2025 Young Adult Service-Learning Trip

2025 Young Adult* Service-Learning Trip Registration Form

* Indicates required field

Full Name (as it appears on your passport if you have one) *

Email *

Birthday *

Passport Number (if applicable) *

Cell Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact Name *

Emergency Contact Relationship to Trip Participant *

Emergency Contact Phone Number *

Due to the physical nature of the trip and the nature of European cities, participants on this 12-day trip will need to be able to carry their own bags, walk up and down several flights of stairs multiple times a day, walk between 1 and 5 miles a day, and get up and down from the ground repeatedly for labor projects. With the lack of accessibility in Romania, we cannot accommodate those that need the assistance of walkers or wheelchairs. Are you currently able to meet these physical requirements? Select One *

Do you have a planned medical procedure that will occur between now and this trip that might affect your mobility? *

Yes No

The cost of this trip is $2800 per person.***** I am able to commit to the the payment schedule of $500 within a week of signing up for the trip to reserve my spot, an additional $1150 by February 15th so plane tickets can be purchased, and the remaining $1150 paid by May 15th. *

Yes

I understand that once plane tickets are purchased on or after February 15th I will not be able to receive a refund and will be responsible for any additional cost of the ticket if it is over $1750 a ticket. *

Yes

Why are you interested in participating in this year's young adult* service-learning trip? *

How did you learn about this service-learning opportunity? *

Are you affiliated with a church? If so, please share the name and address of your church. *

Do you have any food allergies or medical conditions of which we need to be aware? If so, please list them below. *