Registration

1. PERSONAL INFORMATION

First Name:

Last Name:

(Exactly as written on passport)

Address:

City, State, Zip:

Phone Number:

Email:

Passport #:

Country:

Date of Birth:

2. HEALTH INFORMATION

Are you allergic to any medication or anything else?

Do you have any physical condition or special health needs?

Are you currently taking any medication?

Ha firmado su "consentimiento médico o permiso del menor": Yes / No
(for minors under 18)

3. FINANCIAL INFORMATION

A deposit should be submitted together with the registration. Checks or money orders must be made out to SmilesLatinoamerica.

Reservations are processed in the order they are received. Space is limited.

Deposit Due: US $250 - (Non-Transferable / Non-Refundable)

Final Payment Due: US $245

4. PERSONAL REQUIREMENTS

√ Demonstrate a positive attitude and respect others, their culture, and beliefs.

√ Estar dispuesto a compartir amor como emblema que identifique el trabajo a realizar.

√ Tener la capacidad de respetar los líderes responsables y seguir direcciones.

√ Demostrar un corazón servicial en todas las actividades.

√ Participar de las reuniones informativas y de instrucción general.

√ Estar preparado para servir con excelencia en el area de responsabilidad asignada.

√ Estar de acuerdo con todos los requisítos e información para participar del Campamento Misionero.

5. PROJECT INFORMATION

Perú, Cuidad Juárez y Tijuana.

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