MYM MISSION HSV - STUDENT AND ADULT VOLUNTEER REGISTRATION FORM

STUDENT REGISTRATION

Name

Student or Parent Email

This address will receive a confirmation email

Student or Parent Cell Phone

Address

Grade (JUST COMPLETED) 5 6 7 8 9 10 11 12 Adult Volunteer

Gender Female Male

Have you been baptized? Yes No Adult Volunteer

Shirt Size Small Medium Large XL XXL Adult Volunteer

If you are visiting our MYM event with a friend, please list their name here:

ADULT VOLUNTEER INFORMATION

Adult Volunteer Name:

Adult Volunteer Phone:

Adult Volunteer Email:

This address will receive a confirmation email

Please describe where you would like to help this week and what dates/times:

TRANSPORTATION

Students will arrive at Mayfair at 9am. Because we no longer have large buses, we will be transporting students in our mini bus and parents vehicles. Parents - if you are willing to drive on these days, please let us know by checking the box below.

I am available to drive students on the following days: Thursday Friday Saturday

I will be attending Middle School Mission for: Entire Time Partial Week

Use this area to tell us about any attendance conflicts or alternate travel plans including person your student will be riding with (if not your parents):

MEALS INFORMATION

BREAKFAST - Please eat breakfast before you come to Mayfair.

LUNCH - all students will come to the youth area where we will have sandwich fixings for them to make their own lunch to take to the work sites each day. Lunch will include sandwich, chips and drink.

If your child has food allergies, please list them below. If necessary, we may ask you to provide meals for your child. Thank you for your understanding. We try to accomodate when we can, but there may be times when that isn't possible.

List all food allergies here:

EMERGENCY CONTACT

Emergency Contact Name

Emergency Contact Cell Phone

BEHAVIOR POLICY/PARENTAL CONSENT/MEDICAL RELEASE

By registering for this event, I agree to abide by the expectations set up by the MYM Leadership Team and will strive with a Chirstlike attitude to do everything within my power to make this mission a great experience for all those who attend.

I agree with the above:

Yes No

After you register for camp, an email will be sent to your parents with the Parental Consent and Medical Release information required for your attendance if you do not have a completed form on file. Please let your parents know to be expecting this form that they must sign and return to MYM.

Parent's Email Address for Parental Consent/Medical Release Form:

COST OF MISSION HSV is $40 AND INCLUDES SOME OF THE NEEDED WORK SUPPLIES FOR MISSION, FOOD, DRINKS, AND T-SHIRT! YOU MAY PAY BY PAYPAL (LINK BELOW) OR BY CASH/CHECK PAYABLE TO MAYFAIR. CHECKS MAY BE PLACED IN LOCK BOXES AT EACH END OF FRONT HALLWAY INSIDE THE YOUTH AREA OR BROUGHT TO CHECK-IN.

Payment - $40

Amount

Description

Please fill out this form, choose your payment and click submit (ONCE ONLY). You will get a confirmation email of your submission.

MYM MISSION HSV
JULY 17-19, 2024
6th-12th Grade
9AM - 4PM

Parent Drop-Off at Mayfair - 9AM
Parent Pickup at Mayfair - 4PM

PARENTS DRIVING TEENS TO LOCATIONS:
Please call, text or email Jacob Hall for more details.

Questions/Problems? Contact Jacob (jacob@mayfair.org)

MYM MISSION HSV - STUDENT AND ADULT VOLUNTEER REGISTRATION FORM

Description

Please Fix the Following