section above.