Mission Trip Registration

Zimbabwe Oct 3-13

10/3/2019 - 10/13/2019

Additional Information

Important: Before completing this form, please make sure you are prepared to make a $100 deposit by credit card. If you do not finish this step, all of your information will be lost and your registration will not be complete.
*First Name (Your LEGAL name as it appears on official documents):
*Middle Name:
*Last Name:
*Date of Birth:
*Do you have a passport?:
Passport #:
Issue Date:
Expiration Date:
Place of Birth (as it appears on your PASSPORT):
If "Applied for" from above, what date did you apply?:
Mailing Address (if different from above):
Cell Phone # (if different from above):
*T-shirt Size:
If available, would you like to use miles to purchase your airline ticket and cut down on the cost of your trip?
Sky Miles #:
American Air #:
For travel insurance purposes:
Name of Beneficiary
Relationship to Beneficiary
*What type of short-term mission experience do you have? 
Do you sing?:
If yes, would you be willing to lead worship for the team during the trip?:

Please share any special skills or abilities you could use during this missionary trip. (i.e.: Puppets, Drama, Guitar, etc.)  

*Are you a member of Hebron Church?:

If so, in what areas do you SERVE IN [CARE, celebrate recovery, Greet Team, Choir, etc.]? 

*Are you in a Connect Group?:
If Yes, Who is your connect group leader(s):
If Hebron is not your church home, what church do you attend?:

Please provide one pastor reference and one family/friend reference:

*Pastor's Name:
*Pastor Phone Number:
*Friend/Family Name:
*Friend/Family Phone Number:
*Have you personally placed your faith in Jesus?:

If so, briefly share what your life was like before Christ, what led you to accepting Christ, and how Christ has changed your life:

*Why do you want to go on this Mission Trip?:
*How are you currently growing in your relationship with Christ?:
*How are you currently sharing your faith? What is a recent example of this?:
*Why should Christians be involved in Missions (locally, nationally and internationally?):
Reminder: Do not click "next" unless you are prepared to make your $100 deposit by credit card at this time.