Volunteer Fee

The Medical Facility provides dorm space with clean linens for volunteers to stay as well as three meals per day, bottled water and transportation to and from the airport. The cost is $125 per day per volunteer.

Please Complete the Information Below

Your Name*

Your Phone Number*


Arrival Date*

Departure Date *

Per Diem Calculation

Covers PCH Dri Fit T-shirt, lodging, 3 meals per day, bottled water and transportation related to our volunteer efforts within Haiti. 50% of the funds collected are used to purchase and ship the medical supplies we will be using during our trip.

Total Number of Nights* (Our training missions usually last 5 nights)

Will you be paying for more than one person for lodging?

Yes No

>>Please remind each person to fill out the traveler form and agreement

Payment of Per Diem

I'd like to cover the processing fee so 100% of my donation goes to PCH.

Yes No

Submit your total cost here. After you submit you will be directed to the payment website.

Total Amount Due ($125 per night per person)*

PCH cannot accommodate children under 18 on this volunteer training missions. If you have any questions please contact us.

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