Participant Profile Form | Lakeside Church

Join our Lakeside on Mission team!
This form is required for each individual going on a Mission Trip.

Fields marked with an asterisk (*) are required. All other fields are optional.

*Email

*Full Name

*Name of Trip

*Dates of Trip

*Home Phone

Cell Phone

Home Street Address

Home City & Zip Code

Church You Attend

How Long?

Indicate age if under 18

List any allergies, medical conditions or medications we need to be aware of

Previous Mission Trips

I'll help with trip preparations

Yes

No

Abilities

Speak Native Tongue?

Construction Experience?

Musician?

Vocalist?

Special experience or skill I would like to use while on the trip

Can you identify a time in your life when you consciously began a personal relationship with Jesus?

Yes

No

If yes, share your experience

Do you feel confident leading someone into a relationship with Jesus?

Yes

No

Are you comfortable leading prayer?

Yes

No