Registration—U.S. Mission Trips

Group/Organization Name:

*Street Address:

City:

State:

ZIP Code:

Contact Person

 

 

 

First Name:

Last Name:

Home Phone (include area code):

Work Phone (include area code):

Cell Phone (include area code):

Fax (include area code):

*Email Address:

Email address is required.

Confirm Email Address:

Email address is required.Email addresses don't match.

How did you hear about World Vision's U.S. Mission Trips?

I've been on a World Vision U.S. Mission Trip before

I heard about it from a friend

I received an email from World Vision

I saw it on the World Vision website

I received a World Vision pamphlet in the mail

Other

 

 

 

 

Estimated number of Participants:
(We will send you applications based on your estimates)

Adults (ages 18 and older):

Youth (ages 11-17):

Children (ages 5-10):

 

 

Which one applies to your team:

Adult

Jr. & Sr. High Youth

 

 

Sr. High Youth

Family

 

Date for Mission Project:

 

 

Mission Project Location:

 

 

After World Vision receives your online application, we will contact you to confirm that space is available and to provide details on sending your deposit. A nonrefundable deposit of $50 per person is required to guarantee your mission trip spots.

E-signature:

 

 

 

Organization Contact Person Signature:

Date:

 

 

Please enter the characters you see in the image:

Image verification

Do you require a printed copy of your application for your records?

MORE ABOUT U.S.
MISSION TRIPS

 

 

INFORMATION SHEETS

 

GIVE TO OUR WORK

Where Most Needed
in the U.S.

Other $ 

 

 

IMPACT STORIES

Demonstrating the gospel in Appalachia

Helping make a future home, a better life