Mission Trip Sign Up
Thank you for your interest in joining Channel on a mission trip to serve one of our strategic partners. Fill out the form below to join one of the trips. Email mission@channelchurch.org for more info.

* We at Channel take your privacy seriously. We will never share your information to others or third party advertisers.
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone *
Your answer
Address
Your answer
Job/Martial Status
Church Name *
Your answer
I am a born again Christian *
Which mission trip would you like to join? *
Required
Why would you like to participate in this trip? *
Your answer
What expectations do you have in regards to this trip? *
Your answer
What skills, knowledge, or gifts would you love to use on this trip? *
Your answer
Do you have any fears or concerns regarding traveling to or serving in your trip location? *
Your answer
Do you have any health conditions we should be aware of? *
Your answer
Disclaimer
By clicking the Submit button, I recognize that there are risks involved in participating in the mission trip and hereby assume all risk of injury, harm, damage, or death in connection with my participation in it. I understand and agree that neither Channel Church nor its trustees, officers, directors, employees, agents or representatives may be held liable in any way for any injury, harm, damage, or death that may occur to me as a result of my participation in this mission trip and hereby release Channel Church, its trustees, officers, directors, employees, agents and representatives from any injury, harm, damage or death, which may occur while I am participating in the mission trip. To the fullest extent permitted by law, I agree to save and hold harmless Channel Church, its trustees, officers, directors, employees, agents and representatives from any claim by myself, my estate, heirs, successors, assigns or other persons arising out of my participation in the mission trip.

I authorize Channel Church through its trustees, officers, directors, employees, agents or representatives to render or obtain such emergency medical care or treatment for me as may be necessary should any injury, harm or accident occur to me while participating in the mission trip.

I understand and acknowledge that Channel Church may not provide health or medical insurance in connection with the mission trip and I agree that I will be financially responsible for any bills incurred as a result of medical treatment, including emergency medical treatment and/or transportation to a medical facility, in connection with my participation in the mission trip.
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