• Image field 13

  • Trip Participant Personal Information

  • Format: (000) 000-0000.
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year

  • Emergency Contact Information

    Please identify an emergency contact for the above particpant who will be reachable in the United States at the time of the trip.
  • Format: (000) 000-0000.

  • Emergency Medical Information

    Please provide your medical insurance information, as well as other information that will be important in the event of an emergency.

  • Personal Information

    We want this to be a positive experience for you. We will do our best to accommodate to the best of our abilities. To help us with roommate assignments, meals and supporting your overall well-being please complete the following form.
  • Sleep (please check all that apply to you)
  • Dietary (please check all that apply to you)

  • * Gluten free items are not always readily available. You may be asked to bring some of your own gluten free items.

  • Do you get motion sickness?
  • Are you sensitive to smells?

  • Our days are long, hot, potentially physically and emotionally draining. Many of the people we work with have experienced challenging circumstances. This could be triggering for some people. Please let us know at any time if you need additional support or adjustments made to the tasks or projects you are assigned.

  • Photo Release Agreement

  • I give Traveling with a Purpose (TAP) permission to photograph, video, or otherwise record me while participating in TAP trips, events, activities, and programs.

    I authorize TAP to use and publish photographs, video, audio, or other recordings that include my image, likeness, or voice for purposes related to the organization, including its website, social media, newsletters, promotional materials, presentations, fundraising, educational materials, and other print or digital communications.

    I understand that these materials may be shared publicly and may include my name when appropriate. I understand that I will not receive compensation for the use of these materials and waive the right to inspect or approve the finished materials in which they appear.

    I understand that TAP will make reasonable efforts to use photographs and other media in a respectful manner consistent with its mission.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • Social Networking Risks, Privacy, Safety and Code of Ethics Guidelines:

  • I understand that protecting the privacy, dignity, and safety of the children, families, and individuals we encounter while volunteering with Traveling with a Purpose (TAP) is extremely important.

    I agree to be respectful and thoughtful when taking photographs or videos and understand that not every person, interaction, or situation is appropriate to photograph. I will follow any photography or privacy restrictions established by TAP, its partner organizations, children's homes, schools, community organizations, or other service sites we visit.

    I understand that particular care must be taken when interacting with and photographing children, especially children living in children's homes or other residential care settings. A child's presence at a children's home, their personal circumstances, family history, or other information about why they are receiving care is private and should never be disclosed through photographs, captions, social media posts, or conversations without appropriate authorization.

    I will not photograph, record, post, share, or distribute content that could compromise an individual's privacy, dignity, or safety. I will not share full names, personal information, specific location information, personal histories, or other identifying details without appropriate permission. Photos and videos should always portray individuals respectfully and with dignity and should never exploit, embarrass, demean, or unnecessarily expose someone in a vulnerable situation.

    These expectations apply to all TAP trips, service locations, children's homes, partner organizations, community activities, and excursions. I understand that individual sites may have additional or more restrictive photography and privacy requirements, and I agree to follow those requirements at all times. I am responsible for following these expectations when using my personal phone, camera, social media accounts, messaging platforms, or any other means of capturing or sharing content.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: