Total # in Group
# of Males
# of Adults (age 19+)
# of Females
# of Youth (age 7-18)
# of Children (age 0-6)
What are your travel arrangements? Driving to Harlingen Flying to Harlingen Flying to Other (please specify) Other (please specify) --Please Select--
If "Flying to Other" or "Other", please specify here:
Airline
Is your group interested in a construction project? -- Yes No (Please contact us regarding the type of project you are interested in.)
Does anyone require medical care or medication? --Please Select-- Yes (please specify) No
Does anyone require a special diet or have food allergies? --Please Select-- Yes (please specify) No
Are there special areas of ministry in which you would like to be involved (puppets, dramas, etc.)? --Please Select-- Yes (please specify) No
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.
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.)