England Immersion Travel Team Application - 2020

Please fill out the application below to be considered for the September 24-October 2, 2020, England Immersion Excursion to London, Birmingham, Manchester, and Sheffield, England. Bethany Helmkamp will be your trip coordinator. Kent Hunter and Tracee Swank will be your Church Doctor coaches during the trip and after you return home. The biography information will be shared with others attending the Immersion Excursion. All other information will remain personal and confidential and viewed only by Church Doctor Ministries staff. If you have any questions or have any trouble with this form, please call Bethany, 1.800.626.8515, or e-mail her at bethany@churchdoctor.org. Bethany will contact you to pay online via PayPal or Quickbooks invoice.
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
    1 = lowest, 10 = highest
    1 = lowest, 10 = highest
  • Special requirement could include a special plug for a c-pap machine.
  • Accepted file types: jpj, png, Max. file size: 64 MB.
    Please email a profile picture to Bethany Helmkamp at Bethany@churchdoctor.org if you don't have it available now or have difficulty attaching it to this form.

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