707 Detroit Mission Trip

Student Name

First NameLast Name

OAK POINTE LIABLITY RELEASE

Insurance Information:*

Insurance Company

*

Policy #

*

under name of

*

relationship to student

Does your student have any physical/mental/dietary issues we should be aware of? Please include any major allergies or current medications being taken.*

I give permission for OPC staff + volunteers to give my student over the counter medications for minor ailments.*

yesno

In case of emergency, I do hereby release and hold harmless Oak Pointe Church, its directors and staff members and volunteer staff from all claims and causes of action by reason of any injury or illness which may be sustained through my child’s participation in the Detroit Mission Trip from June 18-24, 2023. I hereby give my permission to the physician, nurse or dentist selected by any leader from Oak Pointe Church to provide medical or dental aid for illness or injury including rented transportation (15 passenger vans and other vehicles driven by volunteer staff) to and from necessary facilities. I understand that Oak Pointe Church is in no way obligated to carry any insurance to cover these medical or dental expenses. All expenses incurred will be my responsibility*

yes

I hereby grant and convey unto Oak Pointe Church permission to publish pictures & videos of the student named above on the organization websites, socal media, in promotional videos, press releases, or any other form of public publicity.*

yes

Parent Signature

Clear

Parent Name

First NameLast Name

CENTRAL DETROIT CHRISTIAN LIABILITY RELEASE

The Volunteer desires to work as a volunteer for CDC and engage in the activities related to being a volunteer for the 707 Detroit Mission Trip 2022 (the “Activities”). The volunteer understand that the Activities may include physical labor, exposure to hazardous conditions, or other circumstances that may result in personal injuries.

I understand that by serving as a volunteer, I am not entitled to nor am I going to receive any type of monetary compensation for my work. By signing below, I agree to all the terms and conditions set out by CDC.
Release and Waiver. Volunteer does hereby release and forever discharge and hold harmless CDC and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either law or in equity, that arise or may hereafter arise from Volunteer’s Activities with CDC.
a. VOLUNTEER UNDERSTANDS THAT THIS RELEASE DISCHARGES CDC FROM ANY LIABILITY OR CLAIM THAT THE VOLUNTEER MAY HAVE AGAINST CDC WITH RESPECT TO ANY BODILY INJUY, ILLNESS, DEATH, OR PROPERTY DAMAGE THAT MAY RESULT FROM VOLUNTEER’S ACTIVITIES WITH CDC, WHETHER CAUSED BY THE NEGLIGENCE OF CDC OR ITS OFFICERS, DIRECTORS, EMPLOYEES, OR AGENTS OR OTHERWISE. VOLUNTEER ALSO UNDERSTANDS THAT CDC DOES NOT ASSUME ANY RESPONSIBILITES FOR OR OBLIGATION TO PROVIDE FINANICAL ASSISTANCE OR OTHER ASSITANCE, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH, OR DIABILITY INSURANCE IN THE EVENT OF INJURY OR ILLNESS.

1. Medical Treatment. Volunteer does hereby release and forever discharge CDC from any claim whatsoever which arises or may hereafter arises on account of any first aid, treatment, or service rendered in connection with Volunteer’s Activities with CDC.

2. Assumption of the Risk. The Volunteer understands that the Activities may involve work that may be hazardous to the Volunteer. Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities, and releases CDC from all liability for injury, illness, death, or property damage resulting from the Activities.

3. Insurance. The volunteer understands that except as otherwise agreed to by CDC in writing; CDC does not carry or maintain health, medical, or disability insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance.

4. Photographic Release. Volunteer does hereby grant and convey unto CDC all right, title, and interest in any and all photographic images and video or audio recording made by CDC during the Volunteer’s Activities with CDC, including but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

The information contained in this application is correct to the best of my knowledge. I authorize any references, churches, or other organizations which are listed in this application to give you any information they have regarding my character and fitness for working with this organization. Including children, youth, and families. I also authorize CDC to conduct a background check with the necessary authorities to verify my fitness to serve.

IN WITNESS WHEREOF, Volunteer has executed this Release as of the day and year first above written

Parent Signature

Clear

Date

CELL PHONE POLICY

On the Detroit Mission Trip we require that all students leave their cell phones at home. Having a break from being connected to the world is a great thing during this trip and allows the students to really focus on the job at hand and to have greater opportunities to grow personally and in community with one another.

We are asking parents to help us in this and make sure your student leaves their phone at home. We will be reminding students at each meeting that cell phones are not allowed on this trip, for any reason. There have been issues in previous years where a parent has negated this requirement and sent a cell phone with their student. Please understand that this is not just a suggestion, but it is a rule that we have for the week. It will not matter if the phone is powered off and has not been used all week, if a cell phone is found, the student could be sent home.

We understand that some students have anxiety issues in being away from home, but each of our adults will have a cell phone, and if there is a specific reason the student needs to call home, we will make our phones available. If there are specific issues with this that need to be cleared up, we ask that you talk to your church staff (Novi: Adam/Jill, Milford: Perry/Kristin, Canton: Zeek) directly before the trip begins.

This form simply allows us to know that we are on the same page with this rule, and you will partner with us to make sure the phone stays home!

Thanks for understanding, and again, if you have questions, please talk to your trip leaders.

STUDENTS + PARENTS,

Please sign the boxes below to indicate that you have read this policy and understand the consequences of bringing a cell phone on the Detroit Mission Trip.

Student Signature

Clear

Parent Signature

Clear