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June Mission Registration | 2026

Sample Passport Info Page

Selfie Photo

June Mission Registration 2026

Total Trip Cost including flights: Approximately $2500 - $2900

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Personal Data

Please fill out all the info below as accurately as possible that also matches what is on your passport. This is crucial when we go to submit your visa application.

Name:*

First Last

Age*

Marital Status*

Spouse Name*

Which Day are you leaving for Uganda?*

June 5th (Going on Safari)

June 8th (Not Going on Safari)

Do you have dual nationality?*

Yes

If yes, please state country*

If your country is not listed please check and verify that you need the visa or permit requested.

Former nationality (if applicable)

Choose the country of nationality in the list

City/Town of Birth*

State/Province of Birth*

Country of Birth*

Immigration status in country of residence*

Enter your current immigration status

Residential/Physical Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Enter your phone number

Email*

Email address that will be used for the notifications

What forms of social media do you have?*

Please download What's App and register your phone number because we use this as the main method of communication while in Uganda and to share mission photos.

Facebook

Instagram

None/Other

Facebook Username*

Instagram Handle*

Additional Questions for Visa

Travel history*

List of the last five countries (or less) you visited or NONE if no countries were visited

Have you been denied a Visa before?*

Yes

If yes, please state country and why.*

Have you been deported before?*

Yes

If yes, please state country and why.*

Have you been convicted in any country?*

Yes

If yes, please state country and why.*

Are there any criminal proceedings against you?*

Yes

If yes, please state country and why.*

Are you suffering from any mental illness?*

Yes

If yes, please describe.*

Documents Required (See examples at bottom of page)

Do you have your passport?*

Yes

No, but I will by May 22, 2026.

Passport is required for the visa application we submit for you.

Upload Your Passport Info Page*

Max. file size: 128 MB.

See example at top of page. PDF or JPEG

Upload Your Selfie Photo*

Max. file size: 128 MB.

See example at top of page. JPEG is preferred.

Airport Info

Upon registration you will be automatically connected to our travel agent for booking your flights.

List airports in your area that you would fly out of.*

United Airlines Frequent Flyer Number:

Delta Airlines Frequent Flyer Number:

American Airlines Frequent Flyer Number:

Global Entry/TSA-Pre Number:

Payment for Mission Trip (*Not including Flights)

Please note: The base cost of $1,250 does not include flights! Once you register, your information will be shared with the travel agent, and they will work with you directly to book your travel. You will arrange and pay for your flights separately through them.

Visa Fee & Registration (Required)*

Price:

Lodging/Food/Water/Ground Transport (Required)*

Price:

Safari ($300)*

Count me in for the Safari Adventure!

Not this Round.

Trip Cost from Gospel Express (*Not including flights)

I will be paying by:

Check

Credit Card