TRUTH Ministries Participant Information
We are excited that you are interested in going on a mission trip with TEM. You will be blessed
by getting to know the people and country of Haiti, and the work that the Lord is doing there.
We pray that it will be a life-changing experience for you.
Email address *
Trip Dates
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Full Name (as stated on passport)
Your answer
Date of Birth
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Name or Nickname
Your answer
Address (Street, City, State, Zip code)
Your answer
Phone Number
Your answer
Email
Your answer
Emergency Contact (Name, Relationship, Phone)
Your answer
Medical Information (Relevant to trip such as, medications, medical conditions, treatments, or operations)
Your answer
Are you a member of a church? (If yes, please state name of church and church address in 'other')
Do you have an active role in your church? (If yes, please list activities in 'other')
What area of service are you interested in?
Email a photo to livitruth@gmail.com so you can be identified at the airport by Brother Chuck.
Would you like to receive the TEM newsletter 3-4 times per year?
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