Sister Parish Inc. Delegate Application and Health Form
Please fill out the following form.

Contact delegations@sisterparish.org with questions or to confirm we received your application.
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Email *
Delegation Destination
Delegation Dates
Name of Church or Group
If you are traveling with an open delegation, then write "Open Delegation"
Full Name (note: must match passport)
Passport Number (required)
Permanent Address (Street or P.O. Box)
City
State
Zip Code
Temporary Address (if applicable)
Please also write dates for which the temporary address is effective
Phone Number
Alternate Phone Number
Email
Instagram (if you have an account)
Facebook (if you have an account)
Gender / Pronouns
Birthdate (Month/Date/Year)
MM
/
DD
/
YYYY
Profession or Education
Have you ever traveled in Central America?
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Do you speak Spanish?
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Do you speak Spanish and, if so, how well?
Spanish is not necessary to participate - this helps us coordinate interpretation as needed.
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Are you a citizen of the United States?
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If NOT a U.S. citizen, will you secure necessary documents for travel to Central American countries included in group itinerary and to RETURN to U.S.?
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Are you a strict vegetarian? (if you are vegan, please click vegan)
Note: Vegetarian and vegan diets are not very common in Central America.  You may be offered meat or meat-based broth even though staff will explain that you don't eat meat. There may not be a wide variety of alternate options.
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Can you eat eggs and beans?
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Do you have any food allergies or special food needs? Please explain below.
(i.e. allergies to peanuts, flour,  eggs, or do you have a medical condition that would require a strict diet of low fat, low  salt, low sugar, low carbohydrates, etc.) In some cases, a strict diet may be very hard to  follow in the community due to  limited food options. Would that be okay for a few days?
Please describe any medical or emotional conditions or physical limitations that the delegation leaders should be aware of:
(i.e. can you walk unassisted for up to 30 minutes, are you on a strict schedule for taking medications, do you have anxiety attacks, do you have severe travel sickness, do you suffer from seizures, do you have any severe allergies that may require immediate medical attention?)
List any moderate to severe allergies that you have, including animals and medications to which you are allergic:
(ie. allergic to cats, allergic to penicillin, etc.)
List your most recent COVID-19 vaccination and the approximate date administered. Contact us with any questions regarding vaccination.
List your most recent COVID-19 vaccination and the approximate date administered.
Contact us with any questions regarding vaccinations. If you are unvaccinated, please reach out to us for a conversation.
List ALL MEDICATIONS that you are taking:
(include dose and frequency of administration)
Travel health insurance (or regular health insurance that covers you in Central America) is required. If you have that policy information already, please enter it here. We will ask for a copy of your insurance card before the delegation.
Is there any other information staff should know?
Emergency Contact 1
Please list name, relationship to you, and day and evening phone numbers.
Emergency Contact 2
Please list name, relationship to you, and day and evening phone numbers.
Does Sister Parish have your permission to publish photos of you participating in the delegation?
The delegation group will also talk about preferences and permissions.  If you are traveling with a church, Sister Parish will follow that church's policy.
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Can we add you to the Sister Parish mailing list and e-news?
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