trip app Click here for a downloadable form if you don’t want to use our online version. Once complete, please scan and email your form to [email protected]. Feel free to contact us if you have any questions. Please enable JavaScript in your browser to complete this form.Team NameList is in order of trip date...Highland Park Jan 19-25Construction Team Feb 19-23Construction Team Feb 26 - March 1College Team March 2-7College Team March 9-14Highland Park Team March 22-28Silverdale Team June 7-13Morris Hill Team June 14-20West Huntsville Team June 21-27Stubbs Summer Team June 28- July 4Pickens Baptist Team July 5-11St. James Team July 12-18Faith Baptist Team July 19-25Stone Bridge Team July 26 - Aug 1Men's Team Medical TeamLinden & River City Church Team Oct 11-17Wayne Hudson Team Oct 17-23Christmas Team - NowellName As Listed on Passport *Passport NumberPassport Expiration DateDate of Birth *Payment PreferenceChoose one...OnlineCheckGender *Choose one...MaleFemaleShirt Size *Choose one...XSSMLXL2XL3XL4XLEmail *EmailConfirm EmailPhone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeArrival FlightArrival DateArrival TimeDeparture FlightDeparture DateDeparture TimePlease list any medical conditions that you have which are treated by a doctor.Please list any allergies that you have.Please list any medications that you take as prescribed by a doctor.Emergency Contact Name *FirstLastEmergency Contact PhoneEmergency Contact Email *EmailConfirm EmailAdditional InformationHave you ever been arrested for, charged with, or convicted of any type of crime having to do with child molestation, sexual assault, rape, indecent exposure, or any sexual related offense? *Choose one...NoYesPlease explain the situation.Are you a Christian? *YesNoHow long have you been a Christian? *What church are you a member of? *Please write a brief testimony of your salvation. *Read the team member regulations, behavioral guidelines, and release here.Please confirm that you have read and agree. *I agreeToday's Date *Please upload a copy of your passport Click or drag a file to this area to upload. NameSubmit About AboutFaith StatementDonate Web design by BYBA Sponsorship Sponsorship WriteMissionaries Trips Visit Our MinistryTeam MembersTrip Application Connect PO Box 36399Birmingham, AL 35236205 864 0176 About | Trips | Sponsor---PO Box 36399Birmingham, AL 35236205 573 4797 Web design by BYBA