RW Mission Trip Application

What type of mission work are you most interested in?
Check all that apply.
Have you been on an international RW Mission trip before?
Are you considering bringing a child, spouse, or guest with you on this trip?
RW Leadership will make the final determination on how many people, including children, spouses, and guests can go on this trip.
Include name, relationship, and age.

Personal Information

Home Address

Passport Information

Do you have a valid passport book?
Name as shown on your passport
Expiration date

Emergency Contact Information

Emergency Contact Name


Do you have any health (physical or emotional) concerns or limitations?
Are you currently taking any medications?

Mission Trip Covenant

As a member of this team, I agree to the following:

  1. To remember that I represent RW Supply and Design. I will do my best to exercise good judgment and act in a way that reflects well on our company.
  2. To remember that I am a guest visiting at the invitation of my hosts. I will respect their culture without judgment.
  3. To respect others' faith and values, while respectfully sharing my own.
  4. To develop and maintain a servant's attitude toward all Nationals and my teammates. I will demonstrate that I am there to serve others while learning and developing relationships.
  5. To respect my team leader(s) and respond positively to their decisions.
  6. To refrain from criticism and gossip about our host(s) and teammates.
  7. To refrain from complaining, as I recognize that travel can present unexpected and undesirable circumstances; instead of complaining, I will be flexible, constructive, and supportive.
  8. To avoid controversial discussions and arguments, which may distract from our central purpose.
  9. To participate actively in meetings and missions by sharing opinions, finding alternatives when necessary, assuming responsibilities, and honoring decisions.
Do you fully agree with the above RW Mission Trip Covenant?
Use your mouse or finger to draw your signature above

Photo Release

Release and Consent

I authorize and grant RW Supply and Design, its employees, agents, licensees, independent contractors, successors, and assigns (collectively "Producer") the right to record my name, likeness, image, voice, and statements (collectively "Appearance") digitally or on film, tape or otherwise for use in planned video production and any other programming (collectively the "Programming.") I understand and agree that my Appearance may be edited and otherwise altered at the sole discretion of the Producer, and used and re-used by Producer, in whole or in part. I also understand and agree that my Appearance may be used and re-used for all broadcasting, advertising, digital distribution, or exploitation of any type, whether audio or visual, or for any purpose in any manner or media (whether now known or hereafter devised, and including but not limited to, Internet broadcast and home media products), including use for advertising or commercial purposes or purposes of trade. I further understand and agree that these rights are granted to Producer perpetually and throughout the world. By signing this agreement, I know that I have no rights to the Programming or any other uses or re-uses, and no right to receive any compensation or consideration for any uses or re-uses of all or part of the Programming or my Appearance. 

I also consent to use my Appearance in connection with the broadcast, distribution, exploitation, or promotion of the Programming, as well as other uses and re-uses, as may be edited by Producer, its employees, agents, licensees, independent contractors, successors, or assigners.

If the participant named above is a minor child, I represent and promise that I am the child's parent or legal guardian and that I have complete and sole authority to sign this agreement on my behalf. I agree to all the terms of this agreement on my behalf.

I have read and fully understand this agreement.
Use your mouse or finger to draw your signature above
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