Honduras - MVC Mission Trip 2024 Final

Honduras - Mission Trip

Registration Form
The mission trip to Honduras will take place from December 6 to 16 in La Ceiba. During the trip, we will preach at 10 locations and serve the community through medical and eye clinics, vacation Bible school, and church building construction.

A non-refundable deposit of $350 is required at registration and will be added to the total participation fee. You must pay $1,200 by September 15, with the remaining $1000 due by October 15.
How many people are you registering?
Participant 1
Full Name As it Appears in your Passport*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date of Birth
Passport Number*
Participant 2
Full Name As it Appears in your Passport*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date of Birth
Passport Number*
Participant 3
Full Name As it Appears in your Passport*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date of Birth
Passport Number*
Participant 4
Full Name As it Appears in your Passport*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date of Birth
Passport Number*
Participant 5
Full Name As it Appears in your Passport*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date of Birth
Passport Number*
Participant 6
Full Name As it Appears in your Passport*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date of Birth
Passport Number*
Participant 7
Full Name As it Appears in your Passport*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date of Birth
Passport Number*
Participant 8
Full Name As it Appears in your Passport*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date of Birth
Passport Number*
Participant 9
Full Name As it Appears in your Passport*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date of Birth
Passport Number*
Participant 10
Full Name As it Appears in your Passport*

First NameMiddle NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date of Birth
Passport Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
example@example.com
Do you have any dietary preferences? e.g. vegetarian, vegan, gluten free, etc...

Online Payment

$350 (Deposit + credit card fee 3%)

$360.50 Quantity

$1,200 (Partial Participation fee + credit card fee 3%)

$1,236.00 Quantity

$2,200 (Full Participation fee + credit card fee 3%)

$2,266.00 Quantity

Total

$0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

What area would you like to help with? (First Choice)

PreachingEye ClinicMedical ClinicDental ClinicConstructionVacation Bible School
What area would you like to help with? (Second Choice)

PreachingEye ClinicMedical ClinicDental ClinicConstructionVacation Bible School
Name person you would like to room with.
Please list the names of those you are paying for.
Comments or questions:
Should be Empty:

Honduras - Mission Trip

The mission trip to Honduras will take place from December 6 to 16 in La Ceiba. During the trip, we will preach at 10 locations and serve the community through medical and eye clinics, vacation Bible school, and church building construction.

A non-refundable deposit of $350 is required at registration and will be added to the total participation fee. You must pay $1,200 by September 15, with the remaining $1000 due by October 15.

Participant 1

Participant 2

Participant 3

Participant 4

Participant 5

Participant 6

Participant 7

Participant 8

Participant 9

Participant 10