Service Trip Registration

Service Trip Registration
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Have you ever been on a TAP trip?

YesNo
Role during TAP trip?

Team MemberTeam Leader
For questions or more information, please email info@travelingwithapurpose.org.

The trip deposit of $400.00 can be paid via:
- Check made out to “Traveling with a Purpose” and mailed to: 808 Carmichael Rd #234, Hudson, WI 54016
- Electronic payment: https://www.zeffy.com/en-US/ticketing/traveling-with-a-purpose-trip-payments
Please check all of the boxes:

I have read the Jamaica Service Trip Information Document and understand and agree to the requirements.I understand that I need to obtain my own passport, airfare, and travel medical insurance. Travel insurance is also strongly encouraged (separate from travel medical insurance).I understand that all team members must participate in ALL of the online training sessions prior to the trip.I understand that I will be required to undergo a background check.
Not all charges and/or convictions on your background check will eliminate you from being eligible for our trips. Please describe anything that we may find on your background check.
I have done some preliminary research and the approximate airfare cost for my flight to the airport in Montego Bay, Jamaica is:
$
Dates of Trip
Participant Name Printed
Participant Signature

Clear
Date

MonthDayYear
Date
Should be Empty: