Mexican Medical Ministries

2025 Leaders Froms A-B

FORM A:

GROUP LIST SUMMARY 

IN CASE OF AN EMERGENCY, THE FOLLOWING PEOPLE (NOT ON TRIP) CAN
BE CONTACTED:

BREAKDOWN OF PARTICIPATION FEES
AGE GROUP BREAKDOWN Number of participants Fee Per Person TOTAL AMOUNT
Ages 9 & up
Participation fee is stated in confirmation letter.		 $250.00
Children: 8 & younger
No participation fee		 $10.00
SPECIAL PROJECT MONIES
TOTAL MONIES INCLUDED

 

T-SHIRTS

SPECIAL MEDICAL NEEDS

Please advise us of any special health needs. Use other sheets if needed.

GROUP LIST SUMMARY

SUMMARY OF GROUP MEMBERS

FAMILY MEMBERS

Please list any team members that are related and indicate their relation.

CONSTRUCTION LABORERS:

(Please give number for each trade)

SKILLED LABORERS:

SUMMARY OF MEDICAL PERSONNEL
Also, please enclose a copy of each one’s professional license.

MEDICAL PERSONNEL
Please list name and area of specialty.

FORM B: MASTER CARAVAN GROUP LIST

Please list each participant of your team and record the information for each one. Make copies if more spaces are needed.

 

 

# Participant Name Spanish Level (0-5) Date of Birth Age Sex (M/F) T-Shirt Size Form D Form E Form F Form G/H
1
2
3
4
5
6
7