Return registration form, medical form, and Arms of Hope Waiver form

with a $50 Deposit (non-refundable) no later than June 20, 2018.

LIMITED SPACE! - register EARLY!

For office use only: Date received: Amt: $ ck# Shelby: { } e list: { }

PLEASE PRINT CLEARLY

___________________________________ ________ ___________ ___/____/____ Student Name Grade Gender (M/F) Date of Birth

________________________________________________ ________ _____________ Address City/State Zip Adult T-Shirt Size

______________________ ______________________ _____________________________ Student Cell # Home Phone Student E-Mail

___________________________ _________________ __________________________ Parent Name Cell # E-mail

___________________________ _________________ __________________________ Parent Name Cell # E-mail

Touching Lives. Reaching Generations.

Middle School Mission Trip June 25-29, 2018

$115 ~ Early Bird Registration ~ MUST BE PAID IN FULL by May 9, 2018

$125 ~ Regular Registration ~ Closes on June 13, 2018

$140 ~ Late Registration ~ Closes on June 20, 2018

$50 deposit & completed forms locks in your rate (excluding early bird) and spot All balances due on June 20, 2018

For more information call 830-625-0267

0AKWOOD BAPTIST CHURCH STUDENT MEDICAL FORM NAME:________________________________________________________________________________ (LAST) (FIRST) (MIDDLE)

PARENT'S NAME:_______________________________________________________________________ (FOR THOSE UNDER 18)

ADDRESS:_____________________________________________________ ZIP: ___________________

PHONE:_______________________ ALT. EMERGENCY CONTACT #:___________________________

List below any physical defects or conditions you have, such as allergies, nervousness, headaches, dysmenorrheal, etc._______________________________________________________________ _______________________________________________________________________________

Should you at any time during the trip require medical attention, list any special instructions which you might require, such as being allergic to penicillin, having a rare blood type, etc.___________________________________________________________________________________________________________________________________________________________

FOOD ALLERGIES / RESTRICTIONS: ________________________________________________

_______________________________________________________________________________ CURRENT IMMUNIZATION STATUS: Tetanus_________________ Polio_________________

MEDICAL INSURANCE: Company Name & Policy Number

____________________________________________________________________ ____________________________________________________________________

Permission for Medical Treatment To Be Filled Out By Parents or Guardians of Young People Under 18 Years

I, ____________________________________________, the parent and/or guardian of _______________________

_____________________________, a minor, hereby acknowledge that said minor is presently under my care, custody, and control. I hereby give my child, the said minor, my express permission to go on any trips sponsored by Oakwood Student Ministry while they are an active participant in this ministry.

I further expressly grant my permission for my child to participate in all activities while on the trip. In the event there arises an emergency, necessitating medical or surgical attention, I hereby consent and give my permission to Oakwood Baptist Church, its representatives, or the sponsors, or any attending physician, to make such decisions and to perform such medical treatments and/or surgery upon said minor which may, in their sole discretion, be necessary and proper under the circumstances.

I, the undersigned parent and/or guardian of ________________________________________, a minor, do release, acquit, discharge, and covenant to harmless Oakwood Baptist Church or its representatives, or the sponsors, or any attending physician, from any and all actions, causes of actions, damages or liabilities arising out of the treatment of any sickness or accident, and from any financial responsibility for all medical treatment provided during the attendance of any/all trips. __________________________________________ SIGNATURE

Photograph/Video Notice I understand that as a participant in the Oakwood Student Ministry, my child may be photographed or videotaped during normal activities and these photos/videos may be used in promotional materials for OSM (i.e. Website, posters, flyers).

__________________________________________

SIGNATURE

DATE ________________

Waiver of Liability and Release Please read the following carefully. If you have any questions, have them answered before signing this document.

In consideration of being allowed to participate as a volunteer during the __________________________(event), I here-

by release, waive and hold harmless Arms of Hope which encompasses Boles Children's Home, Medina Children’s Home, their

Boards of Directors, officers, agents, and employees from and against any and all claims, demands or causes of action of any type

whatsoever, including property damage, personal injury or death, arising out of or in any way related to my participation in this

event for which I have volunteered.

During this event, there may be opportunity to participate in activities on the Adventure Learning Activity (R.O.P.E.S.)

course, courts, gym, and at the swimming facility. This Waiver of Liability and Release also applies to these activities.

I am aware that there are risks and dangers associated with my participation in community service projects, including the

risk of property damage, personal injury or death. I acknowledge that my participation in this event at an Arms of Hope campus is

voluntary and that I assume full responsibility for any injuries or damages I may sustain as a result of my participation, including

while traveling to or from a service project. I agree to use all appropriate precautions and follow safety practices while on an Arms

of Hope campus.

I understand that I am solely responsible for any medical costs I may incur as a result of my participation in this event at

Arms of Hope.

By signing this Waiver of Liability and Release, I acknowledge that I have read this document, I fully understand it, and

agree to its terms and conditions. The undersigned participant in this service activity also agrees to the terms and expectations of

this agreement including Arms of Hope use of photographs and/or video that contains their image for publication purposes includ-

ing; marketing, fundraising and/or informational presentations:

Print Name: __________________________________________________________ Date: _______________

Signature:__________________________________________________________ Phone #: ______________

Address: _________________________________________City:_____________State:________ZIP:_______

Email Address _____________________________________________________________________________

Family members who are also "Friends of Arms of Hope" and your relationship: Example: Jon Doe - brother _________________________________________________________________________________________

For persons under 18 years of age – please complete. This person will be contacted in case of an emergency.

Print Name: __________________________________________________________ Date: _______________

Name of Guardian/Parent:___________________________________________________________________

Signature of Guardian/Parent:___________________________________________ Phone #:_____________

Complete Address: _________________________________________________________________________

Email Address _____________________________________________________________________________

Witness: Signature: ____________________________________________________________ Date: ______________ Print name: ________________________________________________________ Phone #: ______________

WHAT TO BRING

What can I pack for the bus ride? You may take ONE small to medium sized carry-on onto the bus. Snacks and drinks are fine. NO personal DVD players or other video playing devices. The bus will have DVD’s and TV monitors, so you may bring some GOOD movies if you want. The movies need to be G or PG rating. Cards and other travel games are a good idea, too. How much extra money do I need? You shouldn’t need any extra money. All meals are pro-vided. What clothes should I bring/DRESS CODE • Modest is hottest. For free time & kid connect time

please bring modest shorts & shirts. NO bikinis or speedos if water sports occur. Tankinis are acceptable.

Do not dress in a way that calls attention to their under-wear (sagging pants, rolling down your waistbands, etc)

Long sleeved shirts are recommended for service pro-jects

For your safety, jeans & tennis shoes/boots MUST be worn for service projects. Sandals & shorts are not appropriate for these pro-jects & can be deadly!

What about girl stuff? Please bring the necessary “girly” stuff you may need to get you through a week of camp. We will have an assort-ment of “girly” stuff on the trip should you run into any problems. If you need any supplies while on this trip please ask a female leader for assistance. Bedding & Toiletries Bring all your own linens and bedding for a twin bed. All toiletries are provided at the facility but you can bring your own if you wish. First Aid & Safety Items • DO NOT FORGET sunscreen & insect repellant!!! • Make sure to bring a LABELED refillable water bot-

tle. Also Bring work gloves & a hat for service projects Basic first aid equipment will be available such as Ty-

lenol, Ibuprofen, band aids, antibacterial ointment, etc. If you must take prescription medication while on the

trip please inform a leader at check-in. If you have an EpiPen allergy please make sure the

leaders are aware prior to going on the trip.

ARMS OF HOPE RULES

BUILDING RULES - Be inside Hospitality room by 10 p.m. The doors are locked at that time. This is a cam-pus-wide curfew. Girls should not be in boys’ rooms and boys should not be in girls’ rooms. Do not run in the halls. FOOD – Breakfast is provided in the Hospitality ca-fé. Snacks are available anytime – help yourself. Lunch will be @ the gym. Supper will be provided at the cottages, gym or other locations. Please do not take drinks & snacks to your rooms or entry foyer (water is ok). Snacks & drinks will be available in Hospitality room during break time. LAUNDRY – Please place your wet towels & linens in the baskets in the hall. They will be washed and returned. SAFETY – Be aware of your surroundings. This is the country. Watch for wild animals, snakes, spiders and scorpions. Safety glasses, gloves & ear plugs are availa-ble at the shop for service projects. HIPPA - DO NOT ask the kids direct, personal ques-tions because this is against Privacy Laws and AOH pol-icy. Don’t share cell phone or i-pods w/ our kids.

WHAT NOT TO BRING • Arms of hope provides towels, washcloths, soap,

shampoo, conditioner, toothpaste, etc. Bring your own if you want to...

• Do not bring your electronic devices such as iPods, iPads, DVD/Blu-ray players, etc.

• Do not bring drugs, alcohol, or tobacco—DUH! • NO water guns, water balloons, or weapons, etc.

Keep this page for your records

Middle School Mission Trip June 25-29, 2018

TRIP INFO

Contacts During the Trip Pastor Brandon: (830)832-1262 Tory Tierney: (210)854-2307

Arms of Hope Address

Medina Children’s Home 21300 St. Hwy. 16 N.

Medina, TX 78055

IMPORTANT DATES

June 14 @ 12-2pm ~ Student Training in the Pavilion

June 21 @ 12-2pm ~ Student Training in the Pavilion

June 24 @ Noon ~ Parent & Student Meeting in the Pavilion

June 25 @ 10:30am ~ Meet @ Oakwood Pavilion

June 29 @ 3:00pm ~ Arrive @ Oakwood Pavilion

DO NOT FORGET

Sunscreen

Bug Spray

Jeans you do not mind ruining

Close-toed shoes for service projects

Refillable water bottle

Bedding for twin bed