2027 Alaska Mission Trip Registration

Alaska Mission Trip Registration
Team Name*
Church / School / Other
Mailing Address - Please make sure this is where you can receive your Welcome Box and Tshirts for your mission trip.*

Street Address or PO Box

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please indicate what type of address this is:*

School Mailing AddressChurch Mailing AddressPersonal Mailing AddressOther
Individual Registering the Team*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Is the Individual registering the team also a Group Leader?*

YES, but NOT TRAVELING with the TeamYES, and TRAVELING with the TeamNO, but please give me PERMISSIONS to view informationNO, I DO NOT WANT trip information - I am only registering the team so they can get started
Mission Trip Finance Coordinator: Person Who Will Be Submitting Payments for your Team*

First NameLast Name
Mission Trip Finance Coordinator Email*
example@example.com
Mission Trip Finance Coordinator Phone Number*
Format: (000) 000-0000.

Group Leader #2

First NameLast Name
Group Leader #2 Email
example@example.com
Group Leader #2 Phone Number
Format: (000) 000-0000.
Will Group Leader #2 be traveling with the team? Check all that apply.

Traveling with the Team and needs Mission Trip InformationNot Traveling with the Team but needs Mission Trip Information
Group Leader #3

First NameLast Name
Group Leader #3 Email
example@example.com
Group Leader #3 Phone Number
Format: (000) 000-0000.
Will Group Leader #3 be traveling with the team? Check all that apply.

Traveling with the Team and needs Mission Trip InformationNot Traveling with the Team but needs Mission Trip Information
Any Additional Group Leadership Notes?

Mission Trip Options*
Arrival Day*

MonthDayYear
Alaska is open Year Round in 2027.
Departure Day*

MonthDayYear
Our Alaska Mission Trips start at 6 Days/5 Nights with arrival and departure days included in that count. *See website for additional day pricing.
Participant # You Are Registering*
Minimum is 10.

Promocode If Applicable

My Products*

Team Registration Fee

$499.00

Participant Deposit

Please indicate the # of participants you are including in your Mission Trip Team. This $75 deposit is nonrefundable but will go towards the overall Mission Trip Cost.

$75.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

*Once your team registration has been received, 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*
Should be Empty:

Alaska Mission Trip Registration

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