GLS International Aruba Trip Registration Form

Full Name (as it appears on your passport)*

First NameLast Name

Birth Date (anyone under the age of 18 must be chaperoned by a parent or adult from their local church)*

MonthDayYear

Gender*

MaleFemale

Cell Phone Number*

Area CodePhone Number

E-mail*

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you have a valid passport?*

YesNo

Passport Expiration Date*

Date

Country of Issue

Church Name*

Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Pastor's Name*

Pastor's Phone Number*

Area CodePhone Number

T-Shirt Size

By submitting this form, I acknowledge that I am voluntarily participating in the CHC World Missions trip to Aruba. I understand that participation in this trip involves certain risks, including, but not limited to, travel, recreational activities, outdoor activities, and ministry-related events.

I voluntarily assume all risks associated with this trip, including the possibility of personal injury, illness, property damage, or loss that may occur during travel, lodging, transportation, or any activities related to the trip.

In consideration of being allowed to participate, I hereby release, discharge, and hold harmless CHC World Missions, the Congregational Holiness Church, Inc., and any of their officers, employees, volunteers, or agents from any and all claims, liabilities, damages, or expenses arising from my participation in this trip, including claims resulting from negligence, except for claims arising from gross negligence or willful misconduct.

I also grant permission for CHC World Missions and its representatives to seek medical treatment on my behalf in the event of an emergency and understand that I am responsible for any costs incurred.

By submitting this form, I certify that I have read, understand, and agree to this Release of Liability.

If participant is under 18 years of age, a parent or legal guardian must submit this form on behalf of the participant.

I have read and agree to the terms of this Release of Liability.*

Yes

Pay $800 NON-REFUNDABLE Deposit and Register. Due by Feb. 20, 2026 *

USDDescription

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

GLS International Aruba Trip Registration Form

Personal Information of Traveler

Emergency Contact Information

Passport Information

Church Information

CHC WORLD MISSIONS – TRIP DISCLAIMER AND RELEASE OF LIABILITY