(Please fill in and submit the hard copy form if you are under the age of 21)


Trip Information
I'm signing for a mission trip to *

This is my first trip with RiverLife Church

Passport Information
* *
Gender * *
Permanent Resident in Singapore?
(Skip if Singaporean)

Area(s) of Interest in Serving (Choose more than one if applicable)



Sharing the Gospel

Teaching and Facilitation

Children Ministry

Creative Arts (e.g. Drama, Dance)

Planning and Programming (for Camps)

Admin and Operations

Altar Ministry

Sharing Testimony

Hands on Support (e.g. installing lights)

Others (Please Specify)

Currently attending a cell group? *


In Case Of Emergency
 Relationship to you

Travel Insurance (Please tick)*:

I would like RiverLife to purchase the travel insurance (part of mission trip cost)

I have my own valid travel insurance and would like to opt out of RiverLife purchased travel insurance

Medical Questionaire
Are you currently on medication? *

Do you have any medical / food allergies? If yes, please indicate which medicine(s) and/or food(s)

Important Information
The trip fee covers transportation (air/sea/land), accommodation (twin/triple-sharing), meals, travel insurance and visa application (if required). Other costs not related to the mission trip programme will be borne by you, eg. sightseeing or recreation activities.

Any cancellation/refund requests will be subjected to the terms & conditions of the airline/third party.

To submit this form with a photocopy of your passport details to Missions Booth.

You are required to attend training sessions that will be conducted to help prepare the team for the mission trip.

Must Read

In Riverlife Church, we respect the privacy of all persons and recognise that personal data is important. In line with the Personal Data Protection Act 2012 (PDPA) and to fulfil the purposes on the use of your personal data, your consent is regarded as expressed by you submitting this form. Thank you. as expressed by you submitting this form. Thank you.


I hereby give my consent to Riverlife Church (‘RLC’) to collect, use and disclose my personal data to the assigned organizations and agencies whether local or overseas for the purposes of processing my registration, administering my participation throughout the period, as well as for travel and accommodation purposes, notifying and contacting me regarding the RLC-related events and activities via calls, text messages, post and emails. Through my participation and involvement in any church-related activities, my testimonies, my photographs and audio/video recordings may be used by RLC for internal and external publicity purposes through mediums including, but not limited to, printed materials, electronic publications, websites and social media platforms. I will make no claims against RLC or its associates and/or publishers (including any licensees and assignees) in connection with the use of my testimonies.

I am aware that I may update the personal data and/or withdraw the consent provided by me at any time by contacting dpo@riverlife.org.sg. The RLC PDP Policy and how my personal data will be used is also available at www.riverlife.org.sg


If I require emergency medical treatment, while participating in the mission trip, I hereby give my consent for any emergency medical care to be rendered as may be deemed necessary by any duly licensed physician or dentist. I hereby give my permission to RLC to obtain the emergency medical treatment at any hospital, clinic or other health care provider as may be deemed appropriate. In these circumstances, I hereby request and authorize any duly licensed physicians, dentists and staff, or other licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment as may be necessary, including but not limited to medical transport, hospital tests, injections, anaesthesia, surgery and administration of prescription drugs. I agree to the release of any records necessary for treatment, referral, billing, or insurance purposes from any medical contacts provided by RLC. I agree to assume and pay for all costs of such emergency medical treatment.

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