Dominican Republic Impact Trip Application
August 20 - August 29
$1750
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Date of Birth *
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School *
Year *
Why do you want to go on this trip? *
Your answer
What has your experience with God been like? *
Your answer
Have you ever been on a missions trip before? Briefly describe that experience *
Your answer
Are you currently in a lifegroup? Who are your lifegroup leaders? *
Your answer
How do your parents feel about you going on this trip? *
Your answer
Email address of parent(s)
We'd love to keep them in the loop about this trip
Your answer
Are you flexible with trip dates? *
Scheduled for June 24 - July 15 but depending on flights we may depart/return 1-3 days sooner/later.
It is possible that we will have two duration of trip options. We all would arrive as a team and some would depart after 9 days while others would depart after 16 days. Given the two options, which trip duration would you prefer? *
Do you have a passport? *
When does it expire?
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Do you have any health conditions that we should be aware of? *
Your answer
Do you have any food allergies? *
Please List
Your answer
Is there anything else that you would like us to know?
Your answer
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