Mission Trip

TRIP Interest Form

Interested in taking a short-term mission trip to serve in Haiti? Complete the form below and we'll get back to you lickety-split!

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Why would you like to go to Haiti? *

Check all that apply: *

I have been to Haiti. I have been to Haiti with CARHA. This will be my first medical/mission trip I've been on medical/mission trips before. I just want information. I'm not ready to commit.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Submit