Tentative date is May 15-25, 2026

Name *

Mobile Phone *

Email *

Have you been on a Mission Trip before? *

Yes

No

If yes, then let us know where.

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What is your interest in going on a mission trip with us? *

Definitely want to go

Not sure I would like more information before I make my decision

Not sure but I feel called to go

Other

If other please explain.

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Are you registering just yourself or a family? *

Just Myself

Family

If Family, tell us how many? Please include names and ages.

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In a few sentences explain why you want to go on this mission trip . *

Finances for trip ($1500 pre person)

I am fully funded

I need help raising funds

I have a portion of the funds already

If you have a portion already? Let us know how much, so we know how to fundraise.

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What are your Special skills *

Pray team

Physical Labor

Public Speaking /Message

Other

If other please let us know your special skills.

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Do you have a passport? *

Yes

No

If yes when does it expire .

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Other Comments

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