2016 Atlanta Mission Trip Application

Thank you for filling out the application to go on Velocity's Atlanta Mission Trip! 

  • Trip dates: March 11-19, 2016
  • This trip is for those who are currently in High School only
  • A $100 deposit is due January 1, 2016 
Full Name
Full Name
Cell Phone *
Cell Phone
Home Phone
Home Phone
Address *
Address
Date of Birth *
Date of Birth
Month/Day/Year
Gender *
Parent's Phone Number *
Parent's Phone Number
Home Church *
Do you regularly come to BCC?
What are you interested in? What are your hobbies? What activities are you involved with in school?
Past Mission Trips *
Have you been on a mission trip before?
If you have been on a mission trip, tell me about it. Where and when did you go? What did you do? What ministry was it with? Anything else you want to tell about the trip.
How are you currently growing in God? Have you been baptized? Do you read the bible? Do you come to church and youth group? etc.
Why do you want to go on a mission trip?