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Italy Trip Interest Form
Please fill out this registration form in its entirety. Please direct any questions or concerns you have toward Lesley Mazzotta (lesleymazzotta@gmail.com). After we receive your form, we will follow up with you to discuss details and next steps.
Your Name
Your answer
Email address
Your answer
Phone number
Your answer
Mailing address
Your answer
Date of birth (MM/DD/YYYY)
Your answer
What is your home church?
Your answer
Please describe the role(s) you play in your church's ministry.
Your answer
Do you have a valid passport? (Your passport should be set to expire at least six months after the final day of travel. If your passport will have less than six months remaining until the expiration date, you should renew it right away.)
Which length of trip would you prefer?
We envision our trip being part of a larger learning community process with pre- and post-trip opportunities for online learning and group exploration. Are you willing to participate in this process? This will also mean working with your pastor and church leaders to create an intentional ministry that highlights your learning experience in your community.
On this trip, we will encounter immigrant and refugee women who have suffered many kinds of abuse and mistreatment. Knowing this, do you feel comfortable about embarking on this journey and wrestling with these issues?
Your answer
Do you feel physically able to walk three or more miles a day in big cities and out in nature?
Do you have any health concerns or medical conditions that trip leaders should know about?
Your answer
Options for special dietary requests may be limited on this trip. Do you have any special dietary concerns or food allergies?
Your answer
Is there anything else you would like trip leaders to know about you?
Your answer
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