Costa Rica Trip Registration

If you're interested in going on the April 2019 trip, please complete the following form:

*** You must have JavaScript enabled to use this form ***


Valley Brook regularly participates in short-term mission trips to Costa Rica. 

Purpose: to serve with 6:8 Ministries, showing God's love to the people of Costa Rica and helping construct the Living Waters Children's Ranch.



Upcoming Trip: April 26 - May 3, 2019

Team Leaders: Rob Wutka & Dan Heermance

May include playing with children, spending time with the elderly, feeding the hungry, praying for the broken, construction at the ranch, along with daily worship and chapel time.

Total Cost: $1,500
(Flight $650; Accommodations & Food $500; Transportation in Costa Rica $50; Project Material Contribution $300)

Payment Details: See details below

Participant Requirements:

  • A valid passport that doesn't expire within 6 months of the trip
  • Must not be pregnant
  • Children under the age of 18 must be accompanied by a legal guardian
  • Tetanus shot must be current

Informational Meetings: 
(Two options, select one)
Time: 12:30 pm 
Location: Valley Brook offices

  • January 13
  • January 2


*Registration form and deposit due by February 17, 2019

  • Complete and submit the initial registration form on the left; you will receive additional forms at the team meetings.
  • Submit a $500 deposit

Questions: email

trip payment

Deposit: $500 due by 2/17/19 

Remaining balance: $1,000 due by 3/24/19

Options for Payment:
*If able, please use online payment; eases the administration of our trip.


  • You will need to create a Pushpay user account if you do not already have one; it is safe, quick and easy and you can pay with electronic check, debit or credit card. 
  • Gift type: select "One Time"
  • Fund: select "Costa Rica April 2019" from the drop-down menu
  • Click here to access Pushpay and pay online

By Check

  • Make checks payable to Valley Brook Community Church
  • Write in memo field "Costa Rica Missions April 2019" (do not include your name in the memo field)
  • Give check to a trip leader (do not mail to office or place in offering basket) 

Important Dates

Mandatory Team Meetings
Time: 12:30pm
Location: Valley Brook offices

  • February 17
  • March 24
  • April 21 (lunch & prayer time)