BPC 2024 Recovery Trip Application Form (must fill out for each participant)

Name

Address

This address will receive a confirmation email

Cell Phone

Home Phone

Date of Birth

Are you a member of BPC?

Yes No

If you are not a member of BPC, please let us know the name of your church and its denomination, if applicable.

Briefly tell us why you would like to participate in the BPC Recovery Trip.

What are your expectations for this trip? What do you want to contribute and what do you expect to get from it?

Please provide three fun facts about yourself that you would like to share with the other trip participants (ie. I lived in Montreal for 6 months during my junior year of college).

What is your usual occupation?

Your Skills

Please let us know your level of skill using this 1-4 scale:

1 - Can supervise or teach this activity

2 - Able to competently perform this activity

3 - Could perform this activity with sufficient instruction

4 - Have never done this, or not a skill of mine

Carpentry

1 2 3 4

Cement Work

1 2 3 4

Demolition

1 2 3 4

Drywall

1 2 3 4

Electrical

1 2 3 4

Floor/Tile

1 2 3 4

Glasswork

1 2 3 4

Masonry

1 2 3 4

Painting

1 2 3 4

Plumbing

1 2 3 4

Roofing

1 2 3 4

Yard Work

1 2 3 4

I would like to volunteer as a designated trip driver.

Yes No

Cost

The 2024 Recovery trip cost is $850 per person for the week and covers airfare, transportation, lodging, food (breakfast, lunch, dinner, snacks), and travel to and from the worksites.

Sponsorships and payment plans are available. Since Recovery Trip funds support our meetings, the trip itself, and financial assistance, we ask all participants to help with fundraising efforts, such as holding a bake sale, concert, or carwashes. It is our sincere hope that no one misses this opportunity to serve.

Prayerfully consider what portion of your trip cost you are able to contribute. Then decide what percentage you will raise through ‘personal’ fundraising with family, friends, and co-workers. If you are in need of additional financial support after you determine those amounts, you can request the remaining amount needed to satisfy your costs for the trip. Use this form to complete this information.

The number you enter in the two fields below should total $850. We have currently reserved group airline tickets for up to 20 people. Any additional tickets above this may cause a change to the per-person trip fee. Financial support and trip sponsorship is available and will be handled with confidentiality on a case-by-case basis.

Payments can be made by check to Bedford Presbyterian Church. Please write "2024 Recovery Trip" on the memo line.

Amount of financial assistance requested:

Amount I am contributing:

Medical Information Form

Online Medical Forms via a secure portal, will be provided once the application deadline of January 20, 2024, has been met. Be sure to add @bedfordpresbyterian.org to your email acceptance list so you do not miss any important updates.

RISKS & RELEASES

Medical Waiver and Release

In the event treatment is required from a physician and/or hospital personnel designated by the Church (or team leaders), I/we agree to hold such person/s and BPC free and harmless of any claims, demands, or suits for damages or injuries arising from the giving of such consent. The volunteer (and parent) releases and forever discharges BPC, team leaders, trip participants from all and any claims that may arise due to first aid or decisions regarding medical care.

Agree?

Risks and Release

I/we understand that there are inherent risks involved in any mission event and that I am volunteering for an event that includes the repair of damaged and/or potentially unsafe buildings. I/we understand that BPC and its partners do not guarantee my safety nor do they claim responsibility for my safety or personal belongings. I/we hereby assume all risks related to the injury, illness, loss or harm that may occur to me/my child during or after the duration of the event. I/we release and hold harmless BPC, its pastors, employees, volunteer workers and its partners in this recovery event from any and all liabilities for injury, illness, death or loss/damage of property that may occur during the course of my own or my child’s involvement, including all travel during the event.

Agree?

Photo Release

BPC takes and uses photos and videos for its newsletter, brochures, presentations, event announcements, social media, and/or website.

Do you give permission for photos and/or videos to be used for church purposes?

Safe Haven Policy

Please click to view the Safe Haven Policy.

I, the participant, have read and agree to the BPC Save Haven Policy.

BPC Recovery Team Covenant

Please click to view the BPC Recovery Team Covenant.

I, the participant, have read and agree to the BPC Recovery Team Covenant.

Conduct

I agree to participate fully in the worksite projects, group activities, and other responsibilities that may be assigned. I understand I am responsible for my own actions and I agree to follow all federal, state, and local laws as well as the BPC Covenant of Conduct and Safe Haven. Further, I understand that I am a representative of BPC and of our Christian community. If I fail to abide by the law or policies in the BPC Covenant, I/we understand that I could be sent home immediately at my own or my family’s expense.

Agree?

Confirmation Signature

Please type your full name in the space provided.

Date

BPC 2024 Recovery Trip Application Form (must fill out for each participant)

Description

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