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Thank you for contacting us! If needed, you will hear back within 48-72 hours.

Minors that will accompany you on the Mission Trip (include Name, Age and Relationship to Applicant): *

Date Of Birth: *

Occupation/Specialty: *

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GIVING HOPE TO THOSE IN NEED

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Photography and Media Release - I hereby give Hope For Humanity Worldwide Inc., permission to use my picture or image, words, voice, and writings, in any and all future advertisement, website, and marketing literature or promotional videos for the Mission Trip and other events sponsored and conducted by Hope For Humanity Worldwide, Inc. *

YES

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