Mission Trip Application for Cancun, Mx and/or Limatambo, Peru 2025

Mission Trip Application 2026

Making a difference, one person-one experience at a time.
Cancun,Mexico April 10-18,2026 Limatambo,Peru Oct 8-18, 2026
Starfish Ministry of Texas, Glynna Reser 830-446-9342

215 W Bandera Suite 114-261

Boerne, Tx 78006

Starfishministrytx@gmail.com
Name
As it appears on your passport
What name do you go by?
Address
City
State/Province
Zip/Postal Code
Country
Mobile Phone
Email
example@example.com
Country of Birth

USACanadaMexicoOther
Do you hold a current CPR Certification?
Gender
Date of Birth

MonthDayYear
Date
If you will be serving in the capacity of an Angel (non-dental/medical). What would you identify has your interest/strengths? Check all that apply.

Glitter Heaven (Crafts working with children)VBSElectrical- MechanicalBuilding- ConstructionComputer- ITHelping the medical/dental where needed (no experience required)Accessing Vitals (blood pressure- pulse- tempature)Praying- Witnessing with the peopleHelping "move' the patients from one station to the next
Church Affiliation
Which trip are you applying for:

Cancun Mx, 2026 Total Cost $1400.00Limatambo, Peru (Casa del Aguila) October 8-18th, 2026 $1800.00 (doesn’t include the round trip flight from your home to Lima. LIM
If you are a licensed healthcare professional, please check all that apply

DDSRDARDHPhysicianRN-LVNNPMed TechOther
Health
How would you explain your overall health
Do you have any respiratory problems?
Do you have diabetes?
Do you have High Blood Pressure?
Do you have any Physical Limitations?
Please explain
If Yes, what are your limitations?
Please list all medications you take on a daily basis. All info is confidential.
Spiritual Life
Our mission trips offer many opportunities to share the Lord with others. Please write a brief testimony of your Christian life. Include a description of your past and present relationship with Jesus Christ.
a.What do you see as your strongest character quality? Why?
b.What do you see as your weakest character quality? Why?
c.Describe how you normally resolve conflicts in your family and close relationships?
d.Describe how you normally resolve conflicts in your family and close relationships?
3.What are some of the gifts and abilities you feel the Lord has given you to share with others? e.g. music, spiritual gifts/insights, working with children, interactive games, languages, health/care, etc
4.What are some concerns or fears you have about going on a mission trip?
Mission trips are tremendous opportunities to be ambassadors of Christ, witnesses to the presence of God in our world. Clinics are set up in schools, under tarps, on soccer fields. Team members must be ready to serve in any condition. Participants must be willing to set aside personal preferences including dress and lifestyle. Our choice of clothing and behavior appropriate to the culture and situation will help us reflect Christ as we serve.
APPLICATIONS MUST INCLUDE A $250.00 Non-Refundable DEPOSIT
PLEASE MAKE CHECKS PAYABLE TO:

Starfish Ministry of Texas – CANCUN MISSION

Also Paypal, Venmo are accepted. All accounts under Starfish Ministry of Texas

Credit Card can be used on www.starfishministrytx.org One time 3% will be charged to cover convenience charge. (40.00)

PLEASE READ THE FOLLOWING STATEMENT CAREFULLY BEFORE SIGNING.

By signing below, I signify that all the information on this Mission Trip Application Form is true to the best of my knowledge.

My signature also signifies that my knowledge. My signature also signifies that I agree to abide by all Starfish Ministry of Texas policies and conduct guidelines. I understand that not following these policies and conduct guidelines could result in probation, early termination and/or subsequently be sent home early at my own expense.

I understand that the Mission Trip Planners staff would make this type of decision and that I would need to abide by their decision.
Signature

Powered by Jotform SignClear
Parent/Guardian Signature (if under 18)
MonthDayYear
Date
For questions or more information:

Glynna: 8304469342; Starfishministrytx@gmail.com

Elvia: 8304310653; emagarcia03@yahoo.com
MonthDayYear
Date
Should be Empty:

Mission Trip Application 2026

Cancun,Mexico April 10-18,2026 Limatambo,Peru Oct 8-18, 2026

Health

Spiritual Life

APPLICATIONS MUST INCLUDE A $250.00 Non-Refundable DEPOSIT