Peru Family & Small Gp, Non-Waters Trip

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Family or Small Group

Peru Mission Trip

Flexible Start & End Dates

The cost of this trip is $1,450.00

(Air Travel from your home airport to/from Cusco, Peru (CUZ) 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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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 be in Cusco (CUZ) no later than 1:30 PM on Saturday. Please enter the Saturday you will be arriving below.Please enter the date you will arrive in Cusco
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Date of Birth* This field is required.YYYY-MM-DD Format
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Gender* This field is required.
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Christmas Island
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Namibia
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Paraguay
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Poland
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Romania
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Samoa
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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
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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
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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
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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 emotional 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.
Church
Flyer
Friend
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Let Love Presentation
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Name of Friend or Church* This field is required.From "How did you hear about us?"
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Optional Two Day Tour of Machu Picchu & The Sacred Valley This option will extend my stay by two days. Details may be found at "UPDATES on the Trip Webpage.
I am Interested
I am Not Interested
Type option 3
Type option 4
Other
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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)
Clear
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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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