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Chimaltenango, Guatemala Mission Trip Application
APR 4-12, 2025\\ TRIP COST $800 PLUS AIRFARE(between $700-900)\\ $200 DEPOSIT DUE WITH APPLICATION\\ $300  payments due 02/01/2025 and 03/01/2025
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Email *
LEGAL NAME ON PASSPORT *
EMAIL ADDRESS *
STREET ADDRESS *
CITY *
STATE *
ZIP *
DATE OF BIRTH
*
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DD
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Best phone number: *
Can this number receive texts, and can we contact you via text? *
Do you have a valid US Passport? (Passport must be valid until 10/12/2025 for this trip) *
Required
Names of family or friends going on this trip:
Please list (3) references you know well, with phone numbers, that we have permission to call. *
Do you currently have a relationship with Jesus? (Not necessary for participation) *
If you answered "Yes", please describe what He means to you. *
Please list any church or community ministries in which you have served. *
Have you been on a mission trip before? If so, where? *
Why do you want to go on this mission trip? *
Do you bring special skills or strengths to the team?
List any medical conditions/allergies that could affect your health and well-being on the trip (including pregnancy and food/medicine allergies)? *
List medications that you will be taking on the trip and any doctor's restrictions you may be under. *
If I am chosen to be a part of this team, I commit to the following. By checking each box, you are in agreement with that item: *
Required
My signature below indicates that: *
Required
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