Which trip are you applying for?
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Name
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As it appears on Passport
First Name
Last Name
Email
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Phone Number
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(###)
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Birth Date
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MM
DD
YYYY
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Occupation
Which areas of ministry interest you most?
Medical
Construction
Teaching
Evangelism
Music
Children's Ministry
Student Ministry (Middle or High)
Please describe any allergies, dietary restrictions, or any pre-existing medical conditions
Name
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First Name
Last Name
Relationship
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Phone Number
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Email
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Have you ever participated on a mission trip? If so, where?
What is your main reason for wanting to serve on this mission team?
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In what ways are you currently serving in your church/community?
Languages Spoken?
I agree to give Legacy Church permission to use any photos or videos taken for publicity purposes.
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Yes, I agree
No, I do not agree
Please type your name below if you agree. I, the Undersigned, do hereby release and forever discharge Legacy Church from any and all claims for injury, illnesses or other damages I might have in the future as a result of my leaving the United States of America and visiting foreign countries, including my stay in any such foreign country, and travel to any such foreign country. I am eighteen (18) years of age or older, and this RELEASE is binding me and my Executor, Administrators and heirs. I further give Legacy Church or their representative with me on any such trip, authority to request medical and/or hospital treatment for my benefit in the event of any injury or sickness sustained by me while traveling to and from any foreign country.
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Please describe your testimony below
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TEAM PROMISE: Please sign below if you agree. I affirm that I will represent Christ and my church according to Philippians 2:1-5, making much of Jesus, less of myself, caring for others, and not grumbling or complaining.
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