Trip Application and Waiver

Apply to go on our trips with this form!
Please download, complete entire form and mail to:

CMMI
P.O. Box 160515
Austin, TX 78716

2011 Application and Waiver Forms
(Pick which format your computer can view.)
Please print out the application, then fill it out and mail it in.

Application and Waiver [Adobe PDF]

Recommended Immunizations - Panama

• Hepatitus A
  First shot must be at least 3 weeks before trip, and second shot in 6 months. Good for 10-15 years.
• Hepatitus B
  For doctors, dentists and dental helpers. This is a series of three shots, the first two are within 30 days of each other and must be completed before the trip. Good for 10 years.
• Tetnus/Diptheria
  Renew if you have not had one in the last 5 years.
• Malaria
  Mefloquine/Malarone/Doxycycline - Follow doctor's instructions.
• Yellow Fever
  Good for 10 years.

Recommended Immunizations - Guatemala

• Hepatitus A
  First shot must be at least 3 weeks before trip, and second shot in 6 months. Good for 10-15 years.
• Tetnus/Diptheria
  Renew if you have not had one in the last 5 years.
• Typhoid
  Available in pills or injection.

Medical Personnel Checklist
Doctors, dentists, optometrists and nurses: mail or fax a photocopy of your diploma and current years license to address or fax number below.

For information: Call or write Stephen or Diane Gele'
P.O. Box 160515/Austin, TX 78716/(512) 328-0327

[ Home | About CMMI | Trip Schedule | Locations | Photo Albums | Contact CMMI ]