Application Waters Peru Trip 10-27-22

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Family or Small Group

Peru Mission Trip

Flexible Start & End Dates

The typical cost of a 10-day stay is $1,450.00.

(Air Travel from your home airport to/from Cusco, Peru is not included)

If you have not contacted Jeff at Let Love Int'l to confirm the availability of your desired dates, please do so before you complete this application.

Jeff@letlove.us

or

401-481-2256
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I Am Completing This Application Because:* This field is required.
I am part of a Small Group or Family.
I am traveling alone.
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Full Name* This field is required.As it appears on your passport.
First Name
Middle Name/Initial
Last Name
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Preferred NameName as you would like to be called if different from above.
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I will make my travel arrangements to arrive in Cusco (CUZ) no later than 1:30 PM on the intended arrival date. Please enter the date you will be coming below.Please enter the date you will arrive in Cusco
Date
Month
Day
Year
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Date of Birth* This field is required.
Date
Month
Day
Year
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Gender* This field is required.
Male
Female
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Address* This field is required.
Street Address
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Afghanistan
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The Bahamas
Bahrain
Bangladesh
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Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
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Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
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Estonia
Ethiopia
Falkland Islands
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Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
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Laos
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Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
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Sri Lanka
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eSwatini
Sweden
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Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
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Uzbekistan
Vanuatu
Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
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Zimbabwe
Other
Country
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Passport
Number
Expiration Date
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Phone Number* This field is required.
Area Code
Phone Number
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Relationship Status
Single
Married
Other
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Email* This field is required.
example@example.com
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What is Your T-Shirt Size?* This field is required.This is for your Waters Church T-Shirt
X-Small
Small
Medium
Large
X-Large
XX-Large
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What is your preferred method of communication?* This field is required.We ask that you check your email frequently for our communications - email is our preferred method.
Email
Telephone
Text
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Emergency Contact #1* This field is required.An Individual in the USA not Traveling with You.
Name
Relationship
Complete Address Including State and Zip
Telephone
Email
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Emergency Contact # 2* This field is required.An Individual in the USA not Traveling with You.
Name
Relationship
Complete Address Including State and Zip
Telephone
Email
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Health Questions* This field is required.If you do not have Health Coverage, please enter "NONE"
Health Care Provider
Policy Number
Primary Physician
Physician's Phone
List any Allergies (Food, Medicine, etc) OR respond "NONE".
Are You in Good Health? Respond either YES or List any Serious Health Issues
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Do you have or have you ever been under a doctor's care for heart problems, diabetes, depression, breathing problems, difficulty in walking, back problems or any other serious illness? If "Yes" explain. If "No" mark "No"* This field is required.Please describe or indicate "no".
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Please list any psychological challenges, addictions, medical issues or medications, that we should be aware of, or respond with "None".* This field is required.
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Please tell us why you would like to join this trip?* This field is required.
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Have you ever been on a Service/ Mission Trip?
YESNO
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Where and When? * This field is required.If no, please enter N/A.
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Do you speak languages other than English, if yes please list them and tell us how fluent you are. (Please write "No" if English only.)* This field is required.
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Skills* This field is required.Please check all that apply.
Dental
Medical
Nursing Medical
Music Talent
Sing
Guitar
Drums
Keyboard
Elderly
Children
Special Needs
Face Paint
Photography
Video
Social Media
Organize
Fundraise
Teaching
Computer Skills
None of the Above
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More Skills* This field is required.Please check all that apply.
Carpentry
Electrical
Masonry
Plumbing
Agricultural
Roofing
Heavy Equipment Operator
Construction
Painting
None of the Listed Skills
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Additional Skills and Experience* This field is required.Did we miss anything?
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Spiritual Background* This field is required.Please write a few sentences.
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Are you willing to engage in the whole trip as a team member approaching new situations openly, honestly, and respectfully? * This field is required.
YesNo
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What interests you the most about this trip?* This field is required.
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How did you hear about the trip?* This field is required.
Waters Church
Flyer
Friend
Social Media
Let Love Presentation
Other
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Name of Friend* This field is required.From "How did you hear about us?"
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If you are a member of Waters Church, please check all that apply:Only Members of Waters Church
Waters is my Home Church
I serve regularly
I am a Serve Team Member
I attend a small group
I am new to Waters Church
I attend a different church
I am a Small Group Leader
I tithe to Waters Church
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Which Campus are you a member of?If Applicable
North Attleboro, MA
Norwood, MA
Woonsocket, RI
Fall RIver, MA
Guatemala, S.A.
Apollo Beach, FL
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Terms and Conditions* This field is required.Click on the link below to view the terms & conditions of this trip. (Return to this page and Accept if you agree)
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Signature* This field is required.Please sign to accept the Terms & Conditions by using your mouse (Computer) or finger (Other Devices)
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$250.00 Non-Refundable Application Fee* This field is required.DEPOSIT IS REFUNDABLE DURING THE FIRST 30-DAYS.
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