Mission Trip Registration

RISE High School: Kansas City Mission Trip

RISE is heading to Kansas City, Missouri for a week to do mission work there.

Trip Dates:

7/28/2024 - 8/3/2024

Trip Cost:

$775.00

Deposit Due:

$150.00

*First Name:

*Last Name:

*Country:

*Address Line 1:

Address Line 2:

*City, State, Postal Code:

*E-mail Address:

*Phone:

Additional Information

Please fill out the application below.

*Do you have a passport?:

YesNo

First Name as shown on passport:

Middle Name as shown on passport:

Last Name as shown on passport:

Suffix as shown on passport:

Passport Number:

Expiration Date:

*Gender:

*Date of Birth (mm/dd/yyyy):

*Emergency Contact 1: Name and Phone #:

Emergency Contact 2: Name and Phone #:

*Health Insurance Provider:

*Policy Number:

*Full Name of the Insured:

List any medical restrictions/disabilities.:

List medical care received in the last 12 months.:

List allergies (including food):

List history of any major illness or surgery.:

What medicine are you currently taking?:

*Are you pregnant?:

YesNo

If pregnant, how far along?:

*Why do you want to participate in this trip?:

*How do you want to grow from this trip?:

*Describe how you came to Christ?:

*What are your spiritual gifts?:

Seeing others as better than myself, I will seek to serve the team and not be served. I recognize that this is a mission and not a trip or vacation. As such I will follow leadership to complete the mission we are on with a heart geared to serve. I believe God has ordained a purpose for me to bring His love, healing, and blessing to the team and to the ones we are sent to serve. I will be a man or woman of peace that seeks the desires of my neighbor before my own. :

*Digital Signature - Team Covenant:

I understand that by completing and turning in this application that I am applying to be a member for the above stated mission trip. Completion of this application does not guarantee my acceptance as a member of the mission team for which I am applying. As a volunteer under Rocky Mountain Calvary, I recognize that the cost of the trip includes: pre-trip planning expenses, food, lodging, and airfare, but does not include money for obtaining a passport, vaccinations that you may need, or for souvenirs and snacks. :

*Digital Signature - Financial Agreement:

I understand that all monies donated to this Mission Trip are non-refundable, including the $200 deposit. Any money raised above the total cost for this Mission Trip will be applied towards general trip expenses and cannot be refunded.

*Digital Signature - Non-refundable funds:

*Digital Signature (First, Middle Initial, Last):

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Mission Trip Registration

RISE High School: Kansas City Mission Trip

Additional Information