Missions Survey | Project Lucas

Please click on the link below to read through the mission trip policies before continuing with your registration:

* First Name (as shown on passport)

* Middle Name (as shown on passport)

* Last Name (as shown on passport)

* Date of Birth

* Email

* Phone

* Address

* City

* State

* Zip Code

* T-Shirt Size

* Why do you desire to go to Kenya?

* Got a family member(s) attending? If so, who?

* Are you in school?

* Occupation

* Do you attend church?

If you attend church, what is the name of the church?

Are there any special skills or talents you would like to use on the trip?

* Are you a soccer player?

* Do you have any fears concerning this trip? (if so please explain)

* Do you have any allergies or medical issues we should be made aware of? Please list.

* I have read and agree to the trip policies linked above.

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