2026 Short-Term Mission Trip Application

2026 SHORT-TERM MISSION TRIP APPLICATION - MINOR

This application is for minor participants
- This application is for the HIS Eyes Honduras Mission Trip
- Trip dates are October 3-10
- The total trip cost estimate is $1,500/person
- A deposit of $200/each must be submitted with the application
Participant Information
Child's First Name (as it appears on passport or driver's license)
Child's Middle Initial (as it appears on passport or driver's license)
Child's Last Name (as it appears on passport or driver's license)
Child's Passport Number (International Trip)
Child's Passport Expiration Date
Child's Birthdate

MonthDayYear
Date
Child's Gender
Child's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Child's Email
example@example.com
Why do you want to go on this Mission Trip?
Describe your relationship with Jesus Christ. If you are new to the faith or unsure of your faith, that is okay. Our prayer is that this trip will help you in your faith journey.
Skills by trade or hobby.
T-shirt size
Best day and time for meetings.
Emergency Contact #1
Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Emergency Contact #2
Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Medical Information
Health Insurance Company
Policy Number
Family Doctor
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Family Dentist
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please check if the situation applies to your child.
If the need arises, my child may be given:

Other
List all known medical conditions, physical limitations, prescriptions and allergies.
List any medications that must be taken during this event.
List any physical or behavioral conditions that may affect or limit full participation in physical activities.
Deposit
$200 which includes administrative fee outlined below.

Administrative fee of $50.00 covers cost of background check and trip insurance, both required for all Creekside mission trips. Both of these costs will be applied to total trip cost.

Ministry Background Checks
- Team Members requiring an updated Background Check will receive a link to fill out the necessary information for a background check. After completing the link, the applicant will receive an email from Checkr.
- The email must be opened, and the information must be verified by the applicant. The email is time-sensitive and failure to open the email will cause the process to become incomplete. If you don't see the email, please check your Spam or Junk folder.
- Please make every effort to complete this Background Check Request within 7 days. If you have any issues, please contact barry@creeksidechristian.com.
Faith Venture’s Basic Plan Trip Insurance (National & International) includes, but is not limited to, the following:
- Emergency Evacuation- $50,000
- Illness Medical Expense- $25,000
- Accident Medical Expense- $25,000
- Security Evacuation- $100,000
- Repatriation of Remains - $25,000
- Accidental Death - $15,000
- Missed Connection - $500
- Trip Delay- $100
- Baggage Loss - $500
- Baggage Delay - $50
This fee is included in the trip cost, but if you’d like more information, please consult: https://www.faithventures.com/basic-plan/
Team Member Financial Commitment
As a Short-term Team Member, you are expected to fund 100% of your trip costs, but we encourage you to involves others for both prayer and financial support. A deposit of $200 is required to reserve your spot for this mission trip. Your deposit becomes non-refundable once your application is approved. Your deposit includes a $50 administrative fee, which covers trip insurance and background check.

Refunds of contributions will not be made. If you are unable to participate in this trip, you may request a transfer of funds to a future trip or to a different team member. This will be considered on a case-by-case basis. Donations made by someone else to your trip cannot be refunded.

All contributions should be made out to Creekside Christian Church with only your mission trip specified. Please be sure that a note (or envelope) with your name and mission trip is attached to the donation so that the funds will be deposited to your trip account. If a receipt is desired, please have the individual so indicate. You are personally responsible for the cost of your passport and immunizations.

If you are planning to raise support, you are encouraged to send out at least 10 letters. Samples have been provided to your team leader for your use. These letters will be sent out at your expense. Please speak with your Team Leader to find out how you can receive donations online.

Please plan to attend all Team Training Sessions/Meetings for this Mission. Meetings may include some delegated tasks, homework, reading, and prayer assignments.

My signature below indicates that I acknowledge that I have read and agree to the commitments outlined above.
Child's Signature
Date

MonthDayYear
Date
Parent/guardian Signature
Code of Conduct Agreement
Creekside Christian Church asks that each participant abides by this Code of Conduct:
I agree not to use any form of alcohol or tobacco while on the mission trip. Gambling, alcohol, tobacco, or any illegal substances will not be tolerated at any time during the mission trip.

I agree to treat all team members of the opposite gender as brothers and sisters in Christ.

I agree to avoid any romantic relationships with the nationals and also with fellow team members.

(If there is already a romantic attachment between team members, they should be sensitive to other team members as well as the culture they are visiting. This includes time alone, physical displays of affection, and any distraction among the team.)

I agree to avoid controversy and antagonism. Creekside Christian Church asks that each candidate refrain from expressing their political opinions while on this mission.

I understand the team leader on this Mission, and the Missionaries with whom we work, have the final authority. They should be treated with respect at all times.

I understand that if at any point I become a liability to the team, I can be sent home at my expense.

*Please remember, at all times, while on the mission field and while traveling, you are a representative of Jesus Christ and of Creekside Christian Church. You are always a witness to those around you.
Conduct Agreement
In order to ensure the safety and effectiveness of this mission, as well as to promote a positive atmosphere conducive to evangelism and discipleship, I, Child's name will act according to Christian principles and follow the guidelines in this Code of Conduct laid out by Creekside Christian Church and its leaders.
Child's Signature
Date

MonthDayYear
Date
Minor Conduct Agreement
I, the parent or guardian of Name of child , understand the importance of my child's behavior and commitment to Christ and this code of conduct, and I agree to hold my child accountable for his or her actions while on this short-term mission. If a problem should occur, I will be responsible for any incurred costs.
Parent/Guardian Signature
Date

MonthDayYear
Date
Liability Waiver & Photo Release

For those under 18 years of age
I, Name of parent/guardian*, am voluntarily allowing my child to participate, Name of child , in the short-term mission trip and I am participating in the activity entirely at my child’s risk. I assume all related risks, both known or unknown to my child’s participation in this short-term mission trip. I agree to indemnify and hold harmless Creekside Christian Church against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone else on my behalf.

I give authorization to Creekside Christian Church to use my child’s image (photographs and/or video) for use in media publications for promotional purposes.
Parent/Guardian Signature
Date

MonthDayYear
Date
Parental Consent Form

For those under 18 years of age
Parent/Guardian Name

First NameLast Name
Relationship
Parent/Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Authorization
I/We Name of parent/guardian*, parents of Name of child , give and grant him/her permission to participate in a program/activity under the sponsorship & authority of Creekside Christian Church, St. Johns, Florida. We also release the sponsoring organization from all claims of accidental injury and delegate to the leaders of the group the authority to act in case of emergency, including all medical and surgical treatments should I/we not be able to be contacted.

I authorize an adult representative of Creekside Christian Church to consent to any and all medical and hospital care and treatment deemed necessary for me and or my child’s health and well-being by a duly licensed physician selected by said adult representative. I understand that I shall be fully responsible for and agree to pay for, all cost and expenses occurred in connection with such medical services rendered to myself and or my child’s care pursuant to this authorization. I agree to assume all transportation costs.

I agree to assume the risk of, and release Creekside Christian Church, its staff, and representatives from any and all injury and liability arising out of or relation to the trip.
Parent/Guardian Signature
Date

MonthDayYear
Date
Should be Empty:

2026 SHORT-TERM MISSION TRIP APPLICATION - MINOR

Participant Information

Emergency Contact #1

Emergency Contact #2

Medical Information

Deposit

Team Member Financial Commitment

Code of Conduct Agreement

Conduct Agreement

Minor Conduct Agreement

Liability Waiver & Photo Release

Parental Consent Form

Parent Authorization