Group Registration Form

Arrival Date
Departure Date
Purpose of Mission Trip 
Sponsoring Church/Organization 
Address of Sponsoring Church/Org. 
Email of Sponsoring Church/Org. 
Contact of Sponsoring/Org. 
Team Leader's Name 
Team Leader Phone 
Team Leader Email 
Number of Males 
Number of Females 
Flight Information: Carrier Name 
Arrival Flight and Time 
Departure Flight and Time 
Email flight information as soon as tickets are purchased to haitioutreachtrip@gmail.com. All individuals joining a team or individuals combining to form a team MUST arrive in Haiti on the same flight.
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