Vieques, Mission Trip
Event Timing: Make March 8th-17th, 2019
Event Address: Vieques, Puerto Rico
Contact us at (978) 365-4551 or snecyouth02@gmail.com
MISSIONARY'S INFORMATION
Info of the person volunteering/traveling on this trip
Full Name as it appears on passport *
Your answer
Email *
Your answer
Phone number *
Your answer
Mailing address *
Your answer
Church (N/A if not associated with a church) *
Your answer
Baptized?
Gender *
Date of Birth *
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Passport number *
Your answer
Date of Issue
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YYYY
Date of Expiration
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Country of Citizenship *
Your answer
Meal Request *
Required
T-Shirt Size *
Do you speak any other languages other than English? *
Your answer
Previous Serve/Mission Trip experience? *
Your answer
What service skills do you have?
Your answer
State your profession *
Your answer
*
1st Choice
2nd Choice
3rd Choice
4th Choice
5th Choice
Medical (5 doctors + 15 nurses needed)
Construction 12 volunteers needed
*
1st Choice
2nd Choice
3rd Choice
4th Choice
5th Choice
VBS Nature talk
VBS Craft Activity
VBS Health Talk
VBS Song Service
Evangelism
Vegetarian food will be provided. Do you have any special dietary requirements (vegan, for instance) or food allergies? *
Your answer
Questions or comments?
Your answer
EMERGENCY CONTACT INFORMATION
Name *
Your answer
Email *
Your answer
Cell Phone number *
Your answer
Relation to traveler *
Your answer
Please Note: 1. Current airport taxes are subject to change by the airline prior to ticketing. 2. Price is based on a minimum of 10 people. 3. To complete your registration please submit a deposit of $300 per person. 4. All passports must be valid for at least 6 months from the date of departure. 5. By signing this form you agree to our Terms & Conditions: www.goisraelna.com/terms.htm Signature:*: *
Your answer
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