Jr. Mission Trip(s)

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This is will be our second-year having a Jr. High Mission Trip here at CUMC.  Last year we went to Newark, New York with Group Mission Trips and served the people of that community.  Whether it was painting, planting or playing or it was building, talking or witnessing…we had a blast there with the people of Newark and the three other churches who attended with us.  And it wasn’t only about serving others, we also learned a lot about serving ourselves spiritually.  We learned that God has made us something beyond ordinary, we are extraordinary. Mission trips are a great way to spread the love of God by preaching the gospel and using no words at all.

Each year we try and have a day of fun.  Last year’s was a day at Progressive Field, watching, the AL Champs, the Cleveland Indians pay the Chicago White Sox.

Summer Worktrip 2018

When
Saturday, July 8, 2018 – Saturday, July 13, 2018

Where
Chicago, IL

Who
Junior School Youth including those entering 6th grade (as of August 2018) and High School Seniors who are entering 9th grade (as of May 2018)

Cost
$50 per student

Event
UCRP Kids Camp

Instructions
Return with check by Jul 1 2018

Questions
Contact Rev Nick Nicholas or 630 291 1380

Permission Slip and Student Contract

All fields are required unless indicated

Your Name
Your Email

Student Information

 
Student's Name
Grade Completed
Home Address
City, State
Birthday

Gender
FemaleMale

Emergency Contact Information

Contact Name
Relation to Student
 
Phone
Alternate Phone

Health Information

 
Food Allergies
YesNo
If yes, please list
 
Medical Concerns
YesNo
If yes, please explain:

Medical Release Authorization and Hold Harmless Agreement

I , authorize the Community Methodist Church to use their best judgment in the hiring of necessary health-care professionals, and I give my permission to the health-care professional to provide medical services as he or she deems necessary. I will pay for any medical expenses so incurred. I also give my permission for the church’s children and/or youth leaders to restrict my child from participation from any be harmful to my child.
I also verify that my child is physically fit and possess the necessary skills to safely participate in these activities. I therefore give my permission to the church to allow my child to participate in the activities allowed by the church/camp. I also hereby give my permission for my child to be transported by pre-authorized individuals determined by the church. I hold harmless Community Methodist Church (CUMC) and all CMUC Staff or volunteers from any and all claims, actions and judgments related to this event. I claim full responsibility for all damages to person and property my child may intentionally or unintentionally inflict while on this retreat.

Insurance Carrier
Policy Number
Parent Signature
Date

Student Conduct Contract

I , understand that there is to be no alcohol consumption, smoking, sexual activity or damaging behavior of any kind while on this retreat. I understand and agree to follow the instructions of all adult leaders on this trip and also agree to obey all rules, written or verbal. I understand that if I break these rules it may result in my expulsion from this trip at my parent’s expense.
 
Student Signature
Date

Parent Signature
Date

 

Authorization

 
Do you authorize Community UMC to photograph/film your child with activities associated with this Mission Trip?
YesNo  

Payment

I will use PayPal on the next step to make my paymentI will drop a check off in the offering plate or to the officeI will mail a check into the office

If you do not wish to use PayPal to make your payment, simply close the PayPal window when it appears.

Consent

Your electronic signature here and above is your consent for your child to participate in this mission trip, and that all the above information is accurate.

Parent Signature