2010-2011_Registration

Name		Is this an individual or group registration?	Individual Group
Address
Phone #		Total # in Group
E-Mail Address		# of Males	# of Adults (age 19+)
If this is a group registration, please complete the following:		# of Females	# of Youth (age 7-18)
Church E-Mail Address		# of Children (age 0-6)
Pastor's Name			← Please enter your group's names here!
Group Leader Name		Which event are you registering for?
Group Leader Address
Home Phone #
Cell Phone #

What are your travel arrangements?		If "Flying to Other" or "Other", please specify here:
What date will you arrive?	Time?	Flight #	Airline
What date will you depart?	Time?	Flight #	Airline


Is your group interested in a construction project? (Please contact us regarding the type of project you are interested in.)

Does anyone require medical care or medication?		Does anyone require a special diet or have food allergies?
Are there special areas of ministry in which you would like to be involved (puppets, dramas, etc.)?
What are you asking the Lord to do for you during this trip?		How would you like us to pray for you or your group?



Please list anything else that we need to be made aware of in order to plan for you or your group.


Many times, there are individuals that come to serve with us who have special skills that we can utilize while they are on the mission field. Please let us know if you or anyone in your group is trained or has experience in the following:		Medical Personnel Carpenters Electricians Painters Vehicle Mechanics Farmers Pharmacists	Advanced Computer Skills Plumbers Heating/AC Masonry Tile Setters Musicians Spanish Speakers

If you would like to pay by credit card, please return to this form after you submit and click the Pay Pal button below. (Please note that Pay Pal charges us approx. 3% to receive funds through their service, so please add sufficient funds to the cost of your trip to off-set this cost.)