C.U.R.E. Clinics International Medical Mission Trip Participant Application

Trip Participant Information

Address

Additional Information

I confirm that my international flight will arrive at the final destination on or before the required time listed in the Team Flight Itinerary. I will meet the trip leader at baggage claim unless told otherwise. If my flight is delayed, I will contact the Trip Leader and Project C.U.R.E. Clinic Staff right away. I understand that if I arrive late, I will be responsible for any extra transportation or lodging costs.

Project C.U.R.E. will provide travel insurance including medical evacuation coverage for all participants unless you specify here that you already have this coverage.

I understand that I am responsible for fundraising or donating towards a Trip Participation Cost to participate on this trip. This includes a $500 Trip Deposit due within 7 days of acceptance to the trip, half the Trip Participation Cost by 90 days prior to the trip, and the full Trip Participation Cost due 60 days prior to the trip.

I understand that donations and/or money fundraised towards my Trip Participation Cost is a non-refundable donation to Project C.U.R.E. If I cancel or the trip is canceled, I may apply the amount as a credit for a future C.U.R.E. Clinic.

The information provided in this application will not be shared outside of Project C.U.R.E. Your personal health information will only be used for purposes related to function and safety of Project C.U.R.E. clinic trips.

I certify that all information I’ve provided is true and complete. I agree to provide additional documents if requested, and I understand that false information may disqualify me from participation.