(Please Print and Fill-out Form, Mail to Address below)

DESTINATION: KENYA

PREFERRED DATES OF MISSION TRIP _______________________________(July 2007)

Name: ____________________________________________________________

Address:___________________________________________________________

City:____________________________ State:___________ Zip:_______________

Telephone: _________________________ Email:___________________________

Passport Number (if required for trip):_____________________________________

Age:______________________________________________________________

STUDENTS _____ADULT _______Birthday _____________________

If this is a FAMILY APPLICATION please fill one out for each person.

You will need two passport photos for VISA.

If you do not have a passport you will need to apply 60 days before the trip.

How are you involved? What ministries and in what capacity?

Please give the names and telephone numbers of 3 people who can give an honest evaluation of your ability to contribute to this mission. Please only one relative.

1.____________________________________________________________

2.____________________________________________________________

Back to Top

********

ALL individuals going on short-term missions must be covered by health insurance, cost may vary. We use IMG international missions insurance. This is not an option if going on one of our teams.

Please respond to the following on a separate sheet of paper:

As much as it is within my power, I agree to be a positive and Christ-centered example on this Mission Trip. If I put myself or the team in an uncompromising or dangerous situation I give the leaders of this team permission to send me home at my own expense.

SIGNED: _____________________________DATE:______________

PARENT'S SIGNATURE: (If under 18)

DATE: _________________________________Date_________

Please return completed form to:

Rehema Ministries
Joyce Panzero
1117 3rd Street
Anacortes, WA 98221
rnj17@comcast.net

Back to Top

********

Statement of Faith

I believe in God, the Father Almighty, Maker of heaven and earth; and in Jesus Christ, His only son, our Lord; and in the Holy Spirit; and that these three are one God.

I believe the Bible to be the inspired Word of God, the only infallible rule of faith and it's practice.

I believe in the Lord Jesus Christ, who, in the beginning "was with God", and "was God", and "who is God. I believe He came to earth in human form to be a sacrifice for our sins".

I believe the Holy Spirit has led me to repent of all my sins and to turn from them, and to obey Christ.

I believe it is my duty to follow His call, "If any man will come after Me, let him take up his cross and follow Me".

I believe that we are saved "by grace through faith" in the Lord Jesus Christ.

I believe that through the infilling of the Holy Spirit that we can do good work and that they will produce the fruit of faith. I therefore offer myself for Christian service as a means of expressing my faith and love to Jesus Christ.

I believe that through Him all things are possible and I give my life to be used to expand His Kingdom.

Name________________________________________________________

Mission_______________________________________________________

Date _________________________________________________________

Back to Top

********