EmailMe Form - Registration Form | Mission Trip to Puerto Rico

Morning Activities (list each activity in order of preference) *

	1st Choice	2nd Choice	3rd Choice	4th Choice	5th Choice
Medical (3 doctors + 3 nurses needed)
Kitchen (3 volunteers needed)
Food Distribution (6 volunteers needed)
Assisting Teaching at School
Construction (12 volunteers needed)

Evening Activities (list each activity in order of preference): Vacation Bible School (VBS) - 20 Volunteers Needed / Evangelism - 10 Volunteers Needed *

1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice

VBS: Nature Talk

VBS: Craft Activity

VBS: Health Talk

VBS: Song Service

Evangelism
Vegetarian food will be provided. Do you have any special dietary requirements (vegan, for instance) or food allergies?
Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Please make sure to include your apartment number to guarantee delivery of travel documents.
Phone *
### - ### - ####
Email *
Room Type *
Single Room (1 person only)
Double Room (1 bed for 2 people)
Twin Room (2 twin beds for 2 people)
Triple Room (2 twin beds + sofa bed/cot)
Kindly note: rooming requests are subject to approval depending on housing options
If you chose a Double, Twin, or Triple room, please list your roommate(s) name(s) below:
Please Note:

1. Current airport taxes are subject to change by the airline prior to ticketing
2. Price is based on a minimum of 10 people
3. To complete your registration please submit a deposit of $300 per person
4. All passports must be valid for at least 6 months from the date of departure
4. By signing this form you agree to our Terms & Conditions:

www.goisraelna.com/terms.htm

Signature: *
Questions or Comments:
Today's Date *
MM / DD / YYYY