Baltimore Presbytery Encuentro Trip November 5-10, 2025 Apply Today Please enable JavaScript in your browser to complete this form.About MeName *FirstLastAs it appears on your passportName for Name Tag *Preferred Pronouns *He/HimShe/HerThey/ThemGenderMaleFemaileTransNon binaryOtherEmail *Phone * this traveled Tag DocumentationDate of Birth *Passport # *Expiration Date *Country of Issue *Congregational InvolvementChurch you attend or are a member *The support of your congregation is an important aspect of this experience. Please discuss your plan to participate with your pastor or mission committee. *Emergency Contact InformationEmergency Contact Name *FirstLastEmergency Contact Relationship *Emergency Contact AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency Contact PhoneEmergency Contact Email *Medical InformationPlease indicate if any of the following applies: *Mobility IssuesAllergiesWill travel with CPAPImmunocompromising conditionsSeizure disorderSurgery with the last six monthsCardiovascular event within the last twelve monthsRespiratory illness within the last two months (including COVID)PregnantBreastfeedingChronic mental health conditionOtherNo medical concernsPLEASE NOTE: If you use medical marijuana on a regular basis, be advised that possession of marijuana is considered a crime in Cuba. You will not be able to bring or use marijuana on a Presbytery of Baltimore trip.If any boxes were checked in the previous entry, please explain: Any dietary restrictions?Current medications and dosageQuestions For ConsiderationHave you ever traveled to Cuba before? When and why?Why are you interested in going on this trip?How would you describe your Spanish skills?Native SpeakerFluent/BilingualProficientConversationalKnow a few wordsNone(no Spanish skills required for this trip)I will attend a required trip orientation, to be scheduled by the group YesNoAlternative Funding Sources MyselfMy ChurchMy Ministry GroupScholarship through the Robert J Turner Memorial FundScholarship through the Herbert D Valentine FundLinks for more infomation below this form.How are you paying the deposit? *By Check in the mailOnline PaymentPlease follow instructions below this form.I acknowledge that I undertake this trip representing Christ, my church, and the Presbytery of Baltimore. I understand that this trip is intended to enrich me personally and spiritually and that it may also challenge me in unexpected ways. I agree to show respect to our Cuban partners, the Cuban people that I meet, and the Cuban culture I encounter. I will abide by trip guidelines, show courtesy to my fellow travelers, and fulfill my personal and financial obligations. *AgreeSubmit
