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FSI-Haiti Trip 2019
Please fill out the following form if it is your intent to go on Haiti Trip this fall - October 23-29
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Your Name (first & Last)
*
Your answer
Birthdate
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DD
/
YYYY
Cell Phone #
*
Your answer
Primary Email
*
Your answer
I have been on an international mission trip before.
*
Yes
No
I have a valid, up to date US Passport.
*
Yes
No
If you answered yes, please type you name below as it appears on your passport
Your answer
Please type your passport #.
Your answer
If you do not have a passport, do you need help with applying?
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No
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T-Shirt Size
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Other:
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Do you have an medical concerns about traveling over seas? Please share any food allergies as well.
*
Your answer
Share, if you are willing what you hope to receive out of this trip.
Your answer
Please ask below any specific questions you have for FSI to address about this trip?
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