The Center for Short Term Missions
Trip Registration Form

 

Type of Trip you are Registering for:

Church/Organization Name:

First Name:

Last Name:

Group Leader Name:

(If different than name above)

Street Address:

City:

State:

ZIP Code:

Country:

Office Phone #:

Home Phone #:

Mobile Phone #:

Fax #:

Email Address:

Web Address:

For Individual Registrants-Your Home Church Phone #: (This is for reference purposes)

For Individual Registrants-Your Pastor's Name: (This is for reference purposes)

Trip Location Selection:

Preferred Trip Start Date:

Preferred Trip End Date:

For Groups-Approximate Missions Team Size:

Preferred Ministry Involvement(s):

(Press Ctrl and click to make your selections).

Not all opportunities are available on all trips.  Please refer to the Trip Options Chart to see what ministries are available for your preferred trip location.

Number of short term mission trips you have participated in.

For Groups- Number of short term mission trips your church or organization has participated in.

Group Leader T-Shirt Size                   

Please read the following important policies relating to your potential trip. 
This section is lengthy but informative.

I have read and ACCEPT the above policies.

I want to give the unused portion of my Security Deposit as a tax deductible

     donation to The US Center for World Mission.

 

I have read and DO NOT ACCEPT the above policies.  Please call me to discuss my

     questions.