Mission Trip Form

Group Info

Group/Organization Name (required)

Church/School (optional)

City & State (optional)

Primary Contact

Contact Name (required)

Email (required)

Phone (required)

Trip Dates & Lodging

Preferred Start Date (required)

Preferred End Date (required)

Do you need lodging provided?
YesNo

Estimated Arrival Time (e.g., 3:00 PM)

Estimated Departure Time (e.g., 10:00 AM)

Participants

Total # of Participants (required)

Youth (under 18)

Adult Leaders

Age Range (e.g., 13–18, adults)

Have adult leaders completed background checks?
YesIn ProcessNo

Service Interests & Skills

Areas you’d like to help (check all that apply):
Neighborhood BeautificationCleaningFood PreparationRelief Center (Furniture)ConstructionLandscaping

Relevant Skills or Tools (e.g., carpentry, painting, truck/van, tools you can bring)

Transportation & Parking (bus/van/carpool; # of vehicles)

Facilities & Accessibility

Do you need private showers scheduled?
YesNo

Accessibility or Medical Notes (dietary needs, ADA, allergies)

Agreements

[acceptance* code-of-conduct] I confirm our group will follow Adullam Outreach safety guidelines and volunteer instructions.

I grant permission for non-identifying photos/video of our group to be used for Adullam Outreach storytelling.

Send me updates about Adullam programs and needs.

Human check (required): What is 4+2?

Contacts