Youth Mission Team Application

This application is specifically for those applying to be on our 5+5 Mission Teams who are under 18 years old.

First Name

Last Name

Mobile Phone

Birthdate

/ /

Gender

Male Female

Address

Do you speak any other language other than English?

No Yes

School Name

School Grade

Attendance Type

Are you a U.S. Citizen?

Yes No

Parent Information

First & Last Name

Parent Mobile Number

Parent's Email Address

Emergency Contact Information

First & Last Name

Relationship

Phone Number

Medical Information

In case of an emergency, we may need to provide the following information:

Colorado Community Church Involvement

Is CCC your church home?

Yes No

Do you participate at CCC? (3CY, Young Adults, Bible Study, CCC Activities, etc.)

Yes No

Do you volunteer at CCC?

Yes No

Have you accepted Jesus Christ as your Savior?

Yes No I am not sure what that means

5+5 Mission Team Information

Immunization Information

Some countries require immunization and/or medication to be taken in order to enter their country. If the country does require, you must comply in order to travel to the country and participate in the mission trip. CCC is not responsible to research information, set an appointment or pay for vaccinations/medicine. It is solely your responsibility. A link to the CDC will be provided in a confirmation email after submission of application.

Yes - I understand I may be required to receive an immunization shot and/or take any medication necessary in order to participate in a mission trip. I understand I am personally responsible to receive vaccinations and/or medication if needed and provide the necessary documentation prior to departing for the mission.

Fundraising Responsibility & Disclaimer

Colorado Community Church gives each participant the opportunity to raise funds through our website platform, using preference donations to cover their individual contribution. Any funds donated to your individual goal, is to be used for the current 5+5 Mission Trip only. If you are unable to participate in the 5+5 Mission Trip at any point, all funds donated will be redirected to the general mission team fund to be used at the time of the current mission. Therefore, funds donated to your individual account are non transferable. The funds donated may not be used for any other 5+5 Mission Trip. By checking the box, you understand that the funds raised, will solely be used for the current 5+5 Mission Trip you are applying for.

Yes - I understand.

Each participant is required to pay a percentage of their individual contribution, dependent upon the mission they are applying for. Once your mission application is approved, your individual fundraising page will be activated and preference donations may be accepted. You must then make your down payment to your individual fundraising page to be a participant of a 5+5 Mission Team.

Yes - I understand.

Mission Trip Meetings

There will be several meetings prior to the mission trip. Each participant is required to attend at least six meetings in order to be part of the 5+5 Mission Team. By checking the box, you understand that you are required to attend these meetings so that you may be prepared for the mission ahead.

Yes - I understand.

Waiver, Release, Covenant & Code of Conduct

To participate in a 5+5 Mission Trip, you must complete our Medical Release & Physical Health Form, Media Waiver & Release Form, Financial Commitment Form, Parent Legal Guardian Consent, Delegation of Power Form, Team Covenant & Code of Conduct Forms. These forms will be emailed upon completion of this application for you and your parent/guardian to complete.

Yes - I understand that to complete this application I must acknowledge and sign all waivers/releases & forms.

***All information obtained in this application is to remain confidential and will only be shared with our Pastor of Outreach, Community Involvement Administrative Assistant and the 5+5 Mission Leader/s.

Submit

Form Entry

Parent Information

Emergency Contact Information

Medical Information

Colorado Community Church Involvement

5+5 Mission Team Information

Immunization Information

Fundraising Responsibility & Disclaimer

Mission Trip Meetings

Waiver, Release, Covenant & Code of Conduct

Colorado Community Church is an interdenominational, multi-cultural church located in Aurora, Colorado. We exist to transform our city and beyond by connecting people to Christ, Community, & Calling!

Saturday Service
5:00pm

Sunday Services
9:00am & 10:45am*
*Live ASL interpretation

info@coloradocommunity.org
(303) 783-3838
14000 E. Jewell Ave. Aurora, CO 80012

Form Entry

Parent Information

Emergency Contact Information

Medical Information

Colorado Community Church Involvement

5+5 Mission Team Information

Immunization Information

Fundraising Responsibility & Disclaimer

Mission Trip Meetings

Waiver, Release, Covenant & Code of Conduct

Colorado Community Church is an interdenominational, multi-cultural church located in Aurora, Colorado. We exist to transform our city and beyond by connecting people to Christ, Community, & Calling!

Saturday Service5:00pmSunday Services9:00am & 10:45am**Live ASL interpretation

info@coloradocommunity.org(303) 783-383814000 E. Jewell Ave. Aurora, CO 80012

Saturday Service
5:00pm

Sunday Services
9:00am & 10:45am*
*Live ASL interpretation

info@coloradocommunity.org
(303) 783-3838
14000 E. Jewell Ave. Aurora, CO 80012