Trip Application

You’re invited!

Please complete the application below for consideration for any of our upcoming trips.

Go on a Trip

  • Please note:

    We will need you to provide health information including current medications, conditions and allergies before we can approve your application. Please do not include any medical information on this form. You will be contacted for further information once your application is submitted.
  • Personal Contact Info:

    Check all that apply
  • Emergency Contact Info

  • Additional Info

  • Optional
  • Optional
  • Two Personal References

  • Signature

    I have voluntarily provided the above information and authorize representatives of Mully Children’s Family to contact any and all of the above on my behalf. In order to protect my health, I will obtain the necessary vaccinations to travel to Kenya, Africa.
  • About You

    Lastly…. Charles Mulli requests that each Heart & Soul Team Member provide this personal profile before visiting Mully Children’s Family.
  • Deposit

    A non-refundable deposit of $250 is required that will be applied to your total trip fees once the application is approved
  • Price: $250.00
  • $0.00
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