Juarez, Mexico    April 18-20, 2008

Orphanage Ministry

REGISTRATION: Please find attached a registration form.  Also,  print and sign the Code of Conduct.  Enclose a check made out to, “Better Together Mexico” for $130 per person, $70 Youth. This amount will cover your transportation, food, lodging cost and building materials.  Mail it to P.O. Box 67757 Albuquerque, NM 87114.  If you have questions please call Darla or Mike Scarabrough at 228-4755.

TRANSPORTATION:  The transportation captain will call you concerning arrangments.

LODGING:  We will be spending the nights in a Hotel in El Paso.

FOOD: We will be taking our mobile kitchen and preparing meals for the kids.  

PHYSICAL HEALTH:  The local water will make you sick.  Do not drink any local water including ice.   Do not use local water for cooking or coffee even if it is being boiled.

SPRITUAL HEALTH:  It is a privilege to be on a trip like this.  You are on this trip because God selected you.  Expect God to speak to you; ask God to speak to you.  Use the time to get to know your fellow campers; the experience will bond us.  Be open to what God wants to teach you and be open to serve others.  Bring your Bible.  Often when we get away from our routine life, we are better able to commune with the Lord.


REGISTRATION FORM
Name  _______________________________________________
Date of Birth  ____                     Age  ______
Male _________  Female ___________ 
Address_______________________________________________
City ____________________ State _________  Zip  __________
Home Phone ________________  Cell Phone________________
E-Mail Address  ________________________________________     
In case of emergency, indicate whom we should call.                                                                                                                

Name of person _________________  Phone________________

Name of Physician  _________________ Phone  ______________        

Chronic or recurring illnesses or medical conditions such as back pain, stomach upsets, frequent colds, allergies, Asthma.                                                                                                                                                                                    
List any current medications being taken and why they are needed.                                                                                                                           

Operations or serious illnesses including approximate dates.                    

                                                                                                                         
Your Insurance Company Policy #___________________________
In case of emergency, I hereby give permission to the physician selected by the camp director or his/her staff to hospitalize, secure proper treatment for and order injection, anesthesia or surgery for me. I also recognize that failure to secure all recommended shots could expose myself to various sickness and/or illnesses. I also hereby acknowledge that participation in any activity includes certain risks, including but not limited to camping or traveling, service projects and other activities in Mexico.  I, therefore, agree to assume as an explicit condition of my participation, any and all risks, including but not limited to all these enumerated above. I agree to hold harmless the sponsoring church or Better Together from any and all liabilities, claims, demands and causes of action whatsoever which may arise due to my transportation and participation.  I realize, also, that in the event of illness or injury while attending camp or participating in it’s activities, medical treatment may be required.  I hereby give permission for any such treatment to be rendered, and I agree to bear the cost of such treatment.  If any changes occur, I will contact the director.  I agree to allow a background check for criminal convictions. 

SIGNATURE_______________________     Date  _____________  
                                 

Parent if under 18___________________    Date  _____________