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- Birthdate*
- Gender*
- Do you have a current passport?*
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Format: +00 (000) 000-0000.
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- Do you agree with Global Encounters' Statement of Faith?*
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- Is there anything related to your health (such as a medical condition or allergy) that we should know about to help ensure a safe and successful trip?*
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- Have you ever been convicted of a misdemeanor or felony?*
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- Should be Empty: