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Cart
0
About
NxtGen Director
Our Team
Contact
Scholarships
Events
Called Summer Internship
Youth Camp 2024
Kids Camp 2024
Called Retreat
Pursuit
Family First Conference
Fine Arts
Called
I'm Called
Called Summer Internship
Youth Alive
NxtGen Missions
NextGen Missions Projects
Field Teams
BGMC
Speed The Light
NextGen AG Missions
Leaders/Resources
Leadership Summit
Get Involved
Young Adults Startup
Hydrate
Bible Engagement Project
Parents
Family First Conference
Called Leadership Institute
Donate
Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date
*
Birthdate
MM
DD
YYYY
Age
*
Phone
*
(###)
###
####
Email Address
*
Father's Name
*
First Name
Last Name
Father's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Father's Phone
*
(###)
###
####
Father's Email
*
Mother's Name
*
First Name
Last Name
Mother's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mother's Phone
*
(###)
###
####
Mother's Email
*
Do you live with both parents?
*
Yes
No
If no, who is your primary guardian?
*
How many years of schooling have you completed?
*
Please list any special skills, abilities, musical talents, etc.
*
Are you in good physical health?
*
yes
no
If no, please explain.
Do you have any physical handicaps?
*
yes
no
If yes, please explain.
Do you have any known allergies?
*
yes
no
Please list all allergies
Are you currently taking any medications?
*
yes
no
If yes, please list.
When did you start a personal relationship with Jesus?
*
Have you been Water Baptized? If yes please list the date.
*
Have you received the baptism of the Holy Spirit? If yes, please explain when.
*
Please describe your involvement in the local church
*
Why do you want to participate on this missions trip?
*
How did you learn about this missions trip?
*
How did you learn about this missions trip?
Have you ever been on a NOMO Youth Missions trip before? When and where?
*
Do you understand that we must receive your parental consent form before the deadline listed in order for you to participate on this trip?
*
yes
no
T-Shirt Size
*
S
M
L
XL
2XL
3XL
Thank you!