Lastleaf

Missions Trip Registration 2026

Thank you for your interest in our 2026 Lastleaf Missions Trip.

* First Name

Middle Name

* Last Name

* Email

* Phone

Address

City

State

Postal Code

* Birthday

* Emergency Contact

* Emergency Phone

* Your T-Shirt Size

Your Sweatshirt Size

Do you have a current passport (that does not expire within 6 months of travel)?

Missions & Outreach Experience

Do you have past missions trip experience?

* Where do you attend church?

* Church involvement: What church ministries are you currently involved in?

* Please list any community or outreach volunteering you've done in the past 2 years:

* Testimony: briefly write your testimony or faith journey here:

Please check the trip(s) you are registering for:

* Leadership experience: Please list any leadership experience you've had in the past 2 years:

* Talents and Interests: please list any current extra curricular activites you enjoy or are involved in (ie. music, sports, drama, art etc.):

Medical Info

* Physician's name and phone number:

* Medical History: List any serious injuries (with dates):

* List chronic or recurring illnesses:

* List any allergies you have:

* List any allergies you have to insect stings or medications:

* List any special diet restrictions you have:

* List any medications you are currently taking (or may have need to take ie. epi pen):

* List any activity restrictions you have:

* Do you have any breathing issues (ie. asthma, sleep apnea etc.):

* Is there anything you need to tell us about your health?

Registraiton Info

Deposit of $125 USD or $175 USD for a family is due with application. Click here for registration payment: https://lastleaf.kindful.com/embeds/e12b0f43-8630-423b-8615-614be789cf90

Are you registering as an Individual, Group, or Family?

If Group or Family, are any members minors?

If you or anyone in your group or family is a minor, you will need to fill out the Minor Consent Trip Application form (one form per person). I acknowledge the Minor Consent Form and will upload it below:

Interest Form

Nicaragua April 21-28, 2026

Antrim & Armagh Outreach: July 16-27, 2026

Bangor & Downpatrick: July 24 - Aug 3

Peru: Mid-September 2026

Greece: Fall 2026 (Late October)