Vision Trip Application

Please view 2020 trip dates here (more to be added):

  • April 3rd - 9th
  • June 5th - 11th
  • July 24th - 30th
  • September 18th - 25th

REGISTRATION INFO

First Name*

Last Name*

Address*

City*

State*

Zip*

Phone*

Email*

Confirm Email*

Desired Month 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? Was it what you expected?

Specifically, why do you want to serve through 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.