Summer Gospel Mission Trip 2023 Registration

Name of person applying for Gospel Mission Assignment *

First

Last

If applicant is under 18, name of responsible adult

First

Last

If applicant is under 18, relationship to child of responsible adult

Phone number *

Email *

Describe briefly why you want to serve with this team. *

Helping us understand a bit of your motivation, helps us know where you will be most effective and find more satisfaction on the team.

What areas of ministry interest you? *

I am covered by my own health insurance policy. In case anything happens to me on this trip requiring medical treatment in which I am unable to sign for myself I will provide a copy of pertinent information to be carried by the team leader and destroyed or returned to me upon return from the mission assignment.

Check here to agree to the above statement

I am a parent or guardian registering on behalf of a minor child. I assume responsibility for the care, supervision, and medical needs of this child while on this assignment. In the event of my inability to exercise these things, I hereby authorize the team leader or other recognized leader from VBC to act on my behalf.

Check here to agree to the above statement
Check here to indicate youth (age 13-17) going without a parent, in which case VBC leaders serve in place of parents for the duration of the mission assignment.

For youth (ages 13-17) going without a parent, a signed medical release form is required along with pertinent information.

I am requesting a paper form to complete and return to VBC leadership. to fulfill this requirement.
I am going with, but would still like to complete a form for my youth/child.

Any other comment or message?