First, Middle, and Last -- As it would appear on a Passport or Driver's License
Please give us name, relationship, and phone number of your emergency contact.
If accepted into this trip, you will be expected to make a $100 deposit to secure your spot. (The deposit will be applied to the cost of your trip). Please check the box to agree.
This will be used for your Managed Missions Fundraising Public Profile. Thanks!
Add up to 5 files. Maximum file size 10 MB.
Your passport should be valid for at least 3-6 months beyond the trip's return date.
• i.e. medications, pollen, food, etc.
• If none, write "none."
If none, write "none."
“I will commit to attend the required team training meetings and fundraising events. I will raise the necessary prayer and financial support needed for the trip. I understand that I am responsible for the cost of airfare if I do not go on the trip. I will maintain a spirit of cooperation with the leaders and missionaries during the trip. I will maintain a Christian testimony before those in the host country.” The undersigned also acknowledges that participation in trip described herein also constitutes approval to be photographed and filmed and to have those photographs and videos placed in CBC related publications, including the church website.