Street Reach 2025 Registration Form

STREET REACH 2025 REGISTRATION
Church/Group Name*
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Person*

First NameLast Name
Job Title*
Email Address*
example@example.com
Mobile Number*
Week*
Number of Participants*
Did you participate in Street Reach 2024?*

YesNo
If no, how did you hear about Street Reach

YM ConclaveReferredGoogleEmailOther

Leader Acknowledgement Form
I Leader/Church Representative* am the individual bringing a group from Church Name* to serve with Street Reach Ministries and acknowledge the following policies.
General Information, Expectations, and Policies

Please ensure you have read the General Information, Expectations, Policies, Terms and Conditions, including our Statement of Faith. To view and download, please click here.
Please sign here acknowledging that you have read and agree to the General Informations document above.*

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Weapons Policy

Individuals are prohibited from carrying a weapon during the course of service at Street Reach Ministries. Weapons are strictly prohibited on all property including parking lots, dorm areas, morning and afternoon project sites. This applies even if an individual is licensed to carry a handgun. Prohibited weapons include any form of weapon or explosive restricted under local, state or federal regulation. This includes all firearms, illegal knives or other weapons covered by the law. (Legal, chemical-dispensing devices such as pepper sprays that are sold commercially for personal protection are not covered by this policy.) This policy applies to all volunteers; staff; associates; contract and temporary associates; and, visitors on Street Reach property or property associated with Street Reach Ministries.
Please sign here indicating that you have read and agree to the No Weapons Policy and have made this policy aware to individuals planning to participate.*

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Background Check Policy

You or your church are responsible for a child protection policy. This would include conducting background checks on any adults on the trip, as well as establishing guidelines and policies to ensure the safety of any students or minors. Anyone 18 years of age and older is considered an adult.

If your church does not already have a service or company they use to run background checks, a company we us is ProtectMyMinistry to run background checks on our staff. In addition to providing background checks, they have training videos and materials for further education on protection.
Please sign here indicating that you or your church will perform background checks on the adults going on this trip.*

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Assumption of Risk Form

Every individual, student and adult, are required to sign an assumption or risk form to participate with Street Reach Ministries. To view and download the updated Assumption of Risk form, please click here.
Please sign here acknowledging that every member of your group, student and adult, will provide a signed copy of the Assumption of Risk form to participate.*

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Registration
To complete registration, please select how you will be paying the $100 application fee. This is a one-time payment for the whole group, not per participant.

You may select to pay with a credit card or by mailing in a check. If you opt to mail in a check, please make those out to Street Reach Ministries and mail them to 3275 Rosamond Ave., Memphis, TN 38122 Attn: Street Reach Ministries.

Application Fee*

Credit Card

$103.00

Church Check

$ Free

Total

$0.00

Credit Card (If not sending a check)

Should be Empty:

STREET REACH 2025 REGISTRATION

Leader Acknowledgement Form

Registration

Credit Card (If not sending a check)