You may complete the Trip Application Form in two ways:
 
 
 
1. Fill in the text boxes (below) and click the SUBMIT button.
2. Download a printable version in PDF form by clicking here.
 
 
 
 
Background Information
 
 Today's Date
 Region Visiting
 
 Tentative Trip Dates
 Phone
 Email
The Following Information
Should Be Listed EXACTLY As It Appears On Your Passport
 
 Full Name
 Home Address
 Apartment
 Country
 City
 State
 Zip
 Sex
 
 Date of Birth
 Marital Status
 Occupation
 Mother's Maiden Name
 
 Passport Number
 
 Passport Expiration Date
 
Contact In Case Of Emergency
 Name
 
 Relationship
 
 Phone
 
 Email
 
 Home Address    Apartment
 
 Country
 City
 State
 Zip
Additional Questions
 How many times have you traveled from the US to Cuba?
 When was the last time you went to Cuba for missionary purposes?
 Which license did you use?
 What is your reason for traveling to Cuba?
 Check Those You Need Assistance With
Itinerary
Transportation
Translator / Guide
Lodging
Flight Arrangements
Release of Liability and Approval of Ministry
If I am accepted, I will:
  • Adhere to all of the instructions and guidelines provided by the license provider regarding my trip, including the delivery of humanitarian aid to specified locations;
  • Keep a copy of my travel documents (i.e., flight ticket, authorization letter, etc.) for five years, should the authorities make an investigation;
  • Be responsible and prompt with all stated financial aspects related to my trip;
  • Participate in filling out a post-trip report for the license provider;
  • Wholeheartedly cooperate with staff, personnel, and representatives in the U.S. as well as Cuba.
In consideration for being accepted and allowed to participate in this project, and activities associated with its programs and locations, I personally assume responsibility for my actions, and release the license provider and any associated groups or ministries, their board members, employees, and missionaries from loss, injury, or damage to myself or my property; provided that nothing contained herein shall excuse the license provider and any associated groups or ministries, their board members, employees, and missionaries from the responsibility to act with reasonable care for the safety of myself or my property.
Typing your full name in this box constitutes your electronic signature:
 Signed
 Date
 
 
 
 
 
 
 
 
 
 
Horizon Media Studio’s TV Series, Revelations, takes a look at the mission and work
 
 
 
Cuba, the Cuban Persecuted Church, and Cuban Liberation Theology
 
 
 
The Communist island's improbable revival is 15 years old and growing stronger.