Belize Travel Registration Form - Missionary Baptist General Convention of Texas

BELIZE FEED THE PEOPLE 2026 TRIP

This form will register you for the Belize Feed the People December trip. You must fill out the form to register, or you can (download) the form and mail in your form with payment. Your registration is not complete until your deposit payment is received by: Shonette C. Hill (ONLY)

BELIZE DECEMBER BROCHURE FOR DOWNLOAD

(CLICK IMAGE TO DOWNLOAD BROCHURE)

You MUST send payment to

Shonette C. Hill | 3155 Old Hickory Trail, Fort Worth, Texas 76140

If you have any questions, please call or email Shonette C. Hill at: (817) 489-0581 or shonette.hill46@gmail.com

TRAVEL LIABILITY WAIVER FORM

Travel Liability Waiver Form: You must download, fill-out and sign form and return form to Shonette C. Hill.

(DOWNLOAD LIABILITY FORM)

PLEASE FILL OUT REGISTRATION FORM. YOU WILL RECEIVE A CONFIRMATION EMAIL ONCE SENT.

Name

First

Middle

Last

(As listed on Passport)

Title

Gender

Male
Female

Date of Birth

Age

Contact Mobile Phone

Work Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Passport Number

Passport Expiration Date

Phone Ministry Number

Church Affiliation

Pastor

Church Ministry you Work With

Emergency Contact

First

Last

Emergency Contact Phone

Emergency Contact Email

Emergency Contact Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact Relation

Please list any medical problems:

(Including any requiring maintenance medication (i.e. Diabetic, Asthma, Seizures).

Lodging Information:

Room Type Requested

(Room type is not guaranteed. This is your requested room type. Travel Coordinator will contact you once deposit is received to CONFIRM your room type.)

Room Size

Single
Double
Triple
Quad