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Mission Trip Application

Vertical Go desires to create opportunities for people to live "sent" lives by going to the ends of the earth to advance the gospel.

Full Name (as seen on passport)

First Name

Last Name

Birthday

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Gender

Marital Satus

Passport Number

*if you do not currently have a passport but are in the process of obtaining one please just mark (*) or N/A

Passport Expiration Date

Occupation / Place of Employment

Why do you want to go on this trip?

Emergency Contact Name

Emergency Contact Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Phone

(###)

###

####

Emergency Contact Email

I understand that if my application is approved, I will follow the Vertical Go "code of conduct" leading up to and during the Vertical Go Mission Trip.

I agree

I disagree

I agree to give Vertical Church the information needed for a background check

I agree

I disagree

I give Vertical Church the right to secure a background check on me. I hereby release Vertical Church and its representatives from liability from seeking such information and all other persons, corporations, or organizations for furnishing such information.

I agree

I disagree

Full Name and Social Security Number (background check info)

If you want to give your social security number in person, call Reshma Bangar at 662-872-9357.

I understand that by submitting this form Vertical Church has rights to proceed with booking the logistics and I will be responsible for all expenses already paid by the church. If i decide to not go to the trip, It is my responsibility to pay the total amount that has been covered by the church. *

I agree

I disagree