Mission Trip Application Please fill out the form below, selecting the appropriate trip. A member of our missions team will be in touch soon! Choose a Mission Trip*Clarkston, GA 1- March 13-16Haiti 1- May 19-26Nicaragua- June 2-8MFuge - June 3-8Ethiopia- June 20-29Florida- June 23-29Dominican Republic- June 24-July 1Clarkston, GA 2- July 7-12Haiti 2- November 10-16Name* First Last Email* Enter Email Confirm Email Phone*Country of Citizenship*Passport Number (if applicable)Date of Birth* MM DD YYYYWhat grade are you in? (if applicable)6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeAre you a member of Rock Bridge?*YesNoWhat Campus do you attend?*CalhounChatsworthDaltonRinggoldHixsonPlease list 2 people that we may contact who know your strengths and weaknesses. At least 1 contact needs to be a member or staff at Rock Bridge.*Please provide Name, Relationship, Contact Phone Number, and Email.What skills or abilities do you feel you bring to the trip/team?*Please state briefly how and when you accepted Christ:*What Rock Bridge mission trips have you gone on before? Have you been on any mission trips with any other organizations?*Please provide dates, destination, organization, and purpose.Rock Bridge Mission Trips are self-funded. Are you willing to take responsibility to cover the cost of the trip by fundraising or personally?*YesNo This iframe contains the logic required to handle Ajax powered Gravity Forms.