BCC | ESL Teacher Training Form

ESL Teacher Training Registration Form

Thank you for your interest in the training! Please fill out the form below.
Join us for our upcoming ESL teacher training.

Host: Berean Community Center

Location: Berean Baptist Church, 10250 North Fwy, Houston, TX 77037

Dates:

Friday, July 25th 6:00 p.m. - 9:30 p.m.

Saturday, July 26th 8:45 a.m. – 6:00 p.m.

Cost: The cost is $50.00 per person. (This includes your training manual, participant notebook and meals and snacks.)

Training Schedule:

Friday

5:30 p.m. - Dinner

6:00 p.m. - Training begins (Participants are welcome to eat during the training)

9:30 p.m. – Training ends

Saturday

8:15 a.m. - Continental breakfast begins

8:45 a.m. - Training begins (Participants are welcome to eat during the training)

12:00 p.m. – Lunch (Please note there will not be time to eat off campus.)

12:30 p.m. – Training resumes

2:00 p.m. – Break

2:15 p.m. – Training resumes

6:00 p.m. – Training ends
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you attend a church? If yes, please list the name below.*
Do you serve on staff or volunteer at your church? If yes, what is your title or position?*
Have you attended and completed the ESL teacher training with Mission North America before? If so, when?*
Meals and snacks will be provided during the training. Please list any and all food allergies or write N/A:*
Emergency Contact Information

In case of an emergency, please provide the name and contact information of someone we can reach out to on your behalf.
Emergency Contact Name*

First NameLast Name
Relationship*
Emergency Contact Phone Number*
Please enter a valid phone number.
Payment

The training cost is $50.00 per person. Please submit your payment via Zelle by scanning the QR code below or by adding Berean Community Center as a new Zelle recipient in your banking app.

Zelle Name: Berean Centerinc

Zelle Email: accounting@bereancommunitycenter.org

Memo Field: "ESL Teacher Training Registration Fee"

Your registration will be confirmed via email upon payment receipt.

If you need to pay a different way, please email operations@bereancommunitycenter.org .
Photography & Video Consent: Photos and videos may be taken for promotional purposes related to Berean Community Center and Berean Baptist Church. These images may be shared on platforms such as our website and Facebook page, as well as other church-related media. Do you give permission to be included in these photos and videos?*

YesNo
Would you like to subscribe to BCC's Newsletter to stay updated on events, messages, and news?*

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Adult Participant Release & Waiver of Liability and Indemnity Agreement
PLEASE READ CAREFULLY. THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING BEREAN COMMUNITY CENTER AND BEREAN BAPTIST CHURCH FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFOR

Assumption of Risk

I acknowledge and agree that any use of Berean Baptist Church facilities, services, equipment and premises (“Facilities”) and any participation in Berean Baptist Church and Berean Community Center programs and activities (“Programs”) comes with inherent risks including, but in no way limited to: (1) moderate and severe personal injury, (2) property damage, (3) disability, (4) death, and (5) sickness or disease including, without limitation, COVID-19. I voluntarily accept and assume full responsibility for these risks as well as any and all other risks of the use of Facilities and participation in Programs. I agree that I have full knowledge of the nature and extent of all such risks and am not relying on all such risks being described in this document.

Waiver, Release, Indemnification & Covenant Not to Sue

In consideration of the use of Facilities and participation in Programs I, the undersigned, agree that Berean Baptist Church and Berean Community Center, its officers, directors, agents, employees, volunteers, insurers and representatives (“Releasees”) will not be liable for any personal injury, property damage, disability, death, sickness or disease incurred by myself, my family members, dependents, or guests, including minors, however occurring including, but not limited to the negligence of Releasees. I understand that I will be solely responsible for any loss or damage, including personal injury, property damage, disability, death, sickness or disease sustained from the use of Facilities and participation in Programs.

I further agree, on behalf of myself and any and all legal successors and proxies, to release and HEREBY DO RELEASE, WAIVE AND COVENANT NOT TO SUE Releasees from any causes of action, claims, suits, liabilities or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which I and any and all legal successors and proxies may have, now or in the future, against Releasees on account of personal injury, property damage, disability, death, sickness, diseases or accident of any kind, arising out of or in any way related to the use of Facilities or participation in Programs, whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to the negligence of Releasees.

In further consideration of the use of Facilities and participation in Programs, I agree to INDEMNIFY AND HOLD HARMLESS Releasees from any and all causes of action, claims, demands, losses, suits, liabilities or costs of any nature whatsoever, including claims of negligence, arising out of or in any way related to the use of Facilities and participation in Programs by myself, my family members, dependents or guests, including any minors.

By completing and signing the form below, you acknowledge and agree to the terms outlined in the Participant Release, Waiver of Liability, and Indemnity Agreement, and your signature constitutes full acceptance of its conditions.
Participant Name*

First NameLast Name
Signature*

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Date of Signature*

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Date
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ESL Teacher Training Registration Form

Emergency Contact Information

Adult Participant Release & Waiver of Liability and Indemnity Agreement