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header is fixed, this is fills gap - no delete
Missions Trip Registration Minors

This form should be completed by a parent or legal guardian of a missions team applicant who is under age 18.

You may only apply for trips that are currently open for registration.
Team Member's Legal Name *
Team Member's Legal Name
For international trips, this must match your name as it appears on the trip participant's passport.
Parent or Legal Guardian's Name *
Parent or Legal Guardian's Name
The person who is completing this form.
Home Address *
Home Address
Date of Birth *
Date of Birth
Parent or Legal Guardian's Primary Phone *
Parent or Legal Guardian's Primary Phone
Team Member's Phone
Team Member's Phone
Emergency Contact *
Emergency Contact
Must be a person not going on the trip.
Emergency Contact's Mobile/Primary Phone *
Emergency Contact's Mobile/Primary Phone
Emergency Contact's Home/Secondary Phone
Emergency Contact's Home/Secondary Phone
Emergency Contact's Work Phone
Emergency Contact's Work Phone
I understand that a place on this team will not be held until this completed form is submitted and the non-refundable, non-transferrable $200 deposit is paid. *
I understand the payment scheduled and am committed to meeting these dates. I understand that contributions from myself and others are non-refundable and non-transferrable to other trips or team members. *
I understand that I must complete and sign a required Temporary Guardianship Form if neither parent is traveling with this child. *
I understand that parents or legal guardians of minor children are required to complete a Parental Consent & Minor Authorization Form and give it to the team leader. The team leader brings the original (all pages) on the trip for verification. This form is NOT valid if completed by the child traveling. This form must be signed by both parents (as applicable) or the legal guardian in the presence of a notary. *