Austin, TX Mission Trip Registration
Please fill out this form and click submit.
Attendee's Information
Name
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Email
*
This address will receive a confirmation email
Phone
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Address
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Parent/Guardian/Emergency Contact 1
Name
*
Phone
*
Email
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Parent/Guardian/Emergency Contact 2
Name
*
Phone
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Email
*
Personal Information to help us
Allergies: FOOD (please include hard-wired food preferences. Mission Trip isn't the time to cause intestinal discomfort.)
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Allergies: All others, including what we should watch for as warning signs.
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Learning Superpowers (ADHD, ASD, etc.). and best ways to support the student with tasks, social, etc.
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Medications, amount, and schedule (you will pack only what is needed in a gallon sized bag that will be kept with our main first aid kit)
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Health Insurance Information: In Case Of Emergency
Company
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Insured
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Group Number
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Scan of back and front of health insurance card
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Upload (8MB)
Planning information to help streamline projects and fun
Things you have done (not can do, what you have done)
*
Please select all that apply.
Gardening - weeding
Gardening -digging/hauling
Gardening - Tree trimming
Construction - Nailing minimally
Construction - Screws and building
Construction - sheetrock (walls) including taping/bedding
Construction - ceiling work
Construction - Wheelchair Ramp
Construction - Roofing
Things you can do (it's okay if you can't)
*
Please select all that apply.
Walk 3-5 miles
Carry 50+ pounds
Make food under direction
Offer empathy
Speak Spanish
Option
What do you do to ensure that you can make it through a week? (Example: Christine needs 30 minutes of no one talking to her, morning caffeine, and time to journal or do art.)
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What aspects of your personality do you want to share? (I.E. Christine is an introvert who values knowledge but also loves brainstorming and finding solutions to problems, ensuring equity for all people, and farm animals.)
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What is the MOST FUN THING you can think of doing on a mission trip or church trip? If the sky is the limit? If there is a limit of $20 per person?
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What suggestions do you have for breakfast, lunch, dinner, and snacks?
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Other odds and ends
T-shirt Size
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Please select one option.
S
M
L
XL
XXL
XXXL
check here for other
Preferred Communion Bread
*
Please select all that apply.
White
Wheat
Hawaiian
Gluten Free
Share three people and their contact information if not members of AHUMC to invite to support through prayer and other ways.
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Share the five adults in your life from church that are pouring into you and offering guidance in your life. (18-old.)
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Check all days, adding them to your calendar, so that we know, YOU KNOW, what days are the meetings for this trip.
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Please select all that apply.
April 2, 12:15 p.m. Meeting
April 30, 4-6 p.m. Italian Dinner Fundraiser
May 7, 12:15 p.m., Team Bonding
May 21, evening meeting - last questions and more expectations
Payment Options
Deposit
Minimum required for adults (25.00)
Student Minimum (50.00)
Full cost (225.00)
SCHOLARSHIP - Min $25 to commit (25.00)
Must Speak with Christine (0.00)
Minimum required for adults (25.00)
Student Minimum (50.00)
Full cost (225.00)
SCHOLARSHIP - Min $25 to commit (25.00)
Must Speak with Christine (0.00)
Amount
Share your intended payment plan.
*
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
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SD
SK
TN
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Submit
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