Mexico Registration

REGISTRATION:

Registering for Misison Mexico is pretty simple. You will ned to go read the Team Training Page and make sure you can commit to those dates. You'll need to fill out our online registration form. You'll need to make an initial $100 deposit. We do have limited space on this trip. We only have 34 spots. So please don't hesitate.

First & Last Name:
Full name as it appears on your passort:
Do you have a passport?:
What is your passport expiration date?:
email address:
Home address:
city:
State and Zip:
Home Phone:
Cell Phone:
Work Phone:
Date of Birth:
Marital Status:	single married divorced
Emergency Contact #1 Name:
#1 Cell Phone:
#1 Relationship:
Emergency Contact #2 Name:
#2 Cell Phone:
#2 Relationship:
Describe your health. Describe your health: (Include a description of all conditions which may limi:
Do you have or have had any previous health problems in the past 5 years. Please describe in detail:
Are you under any prescription medication that you are taking under a doctor’s care? :
Do you have medical insurance?:
Insurance Company name and ID #:
Is it applicable outside of the U.S.? :
If yes, is it applicable under all conditions of geography and health? :
Are you committed to attending our Team Trainings?:	yes no
I will make my initial deposit by:	check online

Make Initial $100 Deposit to hold your spot. Remember that all deposits are non-refundable. This can be done by either paying online below or by dropping a check off at RiverTree at the welcome Center, mailing it C/O John Moores. RiverTree 7373 Portage Street, Massillon, OH, 44646.

Please register and log in to the site to make a payment.