2026 Appalachia Mission Trip Registration

2026 Appalachia Mission Trip Group Registration
Team Name
Church / School / Other
Mailing Address

Street Address or PO Box

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Individual Registering the Team

First NameLast Name
E-mail
Phone Number
Format: (000) 000-0000.

Is the Individual who registered the Team also the Group Leader?
Group Leader #2

First NameLast Name
Group Leader #2 Email
Group Leader #2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Will Group Leader #2 be traveling with the team? Check all that apply.

Mission Trip Options
Our Appalachia Mission Trips Start at 5 days/4 nights, with arrival and departure days included in that count. If you would like to add on mission trip days, please indicate the # you would like to add below.
*See website for additional day pricing.
*Mission Trip Options can be found HERE for our Appalachia Ministry Location.
Arrival Day

MonthDayYear
2026 Dates Available: September 1 - December 31, 2026 (ALL SUMMER DATES are CLOSED/FULL)
Departure Day

MonthDayYear
# of Participants You Are Registering

For Groups Returning to Appalachia

If you are interested in serving with your previous church or ministry partner, please let us know!
Partner Church/Ministry Name and Location
Partner Church Pastor's Name
Requested Thirst Missions Staff
(Staff Requests are Subject to Availability)

Promo Code If Applicable

Appalachia Mission Trip

Team Registration Fee

$499.00 Quantity
Item subtotal:

Participant Deposit

Please indicate the # of participants you are including in your Mission Trip Team. This $50 Deposit is Nonrefundable but will go towards the Overall Mission Trip Cost.

$50.00 Quantity
Item subtotal:

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

*Once your team registration has been recevied, our Finance Director will be in contact with due dates for your remaining 3 payments.

On behalf of myself and the organization registering, I have read & agree to the statements and policies listed above.
Please Sign
Please Print Your First and Last Name
Mission Trip Options
Should be Empty:

2026 Appalachia Mission Trip Group Registration

For Groups Returning to Appalachia

Appalachia Mission Trip*

On behalf of myself and the organization registering, I have read & agree to the statements and policies listed above.

Appalachia Mission Trip