Youth Application: Province VIII Youth Pilgrimage to Hawaii

Parent/Guardian Full Name *
Parent/Guardian Email*
example@example.com
Would yo like to provide contact information for a second parent/guardian?

YesNo
Parent/Guardian Full Name *
Parent/Guardian Email*
example@example.com
You must have a passport or Real ID to go on this trip. Please indicate your id status.*

I have a current US passportI have a current Real IDI will need to get a current passport or Real ID prior to the pilgrimage.
Passport expiration date: *

What do you love about your church and how do you serve there?*
Why do you want to attend the Province VIII Youth Pilgrimage to Hawaii*
*How do you feel this trip will deepen your faith?*
If selected I commit to meeting the following criteria:

• Submit my personal desires (privacy, food, dress, etc) to the standards of the country and program.

• Willingly obey my leaders throughout my experience and be an active participant in all programming.

• Build up my fellow team members and ministry partners.

• Participate in pre-field meetings and post-field meetings.

• Remain alcohol- and drug-free during this experience.
Youth's Signature:*

Clear
Please provide the name and email address of the clergyperson or youth leader in your congregation who will nominate you.*

First NameLast Name
Nominator's Email*
example@example.com

Application Fee

Application Fee: Province VIII Youth Pilgrimage to Hawaii

$50.00

Enter coupon

Total

$0.00

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