2025 Appalachia Mission Trip Registration

2025 Appalachia Mission Trip Group Registration
Team Name*
Church / School / Other
Mailing Address - Please indicate if you have a PO Box. (This address is what will be used to mail your Welcome Box and Team Member T-shirts.)*

Street Address or PO Box

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Individual Who Is Registering the Team*

First NameLast Name
E-mail*
Phone Number*
Will the above Individual also be the Group Leader?*

YESNO
If NO, please give the information for the Group Leader that will be traveling with the team and the contact for our staff.

First NameLast Name
E-mail
Phone Number

ADDITIONAL GROUP LEADERS
The following section is for teams with MORE THAN ONE Group Leader. Please give us the name and email address for any additional people you would like to add as a Group Leader and have access to Mission Trip Information. Please mark them as "Traveling" or "Not Traveling."

Ex. Church Finance Directors or Missions Pastors not traveling with the team but needing to know mission trip details.
Group Leader #2 Information

First NameLast Name
Group Leader #2 Email
Will Group Leader #2 be traveling with the team? Check all that apply.

Traveling with the Team and needs Mission Trip InformationNot Traveling with the Team but needs Mission Trip InformationTraveling with the Team and in charge of the Mission Trip FinancesNot Traveling with the Team but in charge of the Mission Trip Finances
Group Leader #3 Information

First NameLast Name
Group Leader #3 Email
Will Group Leader #3 be traveling with the team? Check all that apply.

Traveling with the Team and needs Mission Trip InformationNot Traveling with the Team but needs Mission Trip InformationTraveling with the Team and in charge of the Mission Trip FinancesNot Traveling with the Team but in charge of the Mission Trip Finances

MISSION TRIP DATES & GROUP SIZE
Arrival Day*

MonthDayYear
Open September - December 2025.
Departure Day*

MonthDayYear
Minimum is 6 days, travel days included. Arrive or Depart at any time of day, allowing as much time as you would like for ministry.
Estimated Group Size*
Minimum is 10 participants as of 1/23/25. Please choose a NUMBER instead of a range, as Finance Statements will start with the number you register for.

FOR GROUPS RETURNING TO APPALACHIA
For Groups Returning to Appalachia

If you are interested in serving with your previous church or ministry partner, please let us know!
Partner Church/Ministry Name and Location
Partner Church Pastor's Name
Requested Thirst Missions Staff
(Staff Requests are Subject to Availability)

APPALACHIA MISSION TRIP LODGING OPTIONS AND INSURANCE
Appalachia Mission Trip Lodging Options and Insurance
Lodging*
Insurance*
Insurance Information can be found on our website and must be purchased for the entire team, not individuals.

Appalachia Mission Trip*

Team Registration Fee

$499.00 Quantity

Total

$0.00

FINAL AGREEMENT OF STATEMENTS AND POLICIES
On behalf of myself and the organization registering, I have read & agree to the statements and policies listed above.
Please Sign*
Please Print Your First and Last Name*
Should be Empty:

2025 Appalachia Mission Trip Group Registration