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Mission Trip Application
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Mission Trip Application
1
Mission Trip Application
Full Name
as printed on passport
Date of Birth
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Cell Phone
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Email
email
Passport Number
Expiration Date
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Present Address
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City
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State
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Zip Code
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Emergency Contact Name
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Relation
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Emergency Contact Phone
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Emergency Contact Email
a valid email
email
Beneficiary
if different from Emergency Contact
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Relation
Your relationship to beneficiary
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Trip Information
Intended Trip Location
Start Date
date_range
End Date
date_range
Sponsoring Agency
if applicable
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Trip Leader Name
Medical Information
Physician Name
Physician Name
Please list any allergies
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/
Please describe any medical conditions
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Please list any medications
0
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Health Insurance Company
Phone Number
Policy Number
Acknowledgements
Select all that Apply
This is my first mission trip
This is my first international mission trip
To the best of my knowledge, all information in this application is true, correct & complete
In case I am unconscious or otherwise incapacitated, I hereby give Hope Point Church or one of its representatives and all attending healthcare providers permissions to initiate medical treatment on my behalf as deemed medically necessary
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Hope Point Church - Spartanburg, SC
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