PARTNERSHIP INTERNATIONAL, INC. #180110

705 B SE MELODY LN / #308 / LEES SUMMIT / MO / 64063

Thank you for taking the first step in joining a great adventure! Partnership International has been leading mission teams around the world for the past decade. We have seen entire communities transformed by individuals GOING on a short-term missions trip. Belize is known for its beautiful beaches and Mayan ruins, but the need there is great for people to experience the love of God. The majority of the country is poor and in great need of hope. PI has invested many years already to bring community transformation through church planting, leadership development, medical clinics, outreach, and a holistic approach for long-term results. By GOING and participating on this missions trip, you will be a part of ongoing Kingdom work and life-changing personal and social restoration in the communities of Belize.

Church Teams – Submit all applications to your team leader at least one week prior to the deadline. Make your $115 per person deposit check out to the participating church. That church will write one check for the team.

Individuals – Send your completed application form and $115 non-refundable deposit to Partnership International.

Frequently Asked Questions:

The Goers Guide is a must read for every trip goer, leader, and parent. It will answer 90% of your questions. Get your Goers Guide with the link below.

http://pitrips.com/links-info/

Belize —July 20-28, 2018

TRIP DETAILS AND PAYMENT SCHEDULE:

Airport: Belize City (BZE)

Cost: $835 (airfare not included)

Deposit: $115 Due - February 25, 2018

Cost Includes: ground cost, ministry supplies, lodging, food, identity package, insurance, and support staff.

Payment Dates & Amounts:

Feb. 25 $115.00 (non-refundable)

Mar. 30 $240.00

Apr. 30 $240.00

May 30 $240.00

PITRIPS.COMjoin the adventure.

PARTNERSHIP INTERNATIONAL, INC. #180110

705 B SE MELODY LN / #308 / LEES SUMMIT / MO / 64063

REQUIRED Health Information

Height____ Weight _____

Blood Type _________

Emergency Contact Info:

____________________Name: ______________________24hr contact# ____________________ Relationship to goer:

*PLEASE ANSWER ALL QUESTION THOROUGHLY

Do you have any known allergies? Ο No Ο Yes (if yes)

List: ____________________ ________________________

___________________________

Do you have any dietary restrictions or food allergies? Ο No Ο Yes (if yes) List: ____________________ ________________________ ___________________________

Are you currently using any medications? (Include prescription and non-prescription) Ο No Ο Yes (if yes)

List: ____________________ ________________________

___________________________

___________________________

Do you have any physical limitations that prevent participation in rigorous activity? Ο No Ο Yes (if yes) Explain: ________________ ________________________

*Complete All Sections of the Application. Please Print Clearly*

Last Name:________________________ First Name:_______________________

Full Middle Name:________________________ DOB:_____/_____/__________

Address:________________________________________________________________

City:____________________________ State:__________ Zip:_________________

Phone:_________________________ Email:________________________________

Shirt Size:_______________ Gender: ________________________________

Church Name:_________________________________________________________

X______________________________________________ ______/______/______ Applicant’s Signature (or parent/guardian - if minor) DATE

This application represents a letter of intent to agreement between the designated individual and Partnership International. Acceptance of the designated individual for ministry work by Partnership International, along with the signature of an authorized agent of the designated individual constitutes an agreement to abide by the terms as expressed in this application and the Goers Guide. Only those authorized to act on behalf of the designated individual and the sponsoring church or organization are permitted to complete this application.

Please indicate date of most recent immunization.

Tetanus: (required) ____________

Physician:___________________________

Belize — July 20-28, 2018

International Insurance Coverage*

Accident Medical Expense: $10,000 Illness Medical Expense: $10,000 Emergency Medical Evacuation: $50,000 Security Evacuation: $100,000 Baggage and Personal Effects Loss: $500 Baggage Delay: $50 Trip Delay: $100Passport Replacement: $50

*Please note that this is secondary insurance coverage. Your personal health insurance should be utilized first.