Registration

中文姓名

国籍 Nationality

按护照的英文姓名 NAME as per PASSPORT

护照号码 Passport Number

护照发行日期 Passport Date of Issue (dd日/mm月/yyyy年)

护照有效期 Passport Date of Expiry (dd日/mm月/yyyy年)

出生日期 Date of Birth (dd日/mm月/yyyy年)

双床同房队员 (注明姓名和关系，如有) Twin-sharing roommate preference (State name and relationship, if any)

是否对什么有过敏？(例如食物和药物）Any allergies? (e.g. Food, Medicine)

我同意承担和接受此宣教及所有相关活动中可能发生的任何伤害、损失或损坏之风险。I assume and accept all risks and to be solely responsible for any injury, loss or damage, arising out of my participation in this mission trip and all related activities.

我完全同意在整个宣教和所有相关活动中，灯塔教会、其同工及其代表免于承担任何第三方的个人财产损失或人身伤害以及可能发生的所有索赔、要求、诉讼和费用的责任。I fully agree that throughout the mission trip and all related activities, Lighthouse Evangelism Church staff and representatives shall be indemnified and held harmless from any third party for personal property loss or personal injury, as well as any claims, demands, actions and costs that may arise.

我愿意尽力遵守宣教负责队所提供的各项安全指示；若因个人原因未能与负责队配合，负责队有权安排我自费回返新加坡。I will diligently observe and fully comply with all safety instructions given by the committee. In the event that I do not co-operate with the committee, the committee reserves the right to send me home at my expense.

我确认我将为此次宣教购买自己的旅行保险。I confirm I will purchase my own travel insurance for this mission trip.

机票签发后，参与者若因着某原因无法出行，旅行社将与航空公司洽商处理相关的取消出行收费及任何未退还款项。退还款额取决于航空公司所给予的最终退款金额及其它与行程相关的费用。机票签发前，委员会将获取参与者对相关行程的确认。In the event that the participant is unable to travel for any reason after the air ticket has been issued, the travel agent will liaise with the airline to process the applicable cancellation fees and any refund due. The refundable amount will only be determined after factoring in the final refund from the airline as well as any other trip-related expenses incurred. Prior to ticket issuance, the committee will obtain the participant's confirmation of the trip.

紧急情况联络人（姓名及联络号码）Person to Contact in Case of Emergency (Full Name & Contact No.)

呈上这表格，表示我认同灯塔教会可以根据个人资料保护令，在维持和更新教会记录的前提下，可以保留，使用和公开我的个人资料。我也认同教会方面获准通过电话，简讯和电邮的方式与我取得联系。By submitting this form, I give consent to Lighthouse Evangelism to collect, use and disclose my personal data for purposes of facilitating and communicating with me. 请注意，活动期间将会拍摄照片和视频，以便进行传播和推广。欲要求不使用个人影像的参与者有个人责任脱离群体/摄影师想要捕捉的镜头。Please note that photos and videos may be taken during the event for communications and publicity purposes. It is the responsibility of participants to remove themselves from group and candid shots/recordings that the photographers/videographers intend to capture, if they do not wish to have their photos/audio-visual recordings taken at the event.

2026 印尼棉兰宣教之旅 Medan Mission
Please login here if you have an existing account.
Note that you can't register for others when you are logged in.

Personal Information

2026 印尼棉兰宣教之旅 Medan MissionPlease login here if you have an existing account.Note that you can't register for others when you are logged in.

Personal Information

2026 印尼棉兰宣教之旅 Medan Mission
Please login here if you have an existing account.
Note that you can't register for others when you are logged in.