Mission To Mexico, Sign Up

If you are coming on a trip please fill out the following information in order for us to get to know you and better place you in our upcoming trip.

In addition we ask that you fill out the waiver of liability, which contains important information in case of an emergency. Link

please provide the following contact information:

church name
first name
last name
street address
address (cont.)
city
state/province
zip/postal code
country
primary phone	(xxx) xxx-xxxx
other phone	(xxx) xxx-xxxx
e-mail

what group are you coming with?

please provide emergency contact information.

contact first name
contact last name
relation to contact
street address
address (cont.)
city
state/province
zip/postal code
country
cell phone	(xxx) xxx-xxxx
home phone	(xxx) xxx-xxxx
e-mail

tell us a little about yourself

have you ever been on mission trip before, if yes please describe?

age (optional if over 35)

gender

male female

please rate your fluency of spanish (1 being lowest 10 being fluent)

please tell us some of your talents or abilities, so we can put you to work.

revised: 04/2008