Trip Registration Group Form

  • MM slash DD slash YYYY
  • Church Information

  • Examples: FB Youth Group, Union Men's Ministry, College Disciples, etc....
  • Group Leader Information

  • MM slash DD slash YYYY
  • Date you gave your life to Christ.
  • General Information

  • Tell us about your group, why you are heading out into the mission field and what you hope to accomplish.
  • In order to help us plan we need a list of each person going on this trip.

    For each individual please give us Name, Birthdate, Address & Phone Number.
  • Trip Deposits

    If you are not able to make the trip, your deposit will be donated to the ministry to help send others.