Team Leader Request Form
Please submit this form to request dates. Your dates are not confirmed until a $500 team deposit is received. Mail deposit to HMM Office. Please contact Chuck at
if you have questions about reserving your dates. Click
to return to the HMM website.
Dates Requested (typical trips are 7 or 8 days in length)
Name of Church or Group represented
Team Leader's Name
Team Leader's Email
Team Leader's Phone Number
Organization Contact Person (if different from Team Leader)
Email and Phone Number (if different from Team Leader)
Specific Activities or Purpose of Trip
VBS or Children's Ministry
Medical and/or Dental
Estimated Number of Team Size
*You will NOT be responsible for filling this number of spots. It is just to help HMM have an idea of the size of your group.
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