MINISTRY TEAM APPLICATION

BIBLE MISSIONS, INC

DATE OF TRIP_______________________DESTINATION_________________________

NAME_______________________________________________________

                (AS IT APPEARS ON PASSPORT)

ADDRESS________________________________________________________

CITY____________________________STATE______________ZIP___________________

PHONE—DAY________________________________EVENING______________________

CELL_____________________________E-MAIL___________________________________

PASSPORT #______________________________ EXPIRATION_______________________

DATE OF BIRTH______________________________

HOME CHURCH_______________________________________________________

CHURCH ADDRESS ______________________________________________________________________

PASTOR’S NAME_____________________________PHONE ___________________________

DO YOU HAVE ANY HEALTH PROBLEMS OR PHYSICAL LIMITATIONS WHICH MIGHT HINDER THE TEAM’S ACTIVITIES________________YES_________________NO

PHYSICAL_______________EMOTIONAL______________MENTAL____________________

IF SO EXPLAIN___________________________________________________________

WAIVER AND RELEASE OF LIABILITY

The undersigned, ___________________________, does hereby waive any claim for damages and release BIBLE MISSIONS, INC a non profit, 501 c 3 Organization and its affiliates, employees, agents, and representatives from all liabilities for loss of personal property and /or personal injuries.

Dated this___________day of _________________, 2007

_______________________________                 ________________________________

APPLICANT SIGNATURE                                    WITNESS’ SIGNATURE

_______________________________                     ADDRESS

PRINT NAME                                                     ______________________________________

                                                                              ______________________________________