Mexican Medical Ministries

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2025 Minor Forms D-G (#8)

Δ

Contact

FORM D:

INDIVIDUAL TEAM MEMBER INFORMATION (For Minors, 2025)

Church or Group Name:

Participant’s name:

Address

City

State/Prov

Zip/Postal Code

Age

Date of Birth

Gender

Citizenship

T-SHIRT: Please Select Size

Small

Med

Large

X-Large

XX-Large

MINISTRY ROLE: My ministry role/responsibility on this mission trip is:

SPANISH LEVEL: Please Select:

None

Few Words

I can ask questions

I can converse

I am fluent

CONSTRUCTION EXPERIENCE. Please Check:

I am planning to be a general laborer to work wherever needed by the missionary!

I have the following construction trade/skills:

(Please check all that apply)

SPECIAL NEEDS: Please advise us of any medical conditions that you may have.

CONDITION

Textarea

MEDICATION

TESTIMONY: Describe your relationship with God.

CALLING: How has God led you to go to Mexico?

Father or Guardian Name

Mother or Guardian Name

Email

In the event of an emergency, if you are unable to reach me at the above number(s), contact:

Name

Telephone #

Relationship

Name of your insurance company

Phone number of insurance company

Policy No.

You will need to download and print Form G to have it notarized.

Form G for minors

D