Dominican Republic June 27 July 4, 2017

201 7 Mission Trip Application Dominican Republic – June 27 – July 4, 2017

Please fill out this form (one for each person) and return to the church office along with a $200 deposit.

IF YOU WOULD LIKE TO FILL THIS FORM OUT ONLINE, GO TO WWW.WOODLAWNCHRISTIAN.ORG. CLICK ON THE MISSION DOMINICAN 2017 LINK ON THE MAIN PAGE TO LAUNCH THE FORM. THEN FOLLOW THE INSTRUCTIONS.

Legal name: ______Male/female: ______First Middle Last

Address: ______Street City State Zip

Email address: ______

Home phone: ______Cell phone:______Work phone: ______

Birthdate: ______Place of birth: ______Mo/Day/Yr

T-shirt size: [ ] Small [ ] Medium [ ] Large [ ] X-large [ ] XX-Large

If under 18 years of age, include information for parents or guardians: Name: ______Contact phone: ______

Name: ______Contact phone: ______Language: Knowing the Spanish language is not required. However, please let us know if you have had any educational or occupational experience with the Spanish language. My experience comes from: [ ] education [ ] family [ ] occupation [ ] other (check all that apply) Number of years: ______How fluent? Poor OK Good Excellent (circle one) ------Skills and talents: We will need coaches, instructors, referees, scorers, and helpers.

I play: Boys’ baseball Girls’ softball (circle one)

What position do you play? ______Coaching experience? [ ] yes [ ] no Years of experience: ______------We might also be asked to do children’s ministry. Do you have any children’s ministry experience? Please check all that apply:

_____Teaching Ages: ______Vacation Bible School/children’s ministry _____Crafts ------We might also be asked to do construction work. Are you OK with helping out if asked? Yes No ------Do you have any hobbies or interests that you might want to share while you are on the field? If so, please describe. ______

Thank you! Please turn this form in to the church office along with your $200 deposit.