Application for High School HPC Utah Mission Trip | Huntersville Presbyterian Church

First and Last Name of attendee (full government name)

Birthday

Month

Day

Year

Parents names (if applicable)

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone (Students or attendee)

Phone (parent of student/emergency contact)

Email (student)

Email (parent)

Have you been on a mission trip before?

Yes

No

If YES, where to and when?

I understanding training sessions and team building activities for this mission trip are critical for the successs of the trip. I understand I must make evey effort to attend all of the team training sessions and team building activities.

Please rate yourself as honestly as possible in the questions below.

Why do you want to go on this trip? (200 words or less)

Describe what you do when you are not in school or at work? Hobbies? Sports? Include any special skills/talents/gifts you might have.

I understand that my deposit is non-refundable. It indicates that I am commiitting to the full price of this trip and that an airline ticket will be purchased in my name.

I understand that a portion of my trip cost is funded by those who contribute to Huntersville Presbyterian Church.

I understand that once airline tickets have already been purchased, I will be responsible for paying 100% of the airfare cost.

I agree that any photos/videos taken during training or on this trip may be used by Huntersville Presbyterian Church.

Do you have any medical concerns we need to be aware of?

Yes

No

If so, please elaborate here:

Please list any medications you take on a daily basis.

Do you have any dietary restrictions or allergies?

Utah Mission Trip - Application July 12-18, 2026

Utah Mission Trip - Application
July 12-18, 2026