8 Grade th
Name: __________________________________________________________ Parent Email: ________________________________________________________________________ Parent Phone: _________________________ Student Phone: _________________________ Discipleship Completed:
None
Have You Been On A Mission Trip?
101
201 Yes
301 No
Why Would You Like To Go? ___________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________
803 Mission Trip Checklist Jacksonville, FL | July 11-15 Cost: $325
Team Selection & Requirements:
o Number of spots is limited o Actively involved in Sunday School (75% attendance) o Student must have completed Discipleship 301. o Student must attend training meeting on May 19th
Due by December 2nd – Secures a Spot on the Trip
o Deposit - $100.00 - non-refundable o Application
Payment Schedule
o By December 2nd - $100 Deposit o By June 2nd - $225 Balance
Trip Summary
o We will be traveling to Jacksonville, FL to partner with a local church plant and nonprofit ministry.
o We will leave from Shandon on the afternoon of July 11th. o We will serve Jacksonville through working with refugee and low income children and executing neighborhood outreaches.
o We will return to Shandon on July 15th around midday. o We will be staying in the mission house of a local church, which features bunk beds, gym, and showers.
Keep this page for your records. Complete the following pages and turn them into the student ministry office by December 2nd. If you are interested in going on the trip as an adult or if you have any further questions about the trip, contact Erica D’Amato at
[email protected] or (803) 782-1300 x120
803 Mission Trip Checklist Jacksonville, FL | July 11-15 Cost: $325
Requirements: Completed Discipleship 301 and 75% Sunday School Attendance *Sunday School Attendance tracking begins December 2nd and will end June 2nd
MEDICATION INFORMATION Student Name:
Student Grade:
#1 MEDICATION / STRENGTH
#5 MEDICATION / STRENGTH
Taken at:
Taken at:
Morning
Morning
Noon
Noon
Night
Night
#2 MEDICATION / STRENGTH
#6 MEDICATION / STRENGTH
Taken at:
Morning
Morning
Noon
Noon
City, ST ZIP Code
Night
Night
#3 MEDICATION / STRENGTH
#7 MEDICATION / STRENGTH
Taken at:
Taken at:
Morning
Morning
Noon
Noon
Night
Night
#4 MEDICATION / STRENGTH
#8 MEDICATION / STRENGTH
Taken at:
Taken at:
Morning
Morning
Noon
Noon
Night
Night
803 Mission Trip Checklist Jacksonville, FL | July 11-15 Cost: $325
Packing List
Linens, towels, pillows, blankets
Water bottle you can refill and carry with you
Closed-toe, closed-heel shoes [for outdoor activities]
Bible, notepad, pen
Toiletries such as toothbrush and shampoo
Sun protection
Spending money for snacks/souvenirs
Summer clothing and clothes that you would not mind getting dirty
Sunday School Tracking Form: *This form must be turned in on June 2nd.*
Dec 2
_____
Dec 9
_____
Dec 16
_____
Dec 23 - No SS Dec 30 - No SS Jan 6
_____
Jan 13
_____
Jan 20
_____
Jan 27
_____
Feb 3
_____
Feb 10
_____
Feb 17
_____
Feb 24
_____
Parent Signature:
Mar 3
_____
X ___________________________________________
Mar 10
_____
Mar 24
_____
Student Signature:
Mar 31
_____
X ___________________________________________
Apr 7
_____
Apr 14
_____
Student Print Name:
Apr 21
_____
X ___________________________________________
Apr 28
_____
May 5
_____
Trip Attending:
May 12
_____
_____________________________________________
May 19
_____
May 26
_____
June 2*
_____
*Balance due with this form
On June 2, 2019 I affirm that these dates are truthful and accurate.
