Haiti Planning Update

Church or Group Name*

Date of Visit*

Location*

Galette Chambon
Thoman

Team Leader Name*

First Last

Team Leader Email*

Team Leader Phone*

Team Member Information

Galette Chambon: Total of 24
Thoman: Total of 28

Names of Men - service interests*

Please put each name on a separate line. Next to each name, list service interests.

Names of Women - service interests*

Please put each name on a separate line. Next to each name, list service interests.

Skills and abilities of your team*

Projects and Service Planned*

Do you want to hire Haitian workers to assist with your projects?

Yes
No

Please take cash to Haiti for this part of your project fees. Consult with missionary during the trip about the appropriate form to submit regarding donating funds to BGM while in Haiti.

Special Requests or Needs

Be as specific as possible.

Does anyone on your team have a peanut allergy?*

Flight Information

Please email Beth at beth@butgodministries.com any changes in your flight schedule. If schedules change on day of flight, immediately call (in this order until contact is made) Tony West at 601-398-9084, Stan Buckley at 601-481-4078, or Rusty Hall at 601-607-7185.

Arrival into Port Au Prince*

Date, Airline, Flight Number, and Time: (List names of persons on each flight if group is not traveling together.)

Departure from Port Au Prince*

Date, Airline, Flight Number, and Time: (List names of persons on each flight if group is not traveling together.)

Other Information

Emergency contact information for group (in USA)*

Haiti Team Planning Update Form

Team Member Information

Flight Information

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