Mexico Mission Trip Application
Please fill out all the information below.
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Your Name (*As it appears on your Drivers License or Birth Certificate!* This will be the name on your ticket and it must match your government issued ID) *
Date of birth *
Cell # *
Email address *
Emergency Contact (someone who is not going to be with you) & their relationship to you. *
Emergency Contact Cell # *
Do you have any allergies? *
Why do you feel God is leading you to go on this trip? *
Is there anything that we should know so we can best support you on this trip?  (medical issues, fear of flying, food sensitivities, etc.) *
I am a follower of Jesus and commit to be a part of the team to make Jesus known in Juarez, working alongside of Algo Mas. I commit to represent Jesus, Neighborhood Church, and myself in a way that shows Jesus is my Lord. *
I understand that by submitting this form and a $200 deposit that I am committing to go on this trip. I understand that a ticket will be purchased on my behalf and I am responsible to pay for the ticket, if I go on the trip or not. *
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