2023 Middle School Mission Trip - The Water's Edge Omaha

Student Name*

First Last

Current Grade (2022-23 School Year)*

Student Date of Birth*

Student Gender - M/F*

Student Email*

Student Cell Phone*

T-Shirt Size*

Shirts are available in adult sizes only

I plan to participate in fundraising opportunities:*

Yes
No

I would like information on memorial scholarships.*

Yes
No

I anticipate I may have a need for additional financial assistance.*

Yes
No

Parent/Emergency Contact 1 Name*

First Last

Parent/Emergency Contact 1 Email*

Parent/Emergency Contact 1 Phone*

Parent/Emergency Contact 2 Name

First Last

Parent/Emergency Contact 2 Email

Parent/Emergency Contact 2 Phone

Agreement*

Yes, I understand and agree to the below terms & conditions of my registration

Middle School Agreement By registering for the Summer 2023 Middle School Youth Mission Trip, I agree to the following conditions: 1. I am committed to going on this trip. My registration is a promise to people in Kenosha, WI (July 22-28, 2023) and my fellow mission trip participants, that I will show up and serve. 2. My participation is contingent upon my ability to abide by the codes of conduct for The Water’s Edge and Group Mission Trips. 3. I understand my spot is not guaranteed until my registration form AND $100.00 non-refundable/non-transferable deposit is received. 4. I alone am financially responsible for the full cost of attending the mission trip with WE and will work to meet the payment amounts and due dates. 5. I understand that failure to make a payment due date may result in the loss of my spot if a waitlist exists. 6. I understand my commitment to this trip extends to my involvement in the church beyond simply attending the trip. As such, I will be an active and faithful participant in the Worship and Youth Ministries of The Water’s Edge Church. I understand that failure to do so may result in the forfeiture of my spot on the mission trip. 7. I am a partner on this trip with my church, my peers, the leaders attending, and those we will encounter along the way. I will work to build community, carry my load, and grow alongside others attending. As such, I agree and promise to: a) Attend, with a parent, the Mission Trip information gathering on Sunday, May 21 following the 10:30 Worship, and b) Attend all mission trip preparation, training, and group bonding events (Dates TBD). 8. I understand there are two drop dates which could impact my amount due: If I choose to drop from the trip at any point after March 12, I am responsible for 50% of the FULL PARTICIPATION COST of my spot on the mission trip. If I choose to drop from the trip after May 7, I am responsible for 100% of the FULL PARTICIPATION COST. In the event I drop after one of these drop dates, any and all funds paid or contributed in my name toward the trip will be forfeit and used to cover the already incurred costs of the trip, any unpaid amount I am responsible for will be due immediately.

Parent Name Typed*

*Parents, your typed name here serves as a digital signature.

Today's Date*

Payment Options - Payment Options - use drop down to choose your option. If you choose 'pay in person," you may exit out of the PayPal screen after submitting your registration.*

Total

$0.00