Mission Trip Participation Form

Trip Destination(Required)

Name (as it appears on your passport)(Required)

Date of Birth(Required)

Passport #(Required)

Passport Country(Required)

Expiration Date(Required)

SWBTS ID(Required)

Are you a current student?

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Email(Required)

Phone

Cell Phone

Local Church

Is this church part of the SBC?

Please list all allergies (food and medicinal)

Emergency Contact (not on the trip)

Relationship

Emergency Contact Phone

Emergency Contact Email

Consent(Required)

I agree to the following policies.

I will submit the non-refundable deposit designated for the specific trip (required to secure a spot on the team) to the WMC.
I will read the WMC Mission Trip Handbook and adhere to the contents within
I will submit the Release and Hold Harmless Agreement form to the WMC
I will submit the Medical Power of Attorney form to the WMC
I will submit the Team Fund Agreement form to the WMC and agree to submit funds per the attached schedule
I will submit a copy of my passport to the WMC
I will personally handle all requirements necessary to secure my travel visa, should I need one to go on this trip
For IMB affiliated trips, I will get a background check
For IMB affiliated trips, I will watch the Child Protection Training videos
I will inform the trip leader that I would like to enroll in course(s) affiliated with this mission trip
I commit to support raising the total amount of funds for the trip
I commit to participate in pre-trip preparation and all team meetings prior to departure, while on the trip, and after returning
I commit to sharing my experience with my church upon my return

Consent(Required)

I agree to the electronic signature policy.

Submitting this form is your confirmation that the form you have filled out is your own work and the information is factually true. Once you submit, this will count as your electronic signature.