Project Mexico 2018 Application

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Name of participant *

Date of birth ( month, day & year) *

YYYY

Email *

Parent's Email (if the applicant is under 18)

Phone number *

Name found on passport - Please enter it EXACTLY as it is on passport

Passport Number

Passport Expiry

YYYY

Passport issued by which country *

Citizenship *

Gender *

Spanish Comprehension

None

Well

Clear selection

Why do you want to go on this trip?

What kind of skills, abilities, and talents do you have? (i.e. - Construction, Music, Teaching, Photography, Video, ….)

Option 1

Clear selection

Do you have any dietary requirements or restrictions?

Yes

Clear selection

If yes, please explain

Please describe any medical conditions (including any allergies and any prescription medications) that a doctor might need to know during the trip? If more room is needed please attach another sheet with the details. *

Has a doctor, or any medical professional advised you not to participate in lifting objects or any type of physical labor? (if so, please explain)

Please provide 2 references (name, phone, email, relation) either an employer (current or former) or a teacher if applicable. Please advise your reference we may contact them prior to the trip.

Reference #2

Shirt Size *

Small

Medium

Large

XXL

XXXL

NOTE: Clicking on the Canada Helps link below will not submit your application. So after you click on the link return to the previous window/tab and click on "Submit" at the bottom of the page. Thanks!

Canada Helps Link. Please click the following link to make your $300 non-refundable trip deposit.

https://www.canadahelps.org/en/pages/project-mexico-team-deposits/

Submit

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