By participating in a mission trip through Madison Academy, you are awarded an amazing opportunity to serve alongside students, faculty, staff and alumni in various locations across the country and around the world. Please carefully review the statements below; by checking the boxes below, you understand and agree to the following:
* I will submit my deposit as applicable to me within two weeks. My deposit and any donations made towards my trip are NON-REFUNDABLE.
* I am responsible for the entire financial balance associated with my trip, even if I cancel my participation.
* I will attend and participate in team meetings.
I understand that failure to abide by these policies will result in my dismissal from the team prior to departure or being sent home at my own expense, a hold may be placed on my account, and disciplinary action may be taken by Madison Academy when applicable.
Medical
I have provided complete and accurate information regarding my medical history, both current and past, in the Medical History section of this form.
There are no health-related reasons (emotional, mental or physical) that prevent or affect my participation in this trip.
I understand that I am responsible for my personal medical needs including insurance, medication, immunizations, and costs associated with destination-specific preventative care, treatment, or hospitalization
I agree to grant my team leaders the power and permission to make any emergency healthcare decisions that may arise (medical power of attorney). I understand that no responsibility is assumed for any injury, damage or expense that may arise from such decisions.
Disclaimer of Responsibility
I understand there are certain dangers, hazards, and risks inherent in domestic & international travel. The parties listed above are not responsible for any personal injuries or property damage that may occur.
Madison Academy is not responsible for injuries, losses, or expenses resulting from circumstances within a trip, including but not limited to the actions of service suppliers (transportation carriers, hotels, government officials, etc), disruption of travel arrangements, weather, and civil/political unrest.
Madion Academy reserves the right to cancel, postpone or modify a trip as deemed necessary by the administration.
Conduct
I agree to abide by the rules contained in the Madison Academy Student Handbook, regardless of my classification.
YOUR COMMITMENT:
We have read the above list of preparation requirements for Madison Academy’s Baja Missions Team and we understand that much is expected of us. If we are granted admission to the team, we will commit to completely fulfill every requirement before we are allowed to make the trip. Also, we know that as an ambassador of Jesus Christ and the Madison Academy, we are expected to be a Christ-like example and a influence for good. We take these expectations seriously and realize the responsibility entrusted in each team member.
I agree to obey and abide by all rules, regulations, and requirements set forth by the Baja leadership team.
If for some reason I am unable to complete all the requirements, I understand that I will forfeit my space on the team for this year and my deposit will be non-refundable.
As an agreement to the above statements, I sign my name as a pledge that I understand what is expected of me and as a pledge to give the best of myself to these efforts. I understand this is a team effort.
Cost, including deposit, per person: $1,100. I have enclosed a deposit check for $100.00 payable to Madison Academy, with the name of the participant and "Baja" in the memo field.