Personal InformationFull Name: (as it appears on Legal Documents) *What you prefer we use / call you:Date of Birth: *Are you a *DancerParent of a DancerOtherOther:Sex: *MaleFemaleHome Mailing Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweEmail Address *Phone Number *Are you able to receive texts: *YesNoIf you are a minor, enter parent contact information below:Parent Name:Parent PhoneParent Email AddressSecond Contact / Phone Number in case of emergency:Relationship to Student:What Trip are you joining: *El SalvadorCubaLos AngelesPersonal Growth and InformationPlease describe your level of commitment to dance: *What are some experiences you have had with dance: *Please describe any other special talents or abilities (other than dance) that you feel may contribute to serving others on an international trip: *Please describe why you wish to serve on a Rise Up Dance Experience: *In what way do you hope to contribute on this trip? *What do you hope to gain out of participating on this trip? *Have you worked with or associated with abused, neglected, or trafficked children in the past? *NoYesIf Yes, in what way?Please describe any prior experience with mission trips, international travel, or extended service projects: *What current ministries or activities are you involved with or had experience with in the past? *What are two strengths you have discovered about yourself when serving/volunteering? *What are two weaknesses you have discovered about yourself when serving/volunteering? *Do you currently attend an organized church or other religious organization? (If not, totally ok. We are learning about your background) *NoYesIf Yes, which one?Trip Conduct AgreementWill you attend all required training? *YesNoWill you diligently prepare yourself spiritually and prayerfully for the trip? *YesNoWill you seek to obey all policies and directions given by authority to keep you as safe as possible? *YesNoWill you ask much more of yourself than others in preparation and while on the trip? *YesNoWill you seek to maintain a servant’s heart while on the trip? *YesNoWill you serve diligently with a sense of humor and optimism? *YesNoWill you remain flexible and adjust to constantly changing schedules and demands? *YesNoWill you be willing to turn off you screens/watches during all designated “no screen times”? *YesNoSend Message