Make sure to register for the right team!

We need to place your registration with the correct team.  If your team is not listed in the menu, this means that your team leader has not yet confirmed a mission trip with us.  Contact your mission team leader for more details and when to register here. 

By registering with Island Impact you are giving your approval to add your email to our mail list to receive our e-newsletters.  If you wish to unsubscribe, simply do so within the e-newsletter. 

OPEN GROUPS are available for you join in!

 

TEAM REGISTRATION

Name *
Name
Phone *
Phone
Address *
Address
Add Me to Your Mailing List
Date of Birth *
Date of Birth
(If Applicable)
Arrival Date, Airport, Flight Number, and Time
Departure Date, Airport, Flight Number, and Time
Check All Known Medical Issues That Apply To You *
Emergency Contact *
Emergency Contact
Emergency Contact Phone Number *
Emergency Contact Phone Number