Please tell us on a scale of 1 to 10 how you see yourself:
MY MEDICAL INSURANCE INFORMATION
OVER 18 CLAUSE
I am 18 years of age or older, and have provided information about any medical conditions I have. In addition, I have provided my medical insurance information.
Signature of person over 18 years of age:
(by signing, you confirm that the information provided is accurate to the
best of your knowledge)
Thanks for registering to a mission trip!