BERKSHIRE 2025
*Please note all information is stored securely. Thank you.
First Name
Last Name
Address
Phone Number
Email
Date of Birth
This trip will take place on July 14th - 19th 2025. Please note that you are available these dates.
Yes
No
Marital Status
How long have you been attending Church Unleashed?
Do you serve on our Dream Team?
Yes
No
If answered yes, which Dream Team?
What languages do you speak?
How would you describe your health?
Excellent
Good
Average
Poor
Have you been on a missions trip before?
Yes
No
If answered yes, please describe your experience.
What gifts, talents, abilities and professional skills do you have that might contribute to your ministry on a missions trip?
Briefly explain why you want to participate in this missions trip.
Briefly explain what you hope to see the Lord do in and through you on this missions trip.
PAYMENTS
Deposit #1 - due May 4th $300 Deposit #2 - due June 1st $375 TOTAL $675
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