2018 Mount Olive Trip to the Dominican Republic with Helping Hands Unlimited
This is the trip registration page for the 2018 Mount Olive Summer Trip to the Dominican Republic. Before you start, please get out your passport. You will need some information from it. If you do not yet have a passport, when you do receive it, you can email your name (as on your passport), your passport number and the Date of Issue to rod@helpinghandsunlinited.org.

Information gathered from this form is being used to complete necessary paperwork for your trip. We will also add you to the Helping Hands Unlimited quarterly electronic newsletter (You can unsubscribe if you wish not to receive it.) Other than those items,your information will not be used for any other purpose and it will not be shared or given to anyone. If you have any questions, please send an email to rod@helpinghandsunlimited.org or call 765-730-3618.

Name and Contact Information
Please provide us your information as it is on your passport.
First Name *
Your answer
MIddle Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
E-mail address *
Your answer
Phone Number *
Your answer
Date of Birth *
MM
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DD
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YYYY
Gender *
What first name would you like us to call you?
You may have a nickname or use an abbreviated name you would like us to use.
Your answer
Passport Information
Passports are required. If you do not yet have one, you can skip this section. After you receive your passport, it is important for you to contact a group leader or Helping Hands Unlimited and give them your passport number, the issuance and expiration dates. Once you arrive in the Dominican Republic, you will need to give your passport to the team leader for safekeeping while you are there. Your passport will be returned to you as you enter the bus for the trip to the airport. No exceptions.
Passport Number
Your answer
Passport Date of Issuance
MM
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DD
/
YYYY
Passport Expiration Date
The expiration date of your passport cannot be before August 31, 2016 for you to go on this trip. If it before that date, you need to renew your passport before you can go.
MM
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DD
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YYYY
Special Information
Please let us know if you have any food allergies, medical needs, physical limitations or other information that will help us as we plan your trip. If none, please type in "None".
Your answer
T-shirt Size *
Emergency Contact Information
In the event that we need to contact someone back home while you are on your trip, please provide us with the following contact information. Please list someone who is not on this trip.
First Name *
Your answer
Last Name *
Your answer
Relationship to you *
Your answer
Phone Number *
Your answer
Alternative Phone Number
Your answer
If you have problems or questions filling out this registration, please give a call at 765-730-3618.
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