LANDMARK CHRISTIAN SCHOOL /FRONTLINE MISSIONS

HONDURAS MISSIONS TEAM APPLICATION

Team Destination: Olanchito, Honduras
2009 Spring Break - April 3rd – 11th, 2009

Cost of Trip - $1,600 ** (will be reduced if cheaper airline tickets can be secured)
Personal Information
1. Name (as on passport/birth certificate): ___________________________________
2. Address: _____________________________________________________________
City: ________________________ State: _____________ Zip: __________________
Phone Number: (____) ____-________ E-Mail _______________________________
3. Date of Birth: _______________ Country of Birth: ____________________________
4. Passport Number: __________________________ Expiration Date: ______________
5. Emergency Contact: ______________________________ Phone: ________________
6. Occupation ________Student________ Employer/School: Landmark Christian School
7. Marital Status: ______Single __ Church: ____________________________________
T-Shirt Size: ________________ Delta Sky Miles Number ___________________
Skills
8. Language Skills Other Than English: _______________________________________
9. Please List Any Professional, Business, Trade or Ministry Skills (including the arts):
______________________________________________________________________
10. Have you been on a mission trip before? ______ Where? _____________________
With Whom? ________________________________ When? _____________________

Please Supply The Following:

11. $200 deposit due by December 12, 2008

If you have been with Frontline Missions in the past year questions 12-14 are not needed.
12. A written statement on why you want to go on this mission trip. (On back or separate
sheet please)
13. Please describe the strengths and talents that you will be attributing to the team. (On back
or separate sheet please)
14. Two personal references stating personal Christian character and conduct from
1) Teacher or Coach 2) Pastor or a Leader from your church

FOR QUESTIONS OR ADDITIONAL INFORMATION PLEASE CONTACT:

1. MR. TITUS AT LANDMARK CHRISTIAN SCHOOL – MTITUS@LANDMARK-CS.ORG or
2. FRONTLINE MISSIONS – INFO@FRONTLINE-MISSIONS.ORG or call 770-774-0641
SUPPORT LETTER GUIDELINES
For writing your letter

To raise prayer support for your ministry and financial support as the Lord provides.

1. Do make your letter personal. Be yourself in your writing expression, We

encourage you to write why you are going and what you hope to see God do in and
through you.

2. Do make it spiritual, but please be sensitive. Avoid preaching, sermonizing, or

outlining biblical passages.

3. Do use one or two verses that are appropriate to what the Lord is teaching you and
doing in your life. Verses that support what you are trusting the Lord to teach you
are good.

4. Do be specific and try to limit the letter to one page.

5. Do check your grammar, spelling, and punctuation. Have someone proof your letter.

6. Do make the letter appealing to the eye, original, and easy to read. Artwork,
headings, and space will help the reader understand the message.

7. Do find out where the checks need to be sent and how they should be designated
from your church and/or agency.

8. Do mention your financial need.

Example: “The cost of this mission trip will be $1,500 if your feel the Lord leading you
to share in this ministry, you can make check payable to Frontline Missions and enclose a
note designation to your name/name of mission trip i.e. Johnny Smith – Landmark 2009

9. Do mention the date by which you need your support to be raised.

10. Do mention where to send support, checks should be mailed to you.

11. Do remember to include your return address on your prayer letter.

12. Do make a copy of the letter for your team leader.

13. Do start meeting weekly for prayer with a partner or another team member.
 Details for Landmark Christian School’s Mission Trip to
Honduras 2009

Date: April 3 - April 11, 2009

Location: Olanchito, Honduras
Ministry Focus: Drilling a well for water
Medical Clinics in remote villages
Medical/Dental in local villages
Ministry

Total cost: $1,600 due by 3/14/07

$200 non-refundable deposit 12-05-08
$625 more by 2-13-09;
and the remaining $775 by 3-13-08
It is important that Frontline Missions has credited to your
account a total of $825 by 2-13-09 and a total of $1,600 by
3-13-09.
<<Date>>

<<Name>>
<<Address1>>
<<Address 2>>

Dear <<Name2>>

I am writing to share some exciting news with you regarding an opportunity to share the
message of the Gospel. This Spring break, I am joining with a group of high school
students from my school to travel to Honduras for a short-term missionary trip.

We, the youth and adult team from Landmark Christian School, will be leaving on April
3rd for a nine-day trip focused on evangelism while performing free medical/dental
clinics in this nation. The people of Honduras are very open to the Gospel. The past
years, Landmark Christian School was instrumental in planting new churches and seeing
hundreds of people come to the Lord.

In preparation for departure, I am seeking support, both financially and in prayer. I need
to raise $1,600 to make my trip possible. Will you consider a gift of $100, $50 or $25 or
more to make my dream a reality? There are so many people who have not heard the
Good News of Christ, and I will have the chance to share the message of His love as we
give out the medical care. What a responsibility, but also what a privilege!

I appreciate your consideration of support. Included is a return envelope for your use. I
sincerely appreciate your prayerful consideration in helping make my mission trip
possible.

Sincerely,

<<Name>>

P>S> If you have any question about the short-term mission trip, please feel free to
contact me at <<number>>. I thank you so much for your faithful prayers and financial
support. Please make checks out to Frontline Missions with an attached note with my
name and LCS Honduras 2009 on it. Please leave the memo line blank on your check.
Send this to my address please:

<<Name>>
<<Address>>
 FRONTLINE MISSIONS
Liability Release/Consent Form
Release of All Claims

Name of participant ________________________ Age ________ Birthdate _______________

Address __________________________________ Phone (_____)________________________
City ______________ State _____ Zip code ________ Social Security #______________________
Parent(s) business phone __________________________ ________________________________

In consideration for being accepted by Frontline Missions for participation on a Mission Trip, we (I),
being 18 years of age or older, do for ourselves (myself) (and for and on behalf of my child-participant if said child
is not 18 years of age or older) do hereby release, forever discharge and agree to hold harmless Frontline Missions,
Landmark Christian School and the directors thereof from any and all liability, claims or demands for personal
injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be
incurred by the undersigned and the child-participant that occur while said child is participating in the above-
described trip or activity.
Furthermore, we (I) [and on behalf of our (my) child-participant if under the age of 18 years] hereby
assume all risk of personal injury, sickness, death, damage and expense as a result of participation in all activities
relating to the Mission Trip.
Further, authorization and permission is hereby given to said mission to furnish any necessary
transportation, food and lodging for this participant.
The undersigned further hereby agree to hold harmless and indemnify said church and/or mission, its
directors, employees and agents, for any liability sustained by said church and/or mission as the result of the
negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto.

(If the participant has not attained the age of 18 years):

We (I) are the parent(s) or legal guardian(s) of this participant, and hereby grant our (my) permission for
him (her) to participate fully in said trip, and hereby give our (my) permission to take said participant to a doctor
or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or
medical treatment, and assume the responsibility of all medical bills, if any.
Further, should it be necessary for the participant to return home due to medical reasons, disciplinary
action or otherwise, we (I) hereby assume all transportation costs.
Pastor's telephone_____________________
Hospital insurance?: Yes: No: _______________________________________
Insurance company_____________________ Father Date
Policy number ________________________
Physician___________________________ ____________________________
Mother Date
Physician's phone _____________________
Emergency phone numbers _______________
__________________________________
____________________________
Legal guardian Date
Participant may be the only signer if 18 years of
age or older. If under 18, both parents must sign.
____________________________
Participant Date

NOTARY:
Sworn to me before this _______ day of __________________ 19____

Signed__________________________________________________

My Commission Expires on___________________________________

 FRONTLINE MISSIONS
HEALTH FORM
(Confidential)
________________________________________
Please print in ink or type. Couples should fill out separate forms.

Name: _____________________________________ Age: ___________Date: _______________

Current Marital Status: Single Married Divorced Widowed
________________________________________
Heredity: Among your immediate family, grandparents, uncles or aunts, is there any history of
cancer, tuberculosis, epilepsy, alcoholism, mental disorder, migraine headaches, asthma, diabetes,
heart or any circulatory or blood disease? Specify relative and disease:
__________________________________________________________________________________
Condition of health: Poor Fair Good Excellent
Height: _____________
Weight: _____________

Immunizations:
To your knowledge, which of the following have you had the normal immunizations for?
Mumps Rubella
Cholera Tetanus Typhoid Pertussis
Measles Hepatitis A Hepatitis B
Diphtheria Polio Others: ___________________________

Allergies:
Specify if you have any allergies (to medications, food, or other): __________________________
__________________________________________________________________________________
__________________________________________________________________________________

Physical Conditions:
Indicate whether you have or have had: (Also circle those that still apply to you now.)
Asthma High Blood Pressure Chronic Fatigue Obsessive Thoughts
Respiratory Disorders Diabetes Endometriosis Compulsive Actions
Epilepsy Mitral Valve Prolapse Pre-Menstrual Syndrome Depression
Fainting Spells Cardiac Problems Sexually Transmitted Diseases Anxiety Problems
Convulsions Stomach Ulcers AIDS Virus Bipolar Disorder
Tic Problems Rheumatic Fever Anorexia Nervosa Night Terrors
Leukemia Tuberculosis Bulimia Nervosa Psychiatric Consult.
Cancer Lupus Speech Problems Substance Abuse
Hepatitis Thyroid Problems Learning Disabilities Alcoholism
Hypoglycemia Back Problems Sleep Difficulties Drug Flashback
Anemia Incapacitating Headaches Att. Deficit/Hyperact. Disorder Females Only:
Irregular periods
Severe Cramps
Are you pregnant

FRONTLINE MISSIONS
5600 SHORT RD.
FAIRBURN, GA. 30213
info@frontline-missions.org
770-969-4941
Medical History:
Have you ever been turned down for medical reasons from any of the following:
Life Insurance Military Employment College
How many days have you been hospitalized in the past five years for the following:
Medical Surgical Psychiatric Explain: __________________
____________________________________________________________________________________

Temperament:
Indicate which characteristics seem to apply to your temperament:
Impulsive High-strung Nervous Calm
Easy-going Introspective Shy Anxious
Moody Self-conscious Aggressive Dominant
Optimistic Cheerful Enthusiastic Irritable
Self-confidant Often depressed
Any lack of emotional control? Yes No Explain: _____________________________________
___________________________________________________________________________________
Do you suffer from insomnia? Yes No Disturbed sleep? Yes No
Explain: _____________________________________________________________________________
Have you ever seriously considered committing suicide? Yes No
If so, when?_________________

Stamina:
Is there any reason why you cannot tolerate:
Rigorous outdoor activity? High altitudes?
High temperatures? Low temperatures?
Explain: _____________________________________________________________________________
____________________________________________________________________________________
Do you have any handicaps which might hinder missionary service? Explain:
____________________________________________________________________________________

Are you on any type of special diet? Explain: _______________________________________________

____________________________________________________________________________________

Other:

We need to have information from your physician regarding any significant medical and/or
emotional problems that currently affect you.

I certify that I have answered the above questions fully and honestly and that I have no other
significant health problems.

Signed: ____________________________________________Date: ______________________

__________________________________________
FRONTLINE MISSIONS
5600 SHORT RD.
FAIRBURN, GA. 30213
info@frontline-missions.org
770-969-4941
 AFFIDAVIT FOR TRAVELING WITH ADULT OTHER THAN PARENT
DECLARACIÓN JURADA PARA VIAJAR CON ADULTO CON EXCEPCIÓN DE PADRE

TO WHOM IT MAY CONCERN:

A QUIEN PUEDA INTERESAR:

I, ______________________________, GIVE PERMISSION FOR MY SON\DAUGHTER,

DOY, EL PERMISO PARA MI HIJO

, WHO WAS BORN ON ________________ TO

QUE NACIÓ ENCENDIDO

ACCOMPANY Alan Winter AND/OR Heidi Winter AND/OR Harry Calsbeek AND/OR
Molly Worrell

PARA ACOMPAÑAR

______________________________ ON A TRIP OUT OF THE UNITED STATES TO

EN UN VIAJE FUERA DE LOS ESTADOS UNIDOS

HONDURAS, FROM April 3, 2009 THROUGH April 11, 2009. THIS IS

A HONDURAS, Abril 3, 2009 – Abril 11, 2009.

ALSO OUR PERMISSION FOR MEDICAL ASSISTANCE TO BE ADMINISTERED SHOULD

THEY BECOME ILL OR INVOLVED IN AN ACCIDENT.

ÉSTE ES TAMBIÉN NUESTRO PERMISO PARA QUE LA AYUDA MÉDICA SEA

ADMINISTRADA SI LLEGAN A ESTAR ENFERMOS O IMPLICADOS EN UN ACCIDENTE.

_____________________________
Father/Padre Date/Fecha

_____________________________
Mother/Madre Date/Fecha

_____________________________
Legal guardian/Guarda legal Date/Fecha

___________________________ ______________
NOTARY SEAL AND SIGNATURE DATE/FECHA
SELLO Y FIRMA DE NOTARIO

NOTE: BOTH SIGNATURES NEEDED OR DIVORCE DECREE STATING SOLE CUSTODY.

NOTA: FIRMAS NECESITADAS O DECRETO DEL DIVORCIO QUE INDICA CUSTODIA Única.
 Packing Checklist
**Packing Notes: Due to the chances of rain or wet ground, please pack as follows:
1. Line your suitcase or duffle bag with an extra large, heavy duty yard/garbage bag
2. Place all items in large zip lock bags for easy access and dryness

Pre-Departure Medication
Passport – Turn in to Harry or Landmark Contact Lens Preparation
Front desk by March 21, 2009 Insect Repellent non-aerosol
Spending Money – Minimum $50 Sunscreen
Sunburn Relief
Carry-on List Motion Sickness Medicine
Book Bag or Backpack Personal Hygiene Items
Extra clothes for 1 night Personal Prescriptions
- underwear Vitamins
- skirt for girls
- sweatshirt Toiletries
Toiletries - Liquids, Gels, & Creams Comb / Brush
- not bigger than 3 oz Toothbrush / Paste
- packed in qt. zip lock Dental Floss
Snacks Deodorant
Prescriptions Skin Care Lotions / Creams
Bible Small Shampoo - Hotels don’t provide
Travel Journal & Pens Towelettes or Wet Wipes
Sunglasses Toilet Paper
A Positive Attitude Antibacterial waterless soap
Shaving Cream
Basics
2 Quik Dry Towels for beach & daily use
Personal Duffle Bag or Suitcase
flip Flops (for shower use)
Travel Clothing – Team shirt provided
Travel Footwear – airport security Maintenance Items
Daily Clothing Flashlight Batteries / Bulb
- Hiking footwear
Camera Batteries
- Boys - Pants
Mesh Bag for Dirty Laundry
- Girls – Skirts
- 1 light long sleeved shirt for Zipclose Plastic Bags
dusk and dawn bugs
- T-shirts Optional Items
- Shorts - non-ministry times Ear Plugs (in case roommate snores)
Bathing Suit Mini Sewing / Repair Kit
Visor or Brimmed hat Duct Tape
Light Poncho for rain Clothes Line & Pins
Language Books Pocket Knife – check-in luggage only
Address Book including all your supporters Snacks
Water Bottle or Camel Back Powdered Propel to add to water for
Small Pillow if desired hydration
Throat Lozenges