Application for Uganda Mission Trip 2018

Join our team to assist with a week of camp for children of prisoners in Uganda, Africa! You will be able to grow as you experience a different culture, different food, traffic, and sounds; and you will be blessed more than you can imagine as you give love and hope to some of the most vulnerable children in the world.

Dates: August 22- September 1, 2019 We will fly from the USA on Thursday, the 22nd, arriving in Uganda late on Friday night. After spending two nights in Kampala to prepare for the camp, our team will travel 3 hours to the camp location where we will be Sunday evening through Thursday. Friday and Saturday will be spent back in Kampala, with the team flying home Saturday evening and arriving back to the states on Sunday.

Cost: $2,950 each person. This includes your airfare, and travel, food and lodging in Uganda, plus the camp fees. It does not include your vaccines, passport or visa costs. The first $150 is due with this application, your second milestone of $1,800 is due April 25th (if you apply after that the airfare cost will go up), with your last milestone of $1,000 due on August 15th.

Full name EXACTLY as it appears on your passport:

Name *

First Name Middle Name Last Name

Preferred Name:

E-mail *

Mobile Number *

- Area Code Phone Number

Home Number

- Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Person to contact in the event of an emergency: *

First Name Last Name

Emergency Contact Mobile Number *

- Area Code Phone Number

Tshirt size: (adult sizes S, M, L, XL, 2XL)

I am actively involved with this church:

My Pastor's Name:

Background and Interests

Why do you want to go on this Uganda Mission Trip?

Do you have any previous mission trip experience- in the USA or overseas? If so, please describe briefly.

Tell us about your educational background:

Current Occupation:

Skill-sets or Personal Area of Interests (hobbies such as music, dance, art, sports, teaching, being a grandparent..)

Each Uganda Team Member will take different responsibilities to help run the week of camp. Please answer the following questions based on your experience in the stated area:

	No experience	Have done it	Have done it regularly	Do it professionally
Drama/Acting
Field Games/Sports
Music-lead worship/play
Photography
Crafts/Art
Program Manager/Event Leader

Who in your life is supportive of your desire to participate in this mission trip? Why do you think they are supportive?

Is there anyone not supportive, and if not, why?

Please describe your relationship with God as a follower of Jesus.

If someone asked you, "Tell me about your Jesus and how can I have a relationship with God through following Jesus?" What would you tell them?

Personal Health Status

Participating in short-term mission trips can be strenuous and stressful. Having this information on file will make it easier for the appropriate personnell to assist you if necessary. This information will be kept confidential.

Blood Type:

Do you now, or have you in the past, experienced anxiety, depression, or other emotional health concerns?

Yes No In treatment currently

Please describe any health issues you have (allergies, asthma, diabetes, heart condition, back trouble, etc.)

Please describe any physical restrictions you have that may affect your participation on this team:

Please list any medications you are taking on a regular basis:

Please list any dietary restrictions:

Please list known allergies:

Waiver of Responsibility/Assumption of Risk/Medical Release

In consideration of the benefits derived from being accepted for voluntary service on a Camp David of the Ozarks Short-Term Mission Trip, and fully understanding that the risks associated with such service may include, but are not limited to, injury or death by accident, disease, terrorist acts, adverse weather conditions and inadequate medical care, and/or damage to, or loss of, personal property, I hereby volunteer my services despite such hazards. I willingly assume these risks and I, for myself, and on behalf of my estate, heirs, executors, and administrators do hereby fully release and discharge Camp David of the Ozarks, it's leaders and officers, sponsoring organizations, and Wells of Hope in Uganda, from any and all liabilities, claims, obligations, damages, and causes of action whatsoever arising or growing out of my traveling and participation in the Uganda Mission Trip.

Furthermore, any of the above -mentioned have my permission to obtain medical treatment, hospitalization and/or emergency services if the need should arise. I assume all responsibility for any resulting medical bills for myself. Should it be necessary for me to return home due to medical reasons or disciplinary action, I will assume any and all costs.

By writing my name in the box the the right, I agree to the above Waiver/Assumption of Risk/Medical Release:

First Name Middle Name Last Name

Commitment

This is a serious commitment. Please ask God to help you overcome any obstacles that may arise in order to be able to fully carry out your commitment.

I am committed to serving the Lord with the Uganda Mission Trip with all my heart and energy from August 22-September 1, 2019. The only thing that will keep me from this commitment would be a serious health issue or a family emergency.
I understand that while attending the Uganda Mission Trip, I may be working in non-air-conditioned buildings, and experiencing many different things that are out of my comfort zone including new tastes, smells, and sights. I am committed to following the guidelines in the Global Opportunities Trip Guide (found on the website).
I understand the mission for Camp David of the Ozarks is to provide a Christian Camp experience where one can experience love, find hope, and grow in a relationship with Jesus Christ. I agree with the Statement of Faith (found online) for Camp David.
I understand that the cost for the trip is $2,950. The first $150 is due with this application, my second milestone of $1,800 is due April 25th, with my last milestone of $1,000 due on August 15th.
I give permission to Camp David of the Ozarks and Wells of Hope to use mission trip pictures or videos including myself in promotional materials.
I understand that Camp David is not responsible for lost clothing, electronics, or personal property while I am on the Uganda Mission Trip, and I agree to initial my personal items.

If applicant is under the age of 18, a parent or guardian must sign this Wavier and Commitment by writing their name in the box the the right.

First Name Middle Name Last Name

Date

- Month - Day Year

Uganda Mission Trip Application 2019

Background and Interests

Personal Health Status

Waiver of Responsibility/Assumption of Risk/Medical Release

Commitment