2022 SH Mission Trip Registration Form

June 11-19, 2022 | This form registers you for our 2022 SH Mission Trip. All students currently in grades 9-12 are invited to participate.
Student Information

 
 
 
 
 
 
 
 
Please select one option.
Parent Information

 
 
 
COVID-19 Vaccination Status

All participants on this trip are required to be fully vaccinated for the Covid-19 virus no later than May 14, 2022. Please list your current vaccination status below. Watch for more information regarding our COVID-19 policies including a waiver all participants must sign, coming later this spring.
Please select one option.
Trip Covenant

1. I will respect everyone and everyone’s belongings. I will respect their views, their privacy, their space and their right to be here.
2. I will refrain from using any drugs, alcohol or illegal substances.
3. I will not use undesirable or foul language.
4. I will respect the places we visit and leave them in better shape than they were when I arrived.
5. I will be respectful of the people we meet, their way of life and their beliefs.
6. I will make time daily for God.
7. I will participate in all activities, work projects and daily chores.
8. I will use discretion and common sense in my attire. I understand that shirts must be worn at all times. I will refrain from wearing clothing that expresses alcohol/beer slogans or obscenities.
9. I will avoid gossiping, criticizing or starting rumors.
10. I will not engage in gambling, betting or wagering on anything throughout the duration of the trip.
11. I understand that on a trip like this, things can change often. I will be flexible, understanding and willing to “go with the flow.” Semper Gumby. ™
12. I will do my best to represent myself, my church, my community, my family and Jesus in the best way possible.
13. I will be aware of our schedule and will be on time.
14. I will have a large, ridiculous amount of fun!
15. I will do everything possible to attend all meetings, fundraisers and other events required for my participation in this trip.
16. I understand that failure to comply with this covenant will result in disciplinary action that does not exclude being sent home from the trip at my own expense.
 
 
Questionnaire

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Payment

The cost of the trip is $450 for church members and $550 for non-church members. A $100 deposit by February 1st, 2022 is required to hold your spot on this trip. You can submit payment by credit card or send in cash or check payable to Avon Lake UCC. Payment in full is due by May 1st, 2022. We do have scholarship funds available for anyone who is in need. The cost of the this trip should be the last thing that prevents you from going. Please contact Nate - nate@avonlakeucc.org for more information.
 
 
 
 
 
 
 

Description

June 11-19, 2022
This form registers you for our 2022 SH Mission Trip. All students currently in grades 9-12 are invited to participate.