Vision Trip Application

FALL VISION TRIP IS OPEN!!!
OCTOBER 16th - 22nd

Due to COVID, this is the only trip we have planned for this fall. 

Need more information? Send an email to samantha@imme.org.

    Fall 2020 Vision Trip:

    • Oct 16th – 22nd

    REGISTRATION INFO

    First Name*

    Last Name*

    Address*

    City*

    State*

    Zip*

    Phone*

    Email*

    Confirm Email*

    Desired Time to Travel*

    Number of Attendees*


    TRAVEL INFO

    Name on Passport

    Passport Number

    Passport Issue Date

    Passport Expiration Date

    Passport Issuing Country

    Date Of Birth

    Nationality

    If you have already booked your flight, what airline will you be flying?

    Flight Number

    Arrival Time


    EMERGENCY CONTACT INFO

    Name

    Relationship

    Phone

    Email

    Confirm Email


    HEALTH BACKGROUND

    Please complate the following mandatory medical form.

    Dietary Restrictions

    Allergies

    Other Considerations


    Questions

    How did you hear about i’mME?

    Help us get to know you a little better! What is your family life like, what are your passions? Feel free to tell us anything and everything!

    What is the last experience that made you a stronger person?

    What are some of your strengths?

    Talk to us about where you are in your spiritual journey.

    What areas of your life would you like to see improve?

    Have you ever participated in a mission trip? If so, what was your experience like?

    Specifically, why do you want to serve with i’mME?


    PAYMENT INFO

    The total cost of your trip is $800. The amount includes transportation, accommodations and meals at our guesthouse while
    in Haiti. This amount, however, does not include your flights to Haiti- you are responsible for getting yourself to Port-au-Prince.


    **We require a $150 deposit to hold your spot, and the trip be paid in full no later than 4-weeks prior to trip date. This deposit is
    non-refundable. The deposit will save your spot on the trip.


    TERMS AND CONDITIONS

    As a mission trip participant, you will be surrounded by many smiling, young faces. Their security and well-being is our top
    priority and as such we ask that you please fill out a standard criminal disclosure form found below.


    Your health and protection is also very important to us, but like all things, sometimes accidents happen. It’s not uncommon
    that you’ll pick up a hammer and miss the nail or be so overcome with joy that you pass out. So love at your own risk and
    please fill out the liability waiver found below.

    * Please complete both of the forms and email them to visiontrips@imme.org.

    Download the criminal history disclosure form

    Download liability waiver

    I agree to the terms above.