Guatemala June 2019
A mission trip with Good Shepherd Church and Hearts In Motion (HIM) is currently scheduled for June 15-22, 2019. Construction, sharing water filters, assisting with development of projects at the Learning Center pre-school, and more are our preliminary projects. More details after a community assessment is completed by HIM in early 2019.

Please contact Sue Halford at sahalford@yahoo.com with any questions about the mission trip.
If interested in joining this mission team, please complete this form.
Cost is $1200 plus airfare (group airfare is still to be secured). Payment details & deadlines are still TBD.
Team meetings will begin in April.

First Name *
As shown on your passport
Your answer
Middle Name *
As shown on your passport
Your answer
Last Name *
As shown on your passport
Your answer
Passport Number *
Your answer
Passport Expiry date *
MM
/
DD
/
YYYY
Year in school / age *
Your answer
Major / occupation *
Your answer
Email *
email address you read on a regular basis
Your answer
Cell phone *
Your answer
Will you be flying with our group out of O'hare?
Primary reason for going on this trip *
Your answer
What would be a personal goal for you on this trip *
Your answer
Name two strengths or characteristics that you will bring to this trip *
Your answer
What might be two weaknesses that organizers should be aware of *
Your answer
What do you enjoy doing outside of school/work?
Hobbies, interests, etc
Your answer
How fluent are you in the Spanish language *
None
Can comfortably carry on a conversation
Have you traveled outside of the U.S. or Mexico previously and if so where, when & with whom? *
Your answer
Do you have any food restrictions or food allergies *
Your answer
Do you have any medical issues that should be brought to the attention of organizers? *
allergies, asthma, physical limitations, etc.
Your answer
Emergency contact Name
Preferably parent / guardian, someone not on this trip - Please list their relationship to you
Your answer
Emergency contact phone
Your answer
Emergency contact email
Your answer
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