Vision Trip Application Step 1 of 3 33% The duration of a Cadence vision trip is typically 2-5 days. Once an application has been received and approved, vision trip applicants will have the opportunity to spend time with seasoned Cadence missionaries on the field, participate in ministry activities, attend Bible studies, and engage with the military community. Lodging and meals will be provided by the Cadence host missionary at no cost, but travel expenses are the responsibility of the applicant. For more information, please contact Anthony Amor, Cadence Mobilizer, at Anthony.Amor@Cadence.org or 303.960.1535.Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneMay we text you? Yes No Email Emergency Contact First Last Emergency Contact Phone NumberAllergies or medical conditionsIs Cadence staff authorized to approve medical treatment? Yes No Do you currently have medical insurance? Yes No If you have medical insurance, please list the name and policy or group number of your insurer How did you hear about Cadence International?Briefly explain why you want to experience a Cadence vision tripPlease note the start and end dates that you are available for a Cadence vision trip Location preference Select All Western United States Central United States Eastern United States International Preferred ministry focus Student Ministry Children's Ministry Adult Ministry (Hospitality House) Please provide a brief testimony explaining how and when you came to faith in ChristPlease list your previous ministry experience (mission trips, church ministry, evangelism, etc.)Do you have a valid passport for international travel? Yes No Are you able to pay for personal travel expenses, including airfare? Yes No I acknowledge that participation in the activity described above involves risk to the participant (and to the participant’s parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, exposure to infectious/communicable disease, bodily injury, death, emotional injury, personal injury, property damage, and financial damage. In consideration for the opportunity to participate in the activity described above (the “activity”), the participant (or parent/guardian if the participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the activity or during transportation to and from the activity, as well as for any medical treatment rendered to the participant that is authorized by the sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to as the “activity sponsor”). Further, the participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the activity sponsor for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the activity sponsor, the participant, or otherwise. If a dispute over this agreement or any claim for damages arises, the participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the participant (or parent/guardian) and the activity sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the rules of the American Arbitration Association.I understand that by signing this form digitally I am affirming my understanding and acceptance of the Participation Agreement. Image, Video, and Story ReleasePlease check the following to confirm your release: I grant permission to Cadence International to use my story, video, and/or images provided by me or taken of me during a Cadence gathering. Without further notification, the materials may be used for mission publications. This release includes the use in both internal and external publications, such as: website feature articles, social media posts, donor letters, grant applications, and general publicity. I release Cadence International and its employees from any claims, damages, or liability. I am at least 18 years of age and competent to sign this release. I have read this release before signing and I understand this agreement and accept the terms. (If you are under 18, the signature of an authorized guardian is required.) I understand that this document will be submitted electronically. By inserting my name I agree to the terms and conditions. Signature First Last Parent or Guardian Signature if applicant is not 18 years of age First Last Date MM slash DD slash YYYY