Okoa Refuge

Trip Application

Contact Info

* First Name

* Last Name

* Email

* Address

* City

* State

* Postal Code

* Birthday

* Gender

* Phone

* Do you have a passport? If yes, enter the #, expiration date, and country of origin. Uganda requires expiration to be a minimum of 6 months past travel dates.

Emergency Contact Info

* Emergency Contact

* Emergency Phone

* Emergency Email

* Emergency Address

* Emergency Relationship

Background

* How did you hear about Okoa Refuge?

* Have you been to Okoa before and if so, when?

* We perform background screens on all of our visitors to Okoa, in an effort to protect the children in our care. Do you give Okoa permission to perform a background screen?

* Is there anything else you think we should be aware of when reviewing your application?

Medical

* Please list all pertinent medical conditions

* Please list all allergies requiring medical attention or the use of an Epi-Pen

Policies and Documents

Please read and acknowledge the statements below. By signing below, you are saying you understand and agree to each item.

In the event you do not go on this trip, our refund policy states, "all donation are non-refundable and non-transferable." We will hold funds to be used on a trip within one year.

* Signature - by typing your name

Please upload the following documents. If you do not have a passport yet, you may email a copy at a later date. Please note there is a 1MB size limit per upload.

Photo

Passport

Drivers License

Immunization Record

Trip Application

Please fill out the entire application and submit. Thanks for your interest in serving alongside Okoa Refuge!

If you are a group or have any questions about bringing a team, please email trips@okoarefuge.org.