Pender United Methodist Church

Philippi West Virginia mission trip

July 23 – July 31, 2010

Information Packet

Philippi, West Virginia

It’s time for the exciting, wonderful, annual youth mission trip to Philippi, West Virginia. This year’s trip will be from July 23 – July 31, 2010. Our main job will be to build a 12 X 16 addition onto a house. There will also be a handicap ramp installed leading out from the room. The room will be used by a person who is bound to a wheel chair. We will also put in a side walk going from the ramp to the parking area and digging a small trench for the water to run from the house.

We will also have opportunities to build solar panels with a possibility to install some.

We will meet at Pender at 10:00am July 23rd and then leave to begin our mission journey. We will return home to Pender on July 31st in the afternoon. You will need extra money for stops along the way down and back as well as money for spending and for offering at the church service. All other expenses are covered in the cost of the trip except spending money while in Philippi.

We will be staying at the Community Center on the Ridge in dorm style facilities. We will lead the evening worship services at the community center each evening.

Cost per trip

The cost is $195.00 per person; this will include lodging, meals, transportation, and the rafting trip.

There will be a $50.00 non-refundable deposit due to reserve your spot no later than June 14, 2009. PLEASE SIGN UP AS SOON AS POSSIBLE!

What do I wear? What do I bring?

Please bring clothing that you don’t mind getting dirty or possibly damaged on the job worksite. Appalachia has a conservative culture and we want to be sensitive to that. Shorts are fine – short shorts are not appropriate for either day or evening. Please leave low cut tops, cami’s, spaghetti straps or strapless at home. Please refrain from mid-driff or sports bras as outerwear. Please bring clothes to wear to church on Sunday and Wednesday evening (not shorts for church). Temperatures are usually quite warm in the daytime, but the mountains can be cool or at night or when it’s rainy or cloudy, so bring along a light jacket or sweatshirt. Please bring enough changes of clothes to cover your stay, toiletries (soap, shampoo, deodorant). There is electricity for hair dryers, etc. as long as we all don’t use it at once!

Bring your own towels, sleeping bag or linens and your pillow.

Also bring a Bible, notebook and pen, flashlight and extra batteries.

Evening Worship and Quiet Times

Each night we will be leading an informal time of praise singing and searching God’s Word to keep all of us growing spiritually. While we give to others we must fill ourselves with the Holy Spirit daily so that we can be effective ministers. We will have large and small group discussions at the Ridge after dinner each night, and we will share with each other about our work during the day, our feelings about where we are and how the Lord is working through us and in our hearts while we’re there. Pray about how you can be a leader of worship in some way – a prayer, reading scripture, leading a devotion, talking about your walk with God, singing a song, playing an instrument, sharing your own creative worship.

Please return this form with the medical form and canoe form to Tim Lyberger with your $50 deposit by June 13, 2010

PHILIPPI, WEST VA WORK/MISSION PROJECT REGISTRATION FORM

$195 per person (includes meals, canoe trip, transportation, lodging, work supplies and t-shirt)

$140 per person (includes everything but canoe trip)

$290 per family of two (includes everything that comes with the $195 package)

$360 per family of three (includes everything that comes with the $195 package)

$420 per family of four (includes everything that comes with the $195 package)

$480 per family of five (includes everything that comes with the $195 package)

$30 per night for individuals who stay for part of the trip (add $65 for canoe trip)

Experience God’s call to mission firsthand. Construction skills are not necessary; on the job training is our specialty!

List all person attending (if family list each name)

NAME AGE T-Shirt Size (indicate Adult or child)

______

No T-shirt will be ordered for you if your form is not received by June 13.

Telephone ______(home) ______(cell) ______

$50 non-refundable deposit paid ______Check # ______

The non-refundable deposit is payable to Pender UMC, marked Philippi Mission Trip. The deposit must be in by June 13, 2010; the remaining balance for the trip is due by July 11, 2010.

Philippi, West Virginia Mission Trip Information Sheet

Purpose and Goal of the trip: To spark interest in the youth to be involved in missions in our community and around the world. To bring the Word of scripture to life; “Go into the entire world and preach my Gospel.”

We will be working with Heart and Hand Houses, Inc. – A United Methodist Mission that is serving Barbour County, West Virginia along with World Vision/Chestnut Ridge – People’s Chapel, Rev. Ruston Seaman, a missionary with World Vision who Pender supports.

We will be staying at the Community Center on the Ridge. My cell phone is 703 727-1316.

The Community Center consists of the kitchen, Dining room/meeting room; there are dorms for both male and female. Breakfast and dinner will be held at the community center in the dining room, while lunch will be held at the work sites.

Attendance on the Trip

I am planning on attending the trip on the following days: Please place an X in all the areas that apply to you. We need this information from each person attending the trip

July 23_____ July 24_____ July 25_____ July 26_____

July 27_____ July 28_____ July 29_____ July 30_____

July 31_____

I will be leaving with the main group on the morning of July 23_____

I will be leaving early on this day______.

I will travel back with the main group on July 31_____

Permission Slip

My son/daughter has my permission to attend the Philippi Mission Trip during July 23 – July 31, 2010.

In the event of a medical emergency involving the above-named youth member, I authorize the adult sponsors of the event to act in my behalf to secure the appropriate treatment. I will not hold the Church/youth counselors/or chaperones liable for any bodily injury that may occur through accidents while attending this weekend beyond the limits of the insurance carried by the individual driver.

Full name of Youth: ______

Date of Birth: ______

Medical Insurance Company: ______ID#______

Name of Insured: ______Group # ______

Doctor’s Name and Phone number: ______

Allergies and special dietary or other information adult leaders should know: ______

Please also provide a copy of your health insurance card.

Medicines to be taken by the youth during the event must be clearly marked with instructions and given to the Youth Director prior to leaving the church.

Date of last Tetanus Shot______

Parent/Guardian Name (s): ______

Address and Telephone where you can be reached during the weekend: ______Home ______Work ______

Cell______

Parent/Guardian Signature: ______Date: _____

Youth members: I understand that should there by any misconduct parents will be called and the youth member will be asked to leave the event. No alcohol, drugs, tobacco or weapons of any kind will be permitted at any time during the mission trip.

Youth Member Signature: ______

THE PERIOD OF :____, 20_ THROUGH , 20.

BLACKWATER OUTDOOR ADVENTURES

PARENT/GUARDIAN PERMISSION SLIP

(This form to be used for minors only.)

I hereby grant permission for my child ______to participate in whitewater rafting, kayaking, canoeing, camping, biking or ______, and I hereby agree as follows:

I fully understand and acknowledge that: (a) risks and dangers exist in my child’s use of whitewater rafting, canoeing, kayaking, camping, or ______, activities; (b) my child’s participation in such activities and/or use of such equipment may result in injury or illness or death or damage to personal property (c) these risks and dangers may be caused by other participants, or by accident, or by the forces of nature or other causes. Risks and dangers may arise foreseeable or unforeseeable causes including, but not limited to, selection of trail or river rout, water level, weather conditions, risks of falling out of a raft, kayak, or canoe, and such other risks hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or recreational environment; and (d) I hereby accept and assume these risks and dangers.

I have been advised that my child must wear an approved personal flotation device at all times while on the water. I affirm that my child will not be under the influence of alcohol or controlled substances, and will not carry, use, or consume these substances before or during her/his scheduled activities. Any claims or disputes arising from my child’s participation in Blackwater Outdoor Adventure’s whitewater rafting, canoeing, kayaking, camping, biking or ______, activities or use of Blackwater Outdoor Adventure’s whitewater rafting, canoeing, kayaking, camping, or ______, equipment shall be venued in the Tucker County Supreme Court or the State of West Virginia.

My child is in good health and is at or above the minimum age stated in Blackwater Outdoor Adventure’s advertising for each activity in which he/she will participate. I understand that strenuous physical exertion may be required and my child has no known physical disabilities or health problem, which will present any risk to his/her participation in the activities. I permit the use of any photos, slides, films, or sketches of him/her taken during the day’s activities for publicity, advertising, promotion or other commercial purposes. The above agreement shall be binding on my heirs, successors, assigns, administrators and executors.

I HAVE READ THE ABOVE AND BY SIGNING IT AGREE, IT IS MY INTENTION TO GRANT PERMISSION FOR MY CHILD TO PARTICIPATE IN BLACKWATER OUTDOOR ADVENTURE’S whitewater rafting, canoeing, kayaking, camping, or ______, ACTIVITIES, AND TO ASSUME AND ACCEPT ALL RISKS ASSOCIATED THEREWITH.

Group Name (if applicable) ______

Parent’s Name (Print) ______Signature ______

City: ______State: ______Zip: ______

Child’s Name: ______Age: ______

Child’s Signature: ______

RR 1 BOX 239 PARSONS, WV 26287

Trip Date: ______

BLACKWATER OUTDOOR ADVENTURES WAIVER & RELEASE OF LIABILITY -READ CAREFULLY

In consideration of Blackwater Outdoor Adventures furnishing services and/or equipment to enable me to participate in, whitewater rafting, canoeing, kayaking, camping, biking, or ______, I agree as follows:

I fully understand and acknowledge that outdoor recreational activities have: (a) inherent risks, dangers and hazards and such exists in my use of whitewater rafting, canoeing, kayaking, camping, biking, or ______, equipment and my participation in whitewater rafting, canoeing, kayaking, camping, biking, or ______, activities, (b) my participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, disease, strains, fractures, partial and/or total paralysis, death or other ailments that could cause serious disability; (c) these risks and dangers may be caused by the negligence of the owners, employees, officers or agents of Blackwater Outdoor Adventures; the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of nature or other causes. Risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, guide decision making, including that a guide may misjudge terrain, weather, trail or river route locations, and water level, risks of falling out of or drowning while in a raft, canoe or kayak and such other risks, hazards and dangers that are integral to recreational activities that take place in a wilderness, outdoor or recreational environment; and (d) by my participation in these activities and/or equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether causes in whole or in part by the negligence or other conduct of the owners, agents, officers or employees of Blackwater Outdoor Adventures, or by any other person.

I, on behalf of myself, my personal representatives and my heirs hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify Blackwater Outdoor Adventures and its owners, agents, officers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of whitewater rafting, canoeing, kayaking, camping, biking, or ______, activities. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the owners, agents, officers or employees of Blackwater Outdoor Adventures.

The Venue of any dispute that may arise out of this agreement or otherwise between the parties to which the Blackwater Outdoor Adventures or its agents is a party shall be either the City of Parsons, West Virginia Justice Court of the County or State Supreme Court in Tucker County.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT DO AGREE, IT IS MY INTENTION TO EXEMPT AND RELIEVE BLACKWATER OUTDOOR ADVENTURES AND ITS OWNERS, AGENTS, OFFICERS, AND EMPLOYEES FROM LIABILITY FOR PERSONAL INJURY PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.

SIGNATURE: ______AGE: DATE:______

NAME: ______GROUP NAME: ______

Street address or P.O. Box Number ______

City______State______Zip______