Burkina Faso Vision Trip

Registration Options

Deposit ($200.00)
Half Payment ($1,800.00)
Full Payment ($3,600.00)

Payment Agreement

I understand that trip payments and release forms are due as follows:
$200 Deposit - due at registration (non-refundable)
$1800 1st Payment - due by December 1, 2023
$1600 2nd Payment - due by January 1, 2024
Future payments can be made at goonthemission.com/donate
ALL RELEASE FORMS ARE DUE BY DECEMBER 1, 2023

I have read and agree to the terms above.

Name

Date of Birth

Gender

Male
Female

Phone Number

Address

Running Total

$0.00

Coupon Code

Total

$0.00

Passport and Visa Information

A passport and visa are required for travel to Burkina Faso. Please double check for your passport information for accuracy. GO cannot secure airfare or travel accommodations until we have all of this information.

A visa application must be filed with the Burkina Faso Embassy in the US. Upon registration, GO will send you information on how to apply for the visa. The cost of the visa is $140 and is not covered by the trip fee. You must have a passport in order obtain a visa.

Full Name as it appears on Passport

Passport Country of Issuance

Passport Number

Passport Expiration Date

Do you currently have a Burkina Faso travel visa?

Emergency Information

Medical Insurance Provider

Medical Insurance Policy #

Please list any food or drug allergies

Please list any medical conditions.

Emergency Contact Name

Emergency Contact Phone Number

Applicant Information

Why do you want to go on this vision trip?

Have you been on any other mission trip? If so, where?

If yes, what were you doing? How did it shape your view of mission work?

What will be the most difficult part of preparing, going, and returning from this trip for you?

How long have you been a follower of Jesus?

Billing and Contact Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Phone Number

This page is secured with 256 bit encryption

Event Registration Software by RegFox