MOP Registration

Name*

First Last

Age*

Gender*

Male

Female

Email*

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Local church you attend*

Spouse attending?*

Yes

No

Spouse's Name

First Last

Age

Gender

Male

Female

Food Allergies*

Medical Conditions and Medications*

Emergency Contact*

Someone who is not attending MOP

Emergency Contact Phone Number*

Relationship to you*

How will you travel to MOP?*

Car

Air

Unknown (Details TBD)

Airport

Airline

Flight Number

Time

Is an airport pickup needed

(if available and at additional costs)?

Yes

No

Personal Testimony and Introduction*

Write a brief (no more than 200 words) personal testimony and introduction paragraph. Spouses should answer separately.

Spouse's Personal Testimony and Introduction

Write a brief (no more than 200 words) personal testimony and introduction paragraph.

Describe any cross-cultural experience you have had*

Describe any cross-cultural experience your Spouse has had

Permissions*

I understand what the Missionary Orientation Program entails and commit to be an active participant in the entire MOP program. I understand that I am responsible for myself and my transportation and do not hold Greenwood Hills, CMML or MSC Canada responsible for any injuries or illnesses incurred while attending this training program.

Agreement

Media Release*

I understand a photographer is present at all CMML conferences taking pictures for CMML and MSC publications.

I request that care be taken when using my name and photos online due to the sensitive nature of my future service plans.

Please do not use my name or image in any publications.

Payment*

Fees for MOP are $250 per person or $475 per couple, which includes meals, lodging, and seminar materials. I agree to pay in full the applicable fees.

Agreement

Elder Recommendation Form*

I have sent my church leaders the Recommendation Form and they have completed it.

Ready to Embrace Local Church Driven Missions?