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Alumni Short Form
ALUMNI SHORT FORM
“NEVER THE SAME” MISSION TRIP
Step 1 of 2
50%
Trip Options
Please select one of the trip options:
*
COSTA RICA June 27th – July 10th 2022. Trip cost TBA
TBA
Trip cost does not include Airfare to Florida. Don't forget to mail your application fee of $48 to complete your application. Please send to Big World Ventures PO Box 703203 Tulsa, OK 74170.
Trip Information
Full Legal Name: (As on your passport):
*
Name as you want it on your name tag:
List the previous year you attended:
*
On your previous trip with us were you a
Student
Leader in Training
Adult/Leader
Select returning as a
Student
Leader in Training
Adult/Leader
Select T-shirt size (100% cotton Unisex Adult Tees)
S
M
L
XL
2XL
Personal Information
Birth date:
MM
DD
YYYY
Your Age at start of trip
Sex:
Female
Male
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Home Phone # (If you don't have a home phone then use your cell phone number)
*
(###)###-####
Cell Phone
To receive text updates for trip
Emergency Phone Number 1
*
(###)###-####
Emergency Phone Number 2
(###)###-####
Email
*
Parent’s email (if under 21 years of age)
If you have a Facebook page, please provide your facebook name:
Add neverthesamemissions on your FB to receive important group updates.
If you have a Twitter account, please provide your twitter login name:
Add neverthesamemissionbwv on twitter to receive important group updates.
Name of the church you regularly attend:
Team Information:
Do you prefer to be on the same team with family members?
Yes
No
Don't care
In order to be placed on a team with friend or someone you know, please list their name. We will try to honor the requests as much as possible but no guarantees.
Permission
I am a minor and have my parent’s permission to take this trip and if accepted, I DO plan on participating on this trip.
I am an adult and if accepted, I DO plan on participating on this trip.
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