Overnight Programs Handbook
Reservation Office Email:
[email protected] Reservation Office Phone: 1-855-3HEIFER Heifer Farm Fax: 508-886-5038 Heifer Farm Main Phone: 508-886-5000 Heifer Farm Address: 216 Wachusett St / Rutland / MA / 01543 Group Sales Coordinator direct line: 508-886-5004
Program Schedule & Details o Global Gateway program o Alternative Break program What will we be doing? Meals Lodging Health & Safety Packing List Waiver & Release Form Needs Assessment Form Getting Here
Group Leader Checklist 30 days from date of contract Return signed contract with payment deposit to Heifer Farm Distribute Overnight Programs Handbook to all chaperones & participant families 90 days prior to your arrival date Send final payment to Heifer Farm (see contract for amount) *excluding Global Gateway 1-night sessions Ensure all participants and chaperones have received a copy of the Overnight Programs Handbook 21 days prior to your arrival date Submit Needs Assessment to Group Sales Coordinator; *Global Gateway 1-Night session groups make payment If your group is presenting a donation, please let us know so that we can prepare an acknowledgement. 7 days prior to arrival date Collect signed Waiver forms Notify the Group Sales Coordinator of any changes regarding your group Confirm buses/transportation Upon arrival at Heifer Farm Turn in signed Waiver forms to your Heifer Farm facilitator Sign off on final headcount with your group host. You may turn in final payment if by cash/check at this time. Optional
There is a wealth of information including videos on Heifer International’s website at www.heifer.org as well as Heifer International’s You Tube channel: https://www.youtube.com/user/HeiferInternational for a pre-trip information meeting. The Needs Assessment Form may be used as a tool for your group to collectively prepare for the experience. We suggest that the questions are used as discussion points during a pre-trip planning meeting. Rev090117
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Overnight Programs Handbook Guide to Making a Reservation To Register: Review all information, choose a group size, choose a first & second choice of dates, call or e-mail to make a reservation: 1-855-3HEIFER (1-855-343-4337) or
[email protected] Dates: Refer to the Overnight Program Dates document attachment for available dates. Rates: Pricing is per person. Program rates vary-see Program Summaries. Minimum Payment: There is a minimum payment for your reserved group size during peak season months (March through October); select summer 1-night programs have waived minimum payments. Chaperone Requirements: 1 adult to 7 youth (1:7) Deposit: A 50% deposit is due within 30 days of registration *excluding Global Gateway 1-night sessions Lodging: Included in rate; see Lodging information Meals: Included in rate; see Meals information Fly in/out: Boston, MA; Providence, RI; Hartford, CT; Manchester, NH Train in/out: Worcester, MA - Amtrak Shuttle Options from Airport or Train Station: Knight’s Limousine; Worcester Airport Limo Basic Gear Required: Sleeping bags, weather-appropriate clothing, water bottle, towel/washcloth To Choose a Group Size Heifer Farm has three lodging facilities that each hold 16 people. We don’t mix groups. You may choose the following group sizes depending on availability: Group Size A (1-16 people); minimum payment = rate/pp X 12 Group Size B (17 – 32 people); minimum payment = rate/pp x 17 Group Size C (33 – 48 people); minimum payment = rate/pp x 33 Group Size D (48 – 96 people) – offered Mon–Wed in May by request; minimum payment = rate/pp x 50 *Number of Attendees: To ensure our events are appropriately staffed, you must contact us prior to increasing or decreasing the number of attendees indicated at reservation. We cannot guarantee we will be able to accommodate additional attendees. You will be financially responsible for the number of attendees agreed upon when signing the Contract, regardless of whether you decrease your number of attendees. If you increase your number of attendees, you will be responsible for a new balance based upon said increase. A final number of attendees must be submitted at least three (3) weeks prior to your Arrival Date. Payment Schedule for Peak season sessions (March – October) 50% deposit and signed contract due within 30 days of registration Remaining 50% deposit due 90 days prior to arrival (see contract for date) If program is booked within 90 days of program date, full payment is due within 30 days If program is booked within 30 days of the arrival date, full payment is due at time of reservation Final count due 3 weeks prior to arrival date with Needs Assessment Form Any final payments are made at time of arrival or no later than 30 days after the trip. Payment Schedule for Non-Peak sessions (January, February, November & December) *Alternative Break programs have a minimum payment due for no less than 6 people. An estimate is required at time of registration. Full payment is due 3 weeks prior to arrival with final count on Needs Assessment form. Any final payments for additional participants is either due at arrival or no later than 30 days after the trip. Cancellation and Refund Policy If you cancel, reasonable efforts will be made to reschedule an alternative date. Cancellation 90 days or more before the arrival date, a refund of half (1/2) of monies paid will be issued. Cancellation 90 days before the arrival date, no refund will be issued and any monies paid will be forfeited. Rev090117
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Overnight Programs Handbook Heifer Farm’s Overnight Programs Our programs can be tailored to meet your group’s unique learning objectives and curriculum
Global Gateway
For Grades 6 & up (minimum age 11) Both 1 & 2 Night Global Gateway offered year-round. 1-Night Program hours: 10:00 am (Day 1) to 11:00 am (Day 2) - $75/pp 2-Night Program hours: 1:00 pm (Day 1) to 11:00 am (Day 3) - $150/pp – Returning Groups – note optional earlier start time
Overview: Global Gateway participants experience the daily struggles people in poverty face every day. Participants are given little– just some simple ingredients – and before they can eat, they build a fire and cook their own meal. The challenge continues on into the night as they sleep in simple housing, such as a Peruvian clay house. Participants in the two-night program gain a deeper understanding of sustainable agriculture and life on the farm by participating in evening chores and enjoying a farm dinner on their first night. By living the lessons of poverty first-hand, participants come to understand the complications surrounding hunger and poverty and see their connection in creating change that brings possibility and hope to millions around the world. 1-Night Program: Day One -- Welcome & Orientation / Identity Activity / Tour / World Map Activity / Lunch in Global Village / Global Village Overnight Experience including Dinner in Village Day Two – Breakfast in the Village / Village Chores / Debrief / Depart
2-Night Program: Day One A– Welcome & Orientation / Farm Chores / Dinner in dining hall / Team-Building / Lodge in Bunks/Cabins Day Two A – Self-Serve Breakfast / Chores / Activity / Farm Tour / Lunch in Village / Activity / Break / Global Village Overnight Experience including Dinner Day Three A – Breakfast- Option #1 oatmeal in Village or Option #2 – self-serve in dining hall/ Village Chores / Snack / Debrief / Depart
Alternative Break 6th Grade & up (minimum age 11) 4-Night offered June, July & August - 3:00 pm (Day 1) to 11:00 am (Day of Departure) - $425/pp 5-Night offered January, February & March - 3:00 pm (Day 1) to 11:00 am (Day of Departure) - $425/pp Overview: Alternative Break focuses on three core components. The first includes a variety of experiential activities designed to increase your group’s understanding of the global hunger and poverty issues that Heifer International encounters in the field. The second component is comprised of hands-on service projects around the farm including gardening, maintenance, and livestock chores. During the third component your group will experience the same activities we use with our project partners in the field to help your group come together and develop a plan for taking social action when they return home. By experiencing these activities, not only will your group grow and develop together, but they will gain a greater understanding of how Heifer’s development model produces lasting change in communities around the world. Finally, our thoughtfully-produced and delicious meals will fuel their minds and bodies and complete their immersion into daily life here on our farm. 4-Night Program – offered each June, July & August: Day One – Welcome & Orientation / Farm Chores / Dinner in dining hall / Team-Building or Heifer Model Activities Day Two – Self-Serve Breakfast / Chores / Survive Activity / Farm Tour / Lunch in dining hall/ Heifer Model Activities/ Service Project / Chores / Break / Dinner in dining hall / Heifer Model & Mind Map Day Three – Self-Serve Breakfast / Chores / World Map / Egg Talk / Lunch in Village / Global Village Activities / Service Project / Global Village Overnight Experience including Dinner Day Four – Breakfast- Option #1 oatmeal in Village or Option #2 – self-serve in dining hall, Village Chores & Debrief / Project Planning/ Lunch in dining hall / Break or Project Planning / Service Project / Chores / Break / Dinner in dining hall / Optional Evening Activities Day Five – Self-Serve Breakfast / Chores / Take Action Discussion & Closing / Depart 5-Night Program – offered each January, February & March: During our early spring Alternative Break we are able to offer an additional evening on the farm. Additional service projects, activities and free time to explore the farm and the local area are incorporated into the daily schedule.
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Overnight Programs Handbook What will we be doing?
This is, of course, our most frequently asked question. Here are some examples of the types of activities that your group can expect to engage in while participating in a Heifer Farm overnight program. Welcome & Orientation - Upon your arrival you will have an orientation, during which the general schedule for your visit to Heifer Farm will be reviewed. You’ll see a Heifer International video which features families from around the world who have received animals and community development training from Heifer. Individual Identity Activity - This activity helps participants explore their own culture as individuals and as a group. It helps them to define the idea of culture in their own terms, and lays the foundation for the group’s exploration of other cultures throughout the Global Village program. Heifer Farm Tour - There are three parts: first, the barn and all of the animals. We have over 15 species of livestock – mostly traditional North American livestock and several heritage breeds, as well llama and yak. These are all examples of animals that Heifer works with in the field. Then, we tour the Global Village, which has international sites representing different areas of the world where Heifer is working. For example, there is a cinder block house with a tin roof representing the Huehuetenango region of western Guatemala (see photo). Other sites include Peru, the Tibetan Autonomous Region of China, and the U.S.A. The third area is our organic gardens where we grow the majority of food you will be eating during your stay. Participants will learn about the 50 plus varieties of fruits and vegetables we produce and the methods we use to grow them in a sustainable way. World Map - Using a carpet-sized world map and buttons representing population and consumption, the group compares the distribution of the world’s population and the levels of private consumption between regions. The resulting visual demonstration of global inequality is often very striking. The group then discusses the positive and negative effects of high vs. low consumption and how they are interrelated. Participants wrap up the activity by discussing actions they can take as informed consumers to create a more just and sustainable world. Global Village Meals - Your group will make a vegetarian lunch for themselves in one of our Global Village sites. Each meal consists of staple foods from the country represented. You could have quinoa soup in our Peru site or cabbage soup in Poland. Participants may build a fire, draw water, and prepare their own meal facilitated by a Heifer Farm volunteer. They discuss where this food would really come from, how long it would actually take to prepare it, and how far a family might have to go to get their water and firewood. Your group will learn the difference between chronic hunger and starvation. Global Village Overnight Experience - Your group will spend the night in our Global Village. You’ll learn about the conditions facing Heifer’s project partners in the countries represented and you will experience life in a developing community. Our staff will facilitate your group’s assignment to a global village site for the evening as well as a market where participants will obtain ingredients for their dinner. At this point, our staff leaves for the evening and it is up to your group, under the guidance of your chaperones, to pull together as a family to complete the evening activities. You’ll be responsible for cooking your own evening meal and breakfast as demonstrated during your village meal lunch. Our staff will assist with chores at your global village site the following morning and facilitate a group debrief after leaving the global village. The group reflects on what they have learned during the program and what actions they can take to end hunger and poverty and care for the earth. Chores & Service Projects - Chores and work projects are part of the daily cycle of Heifer Farm. Where possible, we include our overnight group participants in the work as a way of providing service to Heifer International. The work may include feeding livestock, sweeping pens, collecting firewood, or working in the fields.
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Overnight Programs Handbook Meals
All meals are provided for your group (including snacks and drinks) during the hours of your particular program. We welcome and cater to the needs of virtually all participants with standard food allergies (wheat, gluten, dairy, eggs, nuts, etc.). If supplemental food is required due to diet with stringent restrictions, please store it in your vehicle or the group kitchenette area that includes a refrigerator. Food is not allowed in the lodging facilities. The dishes and meal clean-up is each group’s responsibility.
A Night in the Global Village meals
During the Night in the Global Village, 2-3 meals are prepared as a part of the program by the group members. The ingredients and recipes that we provide are all vegetarian, simple and typical to families that Heifer works with around the world. A morning snack is also offered during the debrief discussion after the Night in the Global Village.
Breakfast & Snacks
Complimentary coffee & tea may be prepared in the main kitchen or purchased in the Café & Gift Shop. Breakfast is continental self-serve in our group kitchenette and includes fresh eggs when available. *Global Gateway 2-night & Alternative Break groups only. Groups are welcome to fix breakfast or snacks for themselves any time before or after morning chores as long as all spaces and dishes are cleaned up by 9:00 am (excluding Global Gateway 1-Night groups who eat in the Global Village exclusively). Breakfast & snacks may not be taken from the main kitchen after 9:00 am for any reason other than an identified medical condition. All food will be provided for your group (including snacks and drinks). Any personal food must be stored in your own vehicles or in the provided group refrigerator. No food is allowed in the group lodging areas.
Dining Room Meals - Alternative Break and Global Gateway 2-Night guests only.
Home-cooked meals are served cafeteria-style featuring Heifer Farm’s own organic produce and grass-fed meats throughout the Alternative Break program as well as the first night of the 2-Night Global Gateway program. Our meals are prepared by our full-time volunteer staff under the direction of our Event & Outreach Coordinator. Heifer Farm strives to utilize sustainable farming practices and, in light of this goal, your meals are prepared using seasonal farm products from Heifer Farm including vegetables, fruit, eggs, and meat.
Is lunch provided before we leave?
All overnight programming ends at 11:00 am and lunch is not included on your last day. You can add on a farm-to-table lunch ($15/per person) if pre-ordered at least 2 weeks prior to your trip subject to staffing availability.
Do you have a café or restaurant?
Heifer Farm has a small café serving a limited supply of beverages & soups intended for the public and our drop-in visitors. The space has seating for 10 people and is unfortunately not suitable for large registered groups seeking a meal. Beverages and snacks can be purchased in the gift shop and there are a variety of local restaurants within a 10-minute drive from the farm. The town of Holden, MA is a popular place for groups to find lunch on their way home.
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Overnight Programs Handbook Lodging Where do we sleep? Your group will stay in either bunkrooms or cabins except during your Night in the Global Village. *Global Gateway 1-Night participants stay exclusively in our Global Village.
Global Village A Night in the Global Village All overnight program participants spend one evening sleeping in our Global Village. You’ll learn about the conditions facing Heifer’s project partners in the countries represented and you will experience life in a developing community. Our staff will facilitate your group’s assignment to a global village site for the evening as well as a market where participants will obtain ingredients for their dinner. Our Global Village country sites include Peru, Ghana, Guatemala, Poland, U.S.A., China, Kenya and a colonia. The Night in the Global Village is part of all overnight programs. Participants may sleep in rustic conditions such as a clay house, concrete house, or log cabin. Participants may sleep on the ground or on a sleeping mat. These conditions are a part of the program to model living conditions in a variety of settings for people living in a developing community. Please note that the building that your group sleeps in for A Night in the Global Village may not be climate controlled and may not have electricity. Groups attending our programs from October through mid-April will stay in our heated Global Village sites.
Bunkrooms & Cabins Linens can requested at $10/pp – includes sleeping bag, pillow, pillowcase, bath towel, hand towel and washcloth.
Bunkrooms – Used by Alternative Break and Global Gateway 2-Night guests only. Your group may lodge in dorm-style bunkrooms (heated in winter) with shared hot showers and bathrooms. Each group will be assigned two bunkrooms to hold a total of 16 people. No linens are provided unless requested. No housekeeping is provided. Groups are responsible for cleaning the rooms prior to departure. Each room has four bunk beds (eight total mattresses). Each room must have an adult chaperone assigned to it.
Cabins – Used by Alternative Break and Global Gateway 2-Night guests only. Your group may lodge in cabins that sleep up to 8 people on single (twin) beds. Each group will be assigned at least two cabins to hold a total of 16 people. Cabins have electricity and lighting but are not climate controlled. No linens are provided unless requested. No housekeeping is provided. Groups are responsible for cleaning the rooms prior to departure. Each cabin must have an adult chaperone assigned to it.
Sleeping Arrangements – Who will sleep where? Heifer Farm’s only lodging requirement is that there is at least one adult chaperone per sleeping unit. Heifer Farm facilitators choose the site(s) that your group will sleep in for A Night in the Global Village. If you have at least two chaperones, you may be split up over two or more global village sites. We do not have separate quarters for chaperones or bus drivers. For our guests who will also use our bunkrooms or cabins (Global Gateway 2-Night program and the Alternative Break program), each of our sleeping units can comfortably sleep 8 people. We do not assign beds; that is the responsibility of the group leader. Each group has at least two rooms in order to separate males/females if desired. Group Size B groups will have 4 rooms and Group Size C will have 6 rooms. Larger groups will alternate lodging between cabins/bunks and the global village house sites. Feel free to call for additional info.
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Overnight Programs Handbook Health & Safety Supervision & Staffing
Group Leader: Each group has what Heifer Farm considers a “group leader”. This is the person from your organization who organizes the trip, recruits participants and chaperones, ensures the documentation is distributed and turned in, collects and submits payments, calls and facilitates orientation meetings with the group, answers questions and acts as the main contact person with the Farm’s Group Sales Coordinator.
Adult Supervision/Chaperones: Your group or organization is responsible for ensuring adequate adult supervision, in the form of chaperones, during the duration of your program. The minimum number of chaperones for overnight or multi-night programs is one (1) adult, age 18 and older, to seven (7) youth. All participants must be within the age requirements for the program. Chaperones will function in a dual role, as both adult supervisor and as participant.
Heifer Farm Facilitators: Each program is led by trained and CORI screened Heifer Farm facilitators. Your facilitator(s) will greet you upon arrival, collect required paperwork, sign your group in, orient the group to the schedule, your lodging and the dining facilities. All activities, including work projects or chores done during your program, will also be led by a trained Heifer Farm staff member.
Heifer Farm Employees: Heifer Farm facilitators are supervised and trained by Heifer International full-time employees.
Food Allergies
It is our policy to welcome and cater to the needs of virtually all participants with standard food allergies (wheat, gluten, dairy, eggs, nuts, peanuts, etc.) who plan to attend the educational programs that we offer. In cases where a participant is unusually limited in what he/she can consume, he/she will be allowed to bring his/her own food to eat during “Village Meals,”, or meals prepared by the kitchen. There is a group refrigerator in the group kitchenette area. The ONLY exception to this policy is if an individual has a severe anaphylactic allergy to air-born contaminants, (i.e. if a participant could be endangered by residual grains of wheat, or even the slightest imperceptible aroma of nuts/peanuts in the air) he/she would be best advised to abstain from visiting the Farm for his/her own safety. In any case, it is CRITICAL that the participant or parent/guardian of the participant explicitly outlines any and all allergies in the Needs Assessment Form provided to each Group Leader or individual upon registration for a program.
Infirmary & First Aid
If a participant reports an injury or illness, Heifer Farm staff will notify the group leader and a Heifer Farm employee. Heifer Farm staff will not provide first aid but can assist group leaders to access our infirmary and with directions to local hospitals or calling 911. We have an infirmary located in the Visitor Center that is stocked with basic first aid supplies. Please note that Heifer Farm cannot administer, and does not provide, any medications in its infirmary. It is recommended that each group bring any OTC medications they have parent permission to administer (for example – Tylenol, Benadryl, hydrocortisone cream, Neosporin, etc.). We also request that any youth requiring prescription medications should bring them in their original containers and have permission and instructions from the prescribing physician for the group’s chaperone(s) to administer as needed. All medications need to be stored in the lockable cupboard in the infirmary, except Epi-Pens and inhalers which may be kept with the participant and self-administered.
Forms - Each form is found in this packet.
If you would like them sent to you individually, please ask the Reservation Coordinator.
Needs Assessment Form – REQUIRED – Due 3 weeks prior to your group’s arrival Each group leader is asked to complete and turn in one Needs Assessment Form for your group. This form collects information from the group about dietary needs, restrictions or allergies.
Waiver & Release Form – REQUIRED – Due upon arrival Please make copies from the blank Waiver & Release Form included in this booklet for each member of your group. In order to participate in any and all Heifer Farm programming, participants must come with a complete waiver & release form. The waiver requires a parent/legal guardian signature. If not signed by the parent/legal guardian/designee for a participant under 18, that person cannot participate. Each leader, chaperone, and individual participant must have a completed waiver & release form. Your Heifer Farm trip facilitator cannot begin your program until all waiver forms are turned in to him/her.
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Overnight Programs Handbook Packing List Pack clothing for the season. Year-round programs require extended time outdoors and the farm is often colder and muddier than groups expect, so be forewarned and prepared. For your maximum comfort please bring appropriate clothing! We do not have a locker area for valuable items (iPods, video games, etc.) so please leave them at home. Seasonal Clothing: Spring, summer, and fall: _____Warm jacket _____Rain gear (rain coat and water proof shoes) Winter: _____Extremely warm jacket (snowsuit, if you have one) _____Gloves _____Boots _____Warm socks _____Hat _____Scarf _____Long underwear (highly recommended) Year-round Packing List: _____Heifer Farm Waiver & Release form _____Work gloves _____Sturdy, closed-toed shoes or boots that can get dirty _____Clothing that can get dirty like: _____T-shirts and sweatshirts _____Jeans and/or shorts _____Seasonally appropriate clothing (layers!) _____Towel and washcloth _____Toiletries _____Sunscreen, sunglasses, and hat _____Sleeping bag and pillow _____Insect repellent _____Flashlight _____Camera _____Medications _____Ear plugs Reusable water bottle
First Aid: Each group will want to bring their own first aid kit including any OTC medications that the group may desire like ibuprofen, aspirin, allergy relief, etc. Please refer to the Health & Safety section for additional information. Other: Participants may want to bring money to purchase souvenirs and educational items at the Shop@Heifer located in the Visitor Center. $15 - $20 would be sufficient for a t-shirt or keepsake. There are also items for under $10. Shop@Heifer Store Hours: Open Daily 9 am to 5 pm Heifer Farm T-Shirts: Available in the gift shop for $10
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Overnight Programs Handbook WAIVER AND RELEASE This WAIVER AND RELEASE (the “Waiver”) is executed and delivered to and in favor of HEIFER PROJECT INTERNATIONAL, an Arkansas nonprofit corporation (“HPI”), as of the date referenced below, by the undersigned participant, and if necessary his/her parent or legal guardian (collectively, the “Participant”). The execution of this Waiver is required before Participant may participate in activities at a Heifer Learning Center, including but not limited to hands-on projects that utilize experiential and adventure education by which Participant may “learn by doing”, may include work related to farming, ranching, and construction, such as building a fence or other small structures, and are presented on a “challenge by choice” basis, meaning Participant will choose whether, and at what level, he/she participates (collectively the “Program”). Participant’s participation in the Program requires he/she be in good physical condition. If Participant is not in good health, has pre-existing medical conditions, or has questions about the current state of his/her health, Participant should consult a physician before participating in the Program. Participant understands and agrees participation in the Program may expose Participant to various risks including but not limited to physical or mental exertion, exposure to heat, cold, or other outdoor weather conditions, heights, difficult ingress or egress into or out of certain areas, domestic and wild animals, poisonous plants, rugged terrain, potentially dangerous tools, construction equipment or other equipment, machinery, appliances, and vehicles. Participant warrants he/she is in good health and his/her physical and mental condition are sufficient to withstand the potential rigors and hazards associated with the Program. PARTICIPANT AGREES HE/SHE WILL TRAVEL TO AND FROM, AND PARTICIPATE IN THE PROGRAM, WITH FULL KNOWLEDGE OF ALL OF THE RISKS INVOLVED IN THE PROGRAM, AND HEREBY AGREES TO ASSUME ANY AND ALL OF SAID RISKS. Participant understands and agrees HPI does not, and is under no obligation to, provide Participant with health, accident, or death insurance or other benefits, or provide medical treatment during the Program. In the event of an emergency Participant authorizes the administration of any first aid, transportation, examination, diagnosis, or treatment deemed necessary by available staff or personnel. Participant understands and agrees HPI is not responsible for the performance or nonperformance of any tools, construction equipment or other equipment, machinery, appliances, or vehicles provided to Participant in connection with the Program, and agrees to look solely to the manufacturer and its warranties in the event said items are defective. HPI HEREBY WAIVES AND DISCLAIMS ANY AND ALL WARRANTIES IN CONNECTION WITH SAID TOOLS, CONSTRUCTION EQUIPMENT OR OTHER EQUIPMENT, OR SUPPLIES, INCLUDING BUT NOT LIMITED TO ANY EXPRESS OR IMPLIED WARRANTIES, OR WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. For MA participants only: under MA law, an equine professional is not liable for an injury to, or death of, a participant in equine activities resulting from the inherent risks of equine activities. Participant agrees HPI may film, tape, photograph and write stories about him/her in connection with the Program, and HPI shall be the exclusive owner of the results and proceeds of such filming, taping, photography, and writings, with the right to use in any reasonable manner, throughout the world, for an unlimited number of times in perpetuity, royalty free, all or any portion of said name, appearance, image, and writings, for any reasonable purpose, and in any format or medium, including but not limited to training videos, HPI promotions, HPI literature, and educational materials. Participant understands his/her name, appearance, and image, and writings about him/her, will be available for viewing or reading by the general public, and may appear on HPI 's website, in print, or in other formats and mediums. Participant understands he/she is providing this authorization free of charge or consideration, and waives any right of inspection or approval of his/her name, appearance, and image, and writings about him/her, or the uses to which such name, appearance, image or writings may be put. AS A CONDITION OF PARTICIPATING IN THE PROGRAM, AND AS PART OF THE CONSIDERATION FOR HPI’S PERMISSION FOR PARTICIPANT TO PARTICIPATE IN THE PROGRAM, PARTICIPANT AND HIS/HER HEIRS, EXECUTORS, ADMINISTRATORS, AGENTS, AND ASSIGNS, HEREBY RELEASE, INDEMNIFY, AND FOREVER DISCHARGE HPI, ALONG WITH HPI’S AGENTS, DIRECTORS, OFFICERS, REPRESENTATIVES, SUCCESSORS, ASSIGNS, EMPLOYEES, AND VOLUNTEERS, FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, ACTIONS, CAUSES OF ACTION, OR LIABILITY OF ANY NATURE WHATSOEVER, KNOWN OR UNKNOWN, INCLUDING BUT NOT LIMITED TO PERSONAL INJURY OR PROPERTY DAMAGE, INCURRED IN CONNECTION WITH THE PROGRAM OR THE ABOVEDESCRIBED FILMING, TAPING, PHOTOGRAPHY, AND WRITINGS. BY SIGNING BELOW, PARTICIPANT, AND IF APPLICABLE (FOR EXAMPLE PARTICIPANT IS 17 YEARS OF AGE OR UNDER), PARTICIPANT’S PARENT OR GUARDIAN, CONFIRM THIS WAIVER HAS BEEN READ, UNDERSTOOD, AND VOLUNTARILY AGREED TO AND ACCEPTED. _______________________________ Participant’s Name
_______________________________ Participant’s Signature
________________ Date
___________________ Participant’s Date of Birth
If Participant is 17 years of age or under: _______________________________ _______________________________ _________________ Parent’s/Guardian’s Name Parent’s/Guardian’s Signature Date Parents/Guardian’s Contact Information (check the “opt out” box below if you do not wish to receive correspondence/communication from us) _______________________________________________ _____________ ____________________________ Mailing Address Zip Code Email Address □ Opt out (I do NOT wish to receive correspondence/communication from Heifer International) □ I already receive Heifer International correspondence
_____________ Phone #
For Internal use only: Sponsoring Organization: ______________________________________________________________________ Program Name/Dates: ______________________________________________________________________ Location (check one): □ 55 Heifer Rd., Perryville, AR 72126/“Heifer Ranch” / XX 216 Wachusett St., Rutland, MA 01543/”Heifer Farm”
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Overnight Programs Handbook Needs Assessment Form - Overnights
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One form from the group is due to the Group Sales Coordinator 3 weeks prior to the trip. Individuals within a group do not need to fill out this form. Please take a few minutes to complete this group assessment in as much detail as possible. This will help us to better meet your needs and goals as a group. We look forward to your visit! Thank you. 1.
Contact Information:
Organization Name: Group Leader Name: Cell Phone (for day-of arrival): 2.
Arrival Date
Time__________
Departure Date
Time __________
3.
Food Allergies/Restrictions: Please tell us how many participants have food allergies or dietary restrictions (be specific). (NOTE: Heifer Farm is tree-nut and peanut free.) Participants will prepare and eat one or more vegetarian meals during the program. A meal site ingredient information sheet is available upon request.
Number of vegetarians__________
Number who are gluten-free___________________
Number of vegans______________
Other (number and specific restriction(s)__________
For ALL Global Gateway 2-Night groups and ALL Alternative Break groups: Would you like dinner on the night of your arrival? (If Yes, you must arrive by 5 pm.) Yes or No Please note: If we do not receive your Needs Assessment Form 3 weeks prior to arrival, dinner may not be provided on your first evening. For Alternative Break 5-Night groups ONLY (January – March): Would you like the optional dinner on the night of your FREE AFTERNOON (Day 4)? (Some groups choose to take trips to Boston, etc. and choose to eat out that night.) 4.
Yes or No
Who are the participants in this program? Age range __________
Grades _________
Total Number of Adult Chaperones Total Number of Males
Total Number of Participants (including the adult chaperones) ________ Total Number of Females
Please list any physical disabilities or medical issues you’d like to share (be specific).
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Overnight Programs Handbook Needs Assessment Form - Overnights
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Describe any other characteristics and background of the group members that would assist our facilitators. 1.
How do the members of the group interact with one another in the workplace/school/church? Please be as specific as possible.
2.
What do you hope to achieve through your experience at Heifer Farm?
3.
Will the group have pre- or post-curriculum or activities relating to the issues presented in our program? If so, please describe.
4.
Comments or additional information you think may assist us in planning for your group.
5.
Have you or any members of your group participated in any Heifer Farm program before? If yes, which program, and what did you like and/or dislike about the program?
6.
Does your group plan to bring a donation with them? If so, what name should we put on the Certificate of Appreciation. We’d like to celebrate with you!
Mail, email or fax this completed form at least 3 weeks before your scheduled program to: Heifer Farm Attn: Chris Wychorski 216 Wachusett St. Rutland, MA 01543 Ph (508) 886-5004 Fax (508) 886-5038
[email protected]
Overnight Programs Handbook Getting Here Driving Heifer Farm is located at 216 Wachusett St, Rutland, MA 01543. Our parking lot can accommodate shuttle vans and buses. http://www.heifer.org/what-you-can-do/experience-heifer/heifer-farm/index.html
Train Amtrak (closest stop to Heifer Farm is Worcester, MA – 20 minute drive from station) www.amtrack.com
Ground Transportation Worcester Airport Limousine www.wlimo.com 1-800-660-0992 Knight’s Airport Limousine www.knightsairportlimo.com 1-800-822-5456
Airports Logan International Airport, Boston, MA (BOS) www.massport.com/logan 1-800-23-LOGAN TF Green Airport, Warwick, Rhode Island (PVD) www.pvdairport.com 1-401-738-2600 Worcester Airport http://www.massport.com/worcester-airport/ 1-888-FLY-WORC (1-888-359-9672)
Local Points of Interest Rutland: 2 miles Toula’s Pizza and Sandwich Shop, Rutland Pizza, Rutland State Park with swimming
Holden: 5 miles Val’s Restaurant, Papa Gino’s Pizzaria, Friendly’s Restaurant, Big Y Grocery Store, CVS Pharmacy, Laundromat
Princeton: 10 miles Wachusett Mountain State Reservation with winter skiing and hiking trails
Worcester: 15 miles Train station, bus terminal, restaurants, museums, movie theaters, malls, parks, hospitals, grocery stores, and churches .
Boston: 60 miles (It takes 1½ hours to drive, but the “T” subway system is available in Worcester to downtown Boston.) Many historical sites—Quincy Market for restaurants, Logan Airport, train station, bus terminal, museums, movie theaters, malls, parks, and churches.
Overnight Programs Handbook
Heifer Farm T-Shirts Order Form 216 Wachusett Street, Rutland, MA 01543 | T: (508) 886-5000 |
[email protected] | F: (508) 886-5038
Would you like your group to all have a Heifer Farm t-shirt to take home? To make this easier Heifer Farm is offering to prepare your order in advance. All Heifer Farm t-shirts are $10.00 each and you will purchase these at the Gift Shop upon arrival during check-in for your program. To order in advance - please scan & email this form to
[email protected] or fax to 508886-5038. Your group participants may also purchase these individually in the Gift Shop upon arrival. Youth Small
Medium
Adult Large
Small
Medium
Large
X-Large
2X-Large
Total # of shirts
We cannot guarantee sufficient quantities in all sizes, but we can order them with notice of at least two weeks. Group Leader’s Name: _____________________________________________________________________________ Organization: ____________________________________________________________________________________ Address: _______________________________________________________________________________________ City: ________________________________________________
State: _____________
Zip: ___________
Organization Phone: _______________________________________________________________________________ Group Leader’s Cell Phone: _________________________________________________________________________ Group Leader’s Email: _____________________________________________________________________________ Date of Heifer Farm Program: _______________________________________________________________________
To order in advance – please scan & email this form to
[email protected] or fax to 508-886-5038. You may also purchase t-shirts in the Gift Shop upon arrival.
