Pure Love Dance Mission

PURE LOVE DANCE MISSION 2020

A division of ALATS Dance
Are you ready for a life transforming experience?

This trip is an opportunity to be discipled in the way of Christ through Prayer, Worship, Bible Study and Fellowship.

Get ready for a fun opportunity to impact lives and be impacted by Pure Love and the people of Uganda.
March 18th - March 27 (Wednesday-Thursday)

Mission 20-26 March

Kampala, Kololo Independence Ground

Wednesday - Depart Chicago ORD Early PM

Thursday - Arrive Entebbe Late PM

Friday -

Meet PLUG, AM
Rehearse with PLUG,
Rest and Rehearse (DMI)
Saturday -

AM (DMI) Rehearsal
Outreach to School till 5p
Sunday -

Jesus is Alive Church AM
Rehearsal PM
PLUG Hang Out
Monday -

Uganda Martyrs Primary School AM
Visit the Slum
Java’s Lunch
PLUG 2 HomeSchool (Feed Lunch to the Kids)
Tuesday -

Heavy Breakfast
Lunch on the Way
Kasanje Village “Adriano PreSchool”Program (1.5 Hour Dive)
Mentoring and Prayer with PLUG PM
Wednesday -

Prepare for Secondary School Outreach AM
Tentative Program (Secondary School)
Rest/Rehearsal
KFC Flashmob at Acacia Mall “Better When I’m Dancing”
Thursday -

Heavy Breakfast
Entebbe Tour/Shopping Early PM
Flashmob in Entebbe Mall
Supper
Place to Freshen Up
Airport Late PM
Friday

Arrive at ORD PM
Applicants Information
Full Name (as it appears on his/her passport)*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Cell Number*

Area CodePhone Number
Email Address
Status of Passport*

Applied for new passportRenewing passportActive Canadian passport
Does your passport expire at least 6 months after the return date of the trip you are applying for?*

YesNo
T-Shirt Size*

XSSMLXLXXL
What gifts or abilities or experience do you feel that you bring to the team?*
The estimated cost of this trip will be between $2,500. All funding must be raised by the applicant who will be required to meet certain payment deadlines leading up to the trip.*

I Understand
Medical
Do you have medical insurance? If yes, a copy will be needed prior to the mission trip.*
Provide information regarding life-threatening allergies, if any
Do you have any recurrent health problems (chest pains, kidney problems, etc), medical restrictions or disabilities? If yes, please explain. Be sure to include any provisions we need to make.
Provide information regarding non-life-threatening allergies, if any
Are you presently taking any medications (prescription or over-the-counter)? If yes, please list.
Provide information regarding dietary restrictions the student has, if any
Provide information regarding any other medical conditions, if any
EMERGENCY INFORMATION
Name*

First NameLast Name
Ph. Number*

Area CodePhone Number
Alt. Ph. Number*

Area CodePhone Number
Email Address*
Re-type Email Address*
Relationship*
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature*

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PURE LOVE DANCE MISSION 2020

Applicants Information

Medical