Thousand Hills Ministry Mission Trip Agreement Form

Thousand Hills Ministry Mission Trip Agreement Form
Contact Person

First NameLast Name
Date of Birth

MonthDayYear
Gender
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Short Bio
Home Church
Occupation
Top 3 Skills
Passport Number
Country of Passport
Passport Expiration

MonthDayYear
Copy of Passport

Upload a File

Cancelof
Weight
Please be honest as this is critical information for our pilots
Medical Conditions
Please type "none" if there aren't any
Malaria Medication
Emergency Contact

First NameLast Name
Emergency Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Phone Number

Area CodePhone Number
Emergency Contact Email
Please open and read the two documents below.

Waiver of Liability & Consent

Trip Code of Conduct

How it works: By entering your name and initials below, you electronically acknowledge reading and understanding the above documents.
Digital Signature

First NameLast Name
Initials
Should be Empty: