U.S. Mission Trips: Group Registration

 

All fields required.

  Group / Organization
Name:
   
  Contact Person
First Name:
Last Name:
Street:
City:
State:
ZIP Code:
Home Phone: ( x-xxx-xxx-xxxx )
Work Phone: ( x-xxx-xxx-xxxx )
Cell Phone: ( x-xxx-xxx-xxxx )
Fax: ( x-xxx-xxx-xxxx )
   
  Email Address ( enter full email twice, exactly, to confirm ):
Email:
( twice )
   
Question How did you hear about World Vision's U.S. Mission Trips?
Answer I've been on a World Vision U.S. Mission Trip before
I heard about it from a friend
I received an email from World Vision
I saw it on the World Vision website
I received a World Vision pamphlet in the mail
Other
   
  Estimated group size
Adults: ( ages 18 and older )
Youths: ( ages 11-17 )
Children: ( ages 5-10 )
   
Question Which one applies to your team:
Answer Multi-Generational
Adult
Jr. & Sr. High Youth
Sr. High Youth
Family
   
Missions Select one of the available mission weeks or
request a custom mission week for the spring or fall.
A minimum of 15 participants are required for spring and fall custom mission trips:
Option 1
Option 2 Request spring trip
Option 3 Request fall trip
   
  After World Vision receives your online application,
we will contact you to confirm that space is available
and to provide details on sending your deposit.
A nonrefundable deposit of $50 per person is required
to guarantee your mission trip spots.
   
  Organization Contact Person E-signature:
Name:
Date: ( mm-dd-yyyy )