Costa Rica 2026

April 18-25 | Costa Rica 2026
$2000

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 2026

*

Team Participation Agreement

Living a life representative of a Christian

*

Please select one option.

I agree

Attend JCC Sunday Morning services 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 2026 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 18-25

Costa Rica 2026
$2000

Please Fix the Following

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