The King's Project Registration Form

In Case of Emergency
Emergency Contact*

First NameLast Name
Emergency Cell Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Email*
example@example.com

Financial Indemnity
I/We plan to pay for the entire trip cost.I/We plan on raising as much as possible in support, but will pay for any remaining balance.I/We plan on raising funds to cover 100 percent of the entire trip cost and have no other options in place to cover any remaining balance.

Acknowledgments
This PSWM mission team is categorized to have a medium level of strenuous activity levels, advanced ministry, and location requirements. Participants of this mission must be willing and able to share the gospel and their testimony to others, physically able to walk for extended periods of time, up to 5 miles per day, over even and uneven surfaces with some steps, inclines and unpaved terrain. Participants of this mission must be willing to commit to attending 100 percent of scheduled trainings on culture and ministry tactics.
YesNo
Should be Empty:

Rows	Yes	No
Do You Have Any Specific Health Conditions or Medical Issues That Provide Challenges to Normal Daily Life?
Are You Taking Any Medications That Provide Challenges to Normal Daily Life?
Do You Have Any Serious Allergic Reactions That Provide Challenges to Normal Daily Life?
Do You Have Any Dietary Restrictions That Provide Challenges to Normal Daily Life?
Are You Physically Unable to Walk for Extended Periods of Time, Up to and Including, at Minimum, 5 Miles per Day, Over Uneven Surfaces with Some Steps, Inclines and Unpaved Terrain?

PSWM Mission Team Registration Form