KENYA 2026

GENERAL INFORMATION

First Name

Address

This address will receive a confirmation email

Phone

Do you attend Park Chapel?

Yes No

If yes, how long?

If no, where do you attend?

Please list any skills you think would be useful on this trip.

COMMITMENT

Why do you want to go on this trip?

Do you have any concerns regarding this trip?

Do you agree to attend team meetings, participate in the training process, submit to the authority of your team leader and host ministry, and serve others in any way possible?

Yes No

Payment terms and schedule:
Confirmation deposit, $100: January 5, 2026
1st payment, $1,500: February 15, 2026
2nd payment, $1,500: April 1, 2026
Final payment, $400-$900: May 1, 2026

Do you understand and agree to the payment terms and schedule of this trip?

Yes No

LIFE IN CHRIST

Please describe your relationship with Jesus Christ.

How are you involved at your church or with other ministries?

Have you traveled out of the country?

Yes No

If so, when and where?

EMERGENCY INFORMATION

Describe any allergies/medical issues that could impact you on this trip.

Emergency contact name, phone, email, and relationship to you:

Do you have any dietary restrictions?

PHOTO/VIDEO RELEASE:

Please be aware that this event may be photographed. Your submission of this form and participation in the event grants Park Chapel permission to use your picture, silhouette or reproductions of your physical likeness and voice in any manner associated with promotion and/or celebration of church events.

Description

June 10-19, 2026

Park Chapel Short-Term Mission Trip Application. Please complete and submit.

KENYA 2026

Description

Please Fix the Following