Amor 2020 | February 14-17 | Fri-Mon
Got questions about Amor?
Go to Amor.org to learn about this organization.
Click the link for FCBCLA-FAQs: https://tinyurl.com/FCBC-Amor-FAQ.

PLEASE READ COMPLETELY:
1) Complete this on-line participation form. Answer all questions.

2) You will be asked to provide your passport number.  You must have a valid travel passport at time of travel.

3) This registration closes at the end of Sunday, Jan 19, 2020 or when participation reaches 30 total. (If space allows, late registrants (Jan 20 or later) may join with a $20 late fee.)

4) Arrive at church at 8:00AM on Friday, Feb 14. Departure is at 9:30AM from FCBC-LA in Chinatown. If you need an alternate time or unable to come to Chinatown, please contact johnchow@fcbc.org to advise of your situation.

5) $200 for all participants. (All subsidies and cost-reductions are built into the fee.)
**Make all checks payable to First Chinese Baptist Church, Los Angeles, (or FCBCLA)
**Bring cash/check payment to training session or on the first day of the trip. (Sorry, no credit card payments.)
(NOTE:  A required administrative fee of $45 for withdrawals on or after Mon, Feb 3, 2020. Contact johnchow@fcbc.org)

Sign in to Google to save your progress. Learn more
Name (first) *
Name (last) *
Email Address *
(This will be the primary mode of communication)
Primary Phone *
Ex. (area) 555-1234
Date of Birth *
MM/DD/YYYY (use this entry format; DOB for medical and insurance purposes)
Gender *
Emergency Contact Name *
(First, Last)
Emergency Contact Primary Phone *
Ex. (area) 555-1234
Emergency Contact Secondary Phone
Ex. (area) 555-1234
Beneficiary's Name *
First, Last (for insurance purposes; who will receive your insurance money)
Health Insurance Company
(For injuries suffered in the U.S.)
Do you currently have a valid travel passport? *
(Must be valid up to six (6) months AFTER the trip)
Passport Number
(Required for mission insurance purposes); May be supplied later if not currently available.
Health Information
Please indicate if you have any of the following:
List any food allergies (The food provided cannot accommodate a vegan or gluten-free diet.)
Training Session & Prayer *
Select one (1) training session to attend
Have you been on an Amor trip before?
Clear selection
If first time with FCBCLA, who invited you?
Name of CHURCH if other than FCBCLA, or name of SCHOOL if joining a FCBCLA attendee/friend
Sleeping Pad/Air Mattress *
It is most helpful if you can supply or borrow your own sleeping pad or air mattress. If you cannot, please indicate here.
Tent *
Group sleeping tents are typically provided but you're welcome to bring your own.
Consent *
READ: Should it be necessary for me to have medical treatment while participating in this activity, I hereby give the person(s) in charge permission to act on my behalf to secure medical services or hospitalization deemed necessary and appropriate by the physician. I absolve The First Chinese Baptist Church of Los Angeles, its personnel, and its corporate officers, from any and all forms of negligence and wrong treatment incurred in the procurement and process of hospitalization and medical treatment.  PLEASE ENTER YOUR NAME as an indication of your consent.
Please CHECK each box to acknowledge registration details and conditions. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms