Baja 101 Registration

Have questions about BAJA 101? Visit our Baja 101 page or contact Sam Van Maanen or Brad Terpstra.

Please note the following details:

  • DEPOSIT: A $100 deposit is required to save your spot. Deadline for registrations is April 6, 2014. (pay now)
  • REGISTRATION FEE: An additional registration fee of $350 is due no later than June 1, 2014.
  • RELEASE FORM: Download release form, fill out, and either drop off at the Third Church office or email to Deanna Terpstra by April 6, 2014.
  • AIRLINE TICKET: A copy of your airline ticket needs to be emailed to Deanna Terpstra by April 6, 2014. The Third Church office staff can assist you with scanning the airline ticket if needed.
    • Instructions for obtaining an airline ticket:
      • Select a flight that will arrive before 12 pm on Saturday to the San Diego airport (SAN), June 14, 2014 - week 1 or June 21 - week 2. Please note: The group will meet at terminal 2 baggage claim area.
      • Select a return flight that will depart any time Saturday from the San Diego airport (SAN), June 21 - week 1 or June 28 - week 2. Please note: We will be staying at a hotel near the airport.
  • PASSPORT: A copy of your passport needs to be emailed to Deanna Terpstra by April 6, 2014. The Third Church office staff can assist you with scanning your passport if needed.

    A current passport is required to enter and return from Mexico. Since we traveling by ground, a passport card is sufficient. If you do not have a current passport, please start the application process now It can take 6-8 weeks for the passport to arrive. Detailed information about required documents and forms can be found at http://travel.state.gov/passport/ and required photos can be taken in about 15 minutes at Ship It in Pella.
  • PLEASE NOTE: This is a work trip requiring patience, stamina, and a willing heart to serve God's people.

Complete the Registration Form below:

Which week are you registering for?
  • Week 2: June 21-28
First Name:
Last Name:
Date of Birth
Gender
  • Female
  • Male
T-Shirt Size
Mailing Address:
Home Phone Number:
Participant Cell Phone:
Cell Phone Carrier
Participant Email Address:
Do you have any medical conditions, food allergies, or special needs we should be aware of?
  • Yes
  • No
If so, please explain:

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Emergency Contact Information

Please provide information for an emergency contact person in the states.
Students must provide custodial parent or guardian contact info.

Emergency Contact Name:
Contact Relationship:
Emergency Contact Cell Phone Number
Emergency Contact Home Phone Number:

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What church do you regularly attend:
Do you have a current passport?
  • Yes
  • Not Yet
Expiration Date:
Rate how well you speak Spanish:
  • 0 - Not at all
  • 1 - Understand some words
  • 2 - Speak and understand some words
  • 3 - Speak and understand basic conversations
  • 4 - Able to hold an extended conversation
  • 5 - Able to translate and teach others Spanish

Please click on the Continue button to submit your registration.

Please select your current status:
  • Youth Attending with Parent
  • High School Student
  • College Student
  • Adult