2025 Student VT Costa Rica

SportQuest Costa Rica Vision Trip Registration

Welcome to your SportQuest Vision Trip to Costa Rica! Please complete this registration form by January 10th. If you have any questions, please email Miki Montoya at miki.montoya@sportquest.org. Thank you!
Part 1: General Information

If you are under 18 you need to fill out this registration form with a parent. If you are over 18 you need to individually fill out this registration form.
Full Name:*

First NameLast Name
Cell Phone:*
Email:*
example@example.com
Date of Birth:*

MonthDayYear
Date
Gender:*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have a current passport?*

YesNot YetAlready applied and it's currently in process
What is your T-shirt size? (adult men's sizes)*

XSSMLXL2XL3XL
Father's Full Name

First NameLast Name
Father's Email
example@example.com
Father's Phone Number

Area CodePhone Number
Mother's Full Name

First NameLast Name
Mother's Email
example@example.com
Mother's Phone Number

Area CodePhone Number
Part 2: Skills and Interests
Have you ever been on any kind of vision/mission trip before? (If yes, please share when, where, and what did you do?)*
Share why you chose this Vision Trip.*

Please rate yourself in the following areas:*

Please rate your athletic ability in the following sports:*

Do you speak any other languages? (if so, share which language and at what level)*
Costa Rica - Spanish
Are you involved in a local church? (not required)*
Please describe your involvement
Please describe where you're at in your spiritual journey.*
Part 3: Medical History

Our goal in asking this information is to make sure we can establish an environment for the success and health of all our participants. We will keep this information strictly confidential.
Do you have any allergies to food, medication, etc. If yes, please list each allergy.*

For each of the medical conditions below, check YES if you have ever experienced this condition.*

	YES	NO
Diabetes
Seizures
Fainting Spells
Heart Problems
Respiratory Problems
Other (Please explain in next question)

If you checked "Yes" on any of the above questions, please explain here. Please indicate when you experienced this and if you are currently taking any medications and/or seeing a doctor concerning this condition.
Is there anything else in your background that would be important for us to know about?*

YesNo
Please explain in detail if you answered YES to the questions above.
Please click and acknowledge all payment deadlines*

Deposit - $300 due at registration2nd Payment - $1,495 due Jan. 31Final Payment - $1,000 due April 11
Part 4: Deposit

A $300 deposit is required to secure your spot on this Vision Trip.

Deposit*

USD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

SportQuest Costa Rica Vision Trip Registration