2017 Mission Trips Interest Form
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First Name:
Last Name:
Email Address:


Please select your trip:

Reynosa, Mexico
Avery County, NC
  • Comment:

  • 500 characters left.

Please describe any allergies, special dietary needs or other health conditions that might require special attention.


350 characters left.

Do you agree to get (or confirm) all required immunizations prior to the trip?


Do you have medical insurance?


Why do you feel called to participate in this mission trip?


350 characters left.
How would you describe your particular gifts? What are your personal interests and hobbies?

350 characters left.
  • Unless otherwise stated in the trip descriptions, all ages and abilities are welcome to apply.
  • Trip costs include most meals, lodging and transportation.
  • Deposit checks of $150 should be made payable to Covenant Presbyterian Church, submitted with this application and are non-refundable.
  • Partial scholarship applications are available upon request.
  • A copy of your insurance card and driver's license must be provided with trip applications.  Individuals traveling on international mission trips must have passports valid for at least six months beyond the end of the trip.
  • Evening devotions are an important part of every trip.  Leaders include experienced lay leaders and/or members of Covenant Presbyterian's program and clergy staff.
  • While our carefully selected hosts make every effort to accommodate our schedules, know that unexpected things can happen and may be the greatest blessing on the trip.
For more information about our trips please contact Carla Leaf at Carla.leaf@covenantpresby.org or 704-517-9460. Applications can be returned to:Carla Leaf, 1000 East Morehead Street; Charlotte, NC 28204.