2025 Medical Mission Application

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 January 26 - February 2, 2025

 

Address
Do you have any health related problems or physical limitations including allergies that might restrict or limit participation during this mission (note this will not exclude you from being selected)?
Do you have any food allergies/restrictions?
Do you speak Spanish?
Do you have a passport?
Passports will need to be valid for 6 months after the return date of the trip, 7/2/2025 If you don’t have a passport, enter “None” in the following 4 fields.

Travel Medical Insurance Info

Medical Insurance is provided as part of your fee. Please designate a beneficiary in case of emergency.

Beneficiary Name

Please provide an emergency contact who is not going on this trip:

Contact Name

NEW PARTICIPANTS ONLY:

Shirt
Note: They tend to run small.

If I am selected to participate as a volunteer with The Castañeda Kids Foundation, I will follow ALL of the policies and procedures established for the welfare of the group, follow instructions by the Team Leaders and accept all conditions that support the team’s goals. Volunteers agree to adhere to staying within our established safe areas set forth by The Castañeda Kids Foundation. I also understand that the fee set forth by The Castañeda Kids Foundation will be non-refundable in its entirety. Special circumstances will be handled on a case-by-case basis.

Name
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