Name *

First Name

Last Name

Phone *

(###)

###

####

Birthday *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Declaration of Faith *

Jesus Christ is my Lord and Savior and I can't wait to tell others about Him!

Flexibility *

Please check this box to indicate you understand the possible conditions associated with the mission trip: waking up early, staying up late, inconsistent meal schedule, sharing bedrooms with air mattresses, sharing bathrooms, bumpy roads and aggressive traffic, being out in the sun or rain, narrow winding mountain roads, intermittent power loss, intermittent water loss, mild recurring earthquakes (in Guánica) and of course, being surrounded by people who are speaking Spanish, just to name a few.

I understand and agree to remain flexible.

Prejudice *

On our mission trips, we are not Republican or Democrat; liberal or conservative; Baptist, Methodist, Presbyterian or any other denomination - we are children of Christ, the family of God. There is no room for racism, sexism, agism or any other prejudice. The people we are serving are to be viewed with one perspective only: the prize of Christ.

I understand and agree there is no place for prejudice thoughts or behavior.

COVID Testing *

I understand that a negative COVID test is required prior to travel to Puerto Rico. I will schedule a test for 7/3/2021 at a PCR testing location.