Mission Trip Registration

Ireland | 10/25/2024

Join the team to help facilitate a week of camp for underprivileged children. Bring your gifts and talents to help with SPORTS, DANCE, or ARTS & CRAFTS. If it brings you joy, imagine how much joy it will bring to kids who encounter hardship on a daily basis! And while you share your gifts and talents, you can share the joy of Jesus.
10/25/2024 - 11/3/2024

Additional Information

All minors must have at least one parent present for each training.
Please enter date of birth in format mm-dd-yyyy
*Date of Birth
If a minor, Grade (if summertime, grade will you be going into in the Fall):
*In what country do you currently reside?
*Country of Citizenship
TSA Redress
*****Please enter your name exactly as it appears on your Passport.*****

*****If you DO NOT have a Passport, enter the name you will use when applying for your passport and enter “1” as your Passport Number.*****
*Passport First Name
Passport Middle Name
*Passport Last Name
*Passport Number
*Expiration Date
*Emergency Contact Full Name
*Relationship to Registrant
*Phone Number
*Perimeter Member Since (year)
*Perimeter Pastor's Name
*Perimeter Discipleship Leader Name
*Perimeter Activities
*Do you have any medical conditions or take any medications which your team leader may need to be aware of as you participate on this journey?

If your response is yes, the GO Journey Coordinator will contact you to discuss how we can best accommodate your needs.
*Share a short summary of your spiritual journey.
*Describe any cross-cultural ministry experiences
*Describe what you hope to see the Lord do in and through you on this journey
*Who was the most influential in your decision to participate in a GO Journey?
Spiritual Gift 1
Spiritual Gift 2
Spiritual Gift 3
Skill 1
Skill 2
Skill 3
Other Skills
I authorize Perimeter Church to contact all individuals and organizations listed on this form in order to verify the information I have provided. I agree to release from liability any person or organization that provides information related to me. I understand and agree that any information received from the screening process may not be disclosed to me except as required by law, and I hereby waive any right I may have to inspect any information provided about me by any person or organization identified by me on this form. I understand that I may withdraw from the application process at any time. By signing this form below, I certify and affirm that the information I have given on this form is true, complete and correct in all respects.
*Signature Name:
*Signature Date: