Registration – Mission Cruise

Trip

Full Name

Phone Number

Date of Birth

Street Address

Passport Number

Passport Expiration

Cabin Mate(s)

Medical Restrictions

Optional Trip Insurance (recommended)

Statement of Intent

I am applying to be a member of the Mission Cruise Team. I understand that this is a mission trip designed to provide opportunities to represent Christ. With my signature below, I declare that I am a Christian and do my best to live according to the Bible, God’s Word to us. I desire to go on this trip to represent Christ by expanding and nurturing the Kingdom of God.