Alumni Short Form

Trip Options
Please select one of the trip options:*
- Option 1: ECUADOR June 24th – July 7th 2019. Trip cost $2798
- Option 2: ECUADOR + GALAPAGOS ISLANDS June 24th – July 14th 2019. Extended Trip add an additional $1680 to trip option 1.
- Option 3: ECUADOR + GALAPAGOS ISLANDS + AFRICA June 24th - Aug 7th 2019. Extended trip: Add an additional $4,680 to trip option 1 & 2.
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
Select returning as a
Select T-shirt size (100% cotton Unisex Adult Tees)
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 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.
Mission Trip Recruits

For our Mission trip we would like to say "Thank you" for spreading the word about our mission trip. For each new person you recruit that goes on the trip, you will receive $300 referral discount for that recruit.

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.

Step 1 of 2

Trip Options

Trip Information

Personal Information

Team Information:

Mission Trip Recruits

Permission