Creation Care 2021 Application
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#CreationCare2021 team? *
First, Middle, and Last Name (as displayed on your passport & driver's license) *
Preferred Name
Gender *
Birthday *
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DD
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Phone Number *
Email *
Do you have a valid passport? *
Country Issuing Passport
Passport Number
Passport Expiration Date
MM
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DD
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YYYY
Mailing Address *
Do you need a connecting flight to Atlanta, GA? *
If needing a connecting flight, which airport is most convenient for you? (We take care of all travel arrangements)
Marital Status *
Spouses Name
Your Shirt Size *
Dietary Restrictions? *
Emergency Contact *
Emergency Contact's Phone *
Relationship to Emergency Contact *
Medical Insurance & Policy Number? (In case of any emergencies while out of country)
Family Doctor
Doctor's Phone
Any Medical Conditions or Physical Limitations? If so, please describe. I.E. limited mobility, back pain that inhibits lifting, etc... (Our teams may be participating in physical activities) *
Bringing Any Prescriptions? If so, which ones? *
Any Allergies? If any, please share. *
If needed may we do a background check? *
How did you hear about this team? *
Why would you like to join a team? *
How would you describe your spiritual walk? *
Have you ever been on an international mission trip? *
If so, where to? What was the duration of the trip? With which mission organization? What was the trip's focus? What was the cost and did you fundraise?
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