Costa Rica 2025

April 5-12 | Costa Rica 2025
$2100

Participant Name

Gender

Please select one option.

Male Female

Birthdate

Address

Do you have a Passport

Please select one option.

Yes No (a passport will be required)

Passport expiration date (if you do not have one, type n/a)

Shirt Size

Please select all that apply.

S M L XL 2X

Participant Cell Phone

Participant Email

This address will receive a confirmation email

Parent/ Guardian Information (if student/minor)

Parent/Guardian Name 1

Parent/Guardian Phone 1

Parent Email

Testimony

How did you become a Christian?

In what ways are you currently growing in your faith?

Are you currently serving in any ministry? If so, Where/what?

Have you ever been on a mission trip before? If so, where and when?

Why do you desire to be a part of Costa Rica 2025?

Team Participation Agreement

Living a life representative of a Christian

Please select one option.

I agree

Be an example of proper behavior during worship services, programs, and events

Please select one option.

I agree

Attend JCC or Wednesday Night on a regular basis

Please select one option.

I agree

Attend all team meetings as scheduled in the information packet

Please select one option.

I agree

Keep up with all payments

Please select one option.

I agree

Signature

By typing my name below, I, the Costa Rica 2025 applicant named above, certify that all statements given on this application are accurate and realize that falsification or misrepresentation of this or any other personal record may result in my dismissal from the Costa Rica trip.

Participant Name

Parent Name (if student/minor)

Description

April 5-12

Costa Rica 2025
$2100

Costa Rica 2025

Description

Please Fix the Following