Team Registration

Name *

First

Last

Email *

Address

Best Contact Phone # *

Alternate Phone #

Profession

Home Church/Organization (Name and Location)

Please describe any of your missions and/or foreign travel experience. *

Briefly describe your relationship with Jesus *

What goals, as a Team Leader, do you have for your team? *

First Choice of Mission Trip date: *

Second Choice of Mission Trip date:

Special requests regarding your team’s mission trip arrival/departure dates:

Please specify the types of projects in which your team may be interested/suited to participate:

If your team has a specific project planned, please describe.

Please list any relevant team member expertise.

Do you have any fundraising events/activities planned, and if so, please list.

Additional Comments

Name

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