Free Wheelchair Mission

REGISTER FOR YOUR TRIP

The first step is to officially register for your mission trip. You will be able to select your specific mission trip on the regsitration form, and then will be asked asked to provide us with additional personal information required for booking.

Note: you will be contacted in person by a member of our team for your passport information.

Vision Trip Registration Form

1Personal Info

2Travel Preferences

3Training Info

Select your trip:*
Please enter all information as it appears on your passport or government issued I.D. card.
First Name*
Middle Name*

Please enter your middle name, if any, as it appears in your passport.
Last Name*
Suffix
Email*
Phone Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you have a current passport?*
Some countries may require your passport to be valid for at least six months after your travel dates. Your passport information will be collected offline by Free Wheelchair Mission.
T-Shirt Size:*
Date of Birth*
Month
Day
Year
Gender*
- Male
- Female
TSA/Global Entry?
Seating Preferences:

Vision Trip Main Page

Step 1 - Registration

REGISTER FOR YOUR TRIP

Vision Trip Registration Form