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Home
New Here
Church Online
Ministries
Global
Connect Groups
Families
Kids
Youth
Young Adults
I Serve
WestCare
Penrith Christian School
Pastoral Care
Alpha
Red Frogs
Events
Upcoming Events
Encounter
Alpha
Missions Trips 2025
Church Fast 2025
Resources
Next Steps
Podcast
Know Jesus
INChurch Worship
Books
Ps Jack & Ps Carol's Newsletter
Essentials Courses
Connect Leader Hub
Info & About Us
Who We Are
Connect with us
Contact
Giving
Prayer Requests
Our Locations
Service Times: 9:30am & 5.30pm Every Sunday // Simeon rd, Cnr The Northern Road & M4, Orchard Hills // Located in Penrith
Missions Trip
Application Form
Name
*
Please enter your name exactly as it appears on your passport.
First Name
Last Name
Email
*
Phone
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
*
MM
DD
YYYY
PASSPORT DETAILS
Passport Number
Passport Date of Issue
MM
DD
YYYY
Passport Expiry Date
MM
DD
YYYY
Country/City of Issue
Country of Citizenship
Name of Connect/Leadership Team Leader
*
Have you been to Encounter?
*
Yes
No
Have you been baptised in water?
*
Yes
No
Have you been baptised in the Holy Spirit?
*
Yes
No
EXPERIENCE/MOTIVATIONS
What are your key motivations for you to go on this missions trip?
Have you been overseas before? Have you been on a missions trip before?
What skills/talents/work experience do you have that you think could be valuable on this trip?
EMERGENCY MEDICAL INFORMATION
In the event of an accident or medical issue while on the trip, it would be helpful to have some general medical information about you. Please fill this out carefully.
Please list any current medical conditions
Please list any current medical conditions (incl. allergies) and indicate where they are severe.
Please list any prescribed medications you are currently taking that we need to be aware of.
EMERGENCY CONTACT DETAILS
Emergency Contact Name
*
First Name
Last Name
Relationship to you
*
Emergency Contact Number
*
FREQUENT FLYER DETAILS
Do you have a Frequent Flyer Account?
YES
NO
Airline
Account Number
AGREEMENT
Missions Trip you are applying for
*
By ticking the box below you are acknowledging that you have answered all questions in a true and honest manner.
*
Also by submitting this form you are agreeing to the following conditions: - Make all trip payments by the required dates - Attend all team meetings to the best of your ability - Receive all required immunisations as specified by INChurch’s preferred travel doctor - Represent INChurch in a respectable manner whilst on the trip If you are under 18 we will supply you with a secondary form that will need to be signed by your parent/guardian.
I agree
Thank you!
