CROSS MISSIONS 2017
GROUP REGISTRATION FORM
CONTACT INFORMATION
Church/Organization Name
______
Address______
City______State______Zip______
Telephone (______)______
Fax (_____)______
Web______
Contact Person______
Affiliation with group______
Cell Phone: (_____)______
Other Number if not listed (_____)______
Email______
DATE REQUEST
Anticipated dates of participation:
______
PARTICIPANT INFORMATION
Projected Number of Youth Participants:______
Age range of youth:______
(Please read the youth/adult ratio requirements below)
Projected Number of Adult Participants:______
Projected Total Number of Participants: ______
REGISTRATION & PAYMENT INFORMATION
PLEASE MAIL THE FOLLOWING TO THE ADDRESS BELOW:
1. This registration form
2. A copy of your organization’s certificate of insurance
3. DepositThe non-refundable registration fee must be received to secure your reservation. The fee will be applied toward your total balance. Checks are payable to: Myers Park PresbyterianChurch
Myers Park Presbyterian Church
Attn: CROSS Missions
2501 Oxford Place
Charlotte, NC 28207
Phone (704) 376-3695
By signing below, the undersigned agrees to be present at the function and assume responsibility for MPPC facilities, and/or represents on behalf of the above named organization that the organization and planned activity is Not for Profit, and use of the facilities are consistent with Church policy, and that all of the information contained above is true and complete. The undersigned further acknowledges receipt and acceptance of MPPC policy of CROSS Missions and the general fee schedule, and that any misstatement or change in the organization or purpose above is specified will void this reservation.
I have authorized payment, and I have read and agree to the Reservation and Cancellation Policy, payment due dates, and youth/adult ratios.
______Signature
______Print Name
______Date
______Amount enclosed
(Total Participants x Registration Fee)
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INSURANCE INFORMATION
Organization’s Insurance Carrier:
______
Insurance Telephone______
Policy Number______
POLICIES
Cancellation Policy
If your group must cancel, payments paid prior to cancellation will not be refunded. A deposit made for a trip is only good for that particular date. If you must reschedule your trip, a new deposit is required.
Please be aware that we put a great deal of time and effort into planning each trip. Holding a spot for your group means that CROSS will not receive revenue from groups who could not come at that time because your group was scheduled. If another group requests the same dates, we will notify you and you will have two weeks to turn in your deposit to hold your spot.
Payment Due Dates and Policies:
Urban Plunge & Urban Rebuild: Deposit and registration due 4 weeks after scheduling, final numbers due 30 days before trip,final payment and security deposit due 15 days prior to trip.
City Serve: Deposit and registration due 4 weeks after scheduling, second payment of $100 per person due February 1, final numbers due 30 day before trip, final payment and security deposit due 15 days prior to trip.
While it is our hope that all groups bring their initial projected numbers, we understand group sizes may change. If your group would like to increase its total number, please contact the CROSS office immediately to make a request.
In the event that a group significantly decreases in size after registration (which we sincerely hope will not be the case), the group will be responsible to pay 75% of the total cost of the initial projected group size after sending in the deposit.
$100 late fee can be assessed. All payments are non-refundable; however, all payments apply towards the total.
Security Deposit
Please include with your final payment a separate check for $100.00 to serve as a security deposit during your trip. Money will be deducted from the security deposit if the following occurs: keys or key cards are lost, damage to facilities or equipment, late payments.
Youth/Adult Ratios
- Must have 1 adult per 6 youth.
- Must have at least 2 adults in attendance (even if you only have 6 youth).
- Must have 1 adult of each gender if you have both boys and girls in attendance.
- Youth who have not completed 5th grade that attend the trip, must have a parent or an adult come making a 1:1 ratio.
- If there is a married couple or a couple that is related, they count as 1 adult on the trip. (According to our child policy, since married couples cannot testify against one another in court).
- There must be two adults sleeping in the same room as youth. If that cannot be done, adults will sleep in a separate room from youth.
ADDITIONAL INFORMATION
Please describe the purpose of your CROSS Missions trip. What would you like your group to learn and experience as a result of this trip? Please note any specific or particular type of ministry site that would particularly appeal to your group or with which your group would have concerns. Our Group Planning Kits on our website list ministry sites.
Questions? Joel Tomkinson, CROSS Missions Director, r 704-927-1282.
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