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      Cooperative  Baptist  Fellowship   Youth  Missions  Weekend  2017   Information/Registration  Packet  


Table  of  Contents   1. Promotional  Flyer   2. Schedule  for  Youth  Missions  Weekend   3. How  to  get  there?   4. What  should  youth  make  sure  to  bring?   5. T-­‐shirt  Sizes   6. Rooming  Information   7. Background  check   8. Dietary  Restrictions   9. Free  Time  Suggestions   10.Georgetown  College  Waiver  (Fill  out  for  each  participant)   11.CBF  Kentucky  Waiver  (Fill  out  for  each  participant)      



§ March 24 th -26 th


§ Friday 7:30pm-Sunday 9am


§ At Georgetown College


§ Cost per student $50 o No hotel ($25)


§ Theme: Bearing Witness  

Youth Missions Weekend 2017 Schedule Theme: Bearing Witness Friday, March 24th 6:30-7 PM 7:15 PM 7:15 PM 8:00 PM 8:15 PM 9:15 PM 10:30 PM

Arrive at Georgetown College and sign in. Large group games in the chapel Welcome Worship Break in to small groups Small Groups Head to hotel (Motel 6) In Rooms and Lights out

Saturday, March 25th 7:00 AM 7:45 AM 8:15 AM 8:30 AM 9:00 AM 9:15-1:30 PM 1:30 PM 2:00 PM 4:00 PM 4:30 PM 5:30 PM 6:15 PM 7:30 PM 9:00 PM 10:30 PM

Wake up and head to Georgetown College Breakfast in chapel basement Welcome and the challenge for the day Pack Lunches for Missions Head to projects Missions (eat lunch on site) Head to Georgetown College Recreation Center Group gym time at the College (optional) Back to Georgetown College Chapel Small Group Time Dinner in cafe Worship Games and Ice cream in the chapel basement Head to hotel (Motel 6) Lights out

Sunday, March 26th 8:00 AM 8:30 AM 9:00 AM            


Wake up and head to Georgetown College Breakfast in chapel basement Worship at local church or head home

3.  How  to  get  there?   Address:  400  East  College  Street,  Georgetown,  KY   Location:  We  will  be  inside  the  John  L.  Hill  Chapel  on  campus.  If  you  come  in  the   main  entrance  to  campus  (from  Main  St.)  you  will  see  a  large  half  circle  (Giddings   Circle).  At  the  top  of  the  circle  is  Giddings  Hall.  On  the  left  of  that  is  the  John  L.  Hill   Chapel.  It  has  a  white  steeple  on  top.      



4.  What  should  youth  make  sure  to  bring?   • • • •

Closed  toe  shoes  for  Mission  Sites  on  Saturday  morning   Bibles   No  firearms,  drugs,  etc.     A  sleeping  bag  (if  they  are  uncomfortable  sharing  a  bed  with  another   teenager)  


5.  T-­‐shirt  Sizes:  

T-­‐shirt  sizes  need  to  be  finalized  by  March  14th.  Send  your  groups  final  numbers   and  shirt  sizes  no  later  than  9am  on  March  14th.  Send  this  info  to  Rhonda  Blevins   (  and  Andrew  Noe  (        

6.  Rooming  Information:   The  hotel  rooms  have  two  beds  and  can  fit  four  people  total  in  them.  Each  church   knows  their  policies  and  procedures  the  best.  Determine  how  you  want  your  

rooms.  Where  will  chaperones  go?  How  will  students  be  divided?  How  many  girl   rooms  do  you  need,  how  many  guy  rooms?     Let  Andrew  Noe  (  how  many  rooms  you   want  no  later  than  9am  on  March  14th.        

7.  Background  check:   When  your  group  arrives  you  will  be  asked  to  fill  out  the  names  of  the  adult   volunteers  you  have  brought  with  you.  On  that  same  form  you  will  be  asked  to   sign  that  you/your  church  have  done  backgrounds  on  the  adults  accompanying   your  group  and  that  they  are  cleared  to  work  with  minors.        

8.  Dietary  Restrictions:   Please  let  Rhonda  Blevins  (  and  Andrew  Noe   (  any  dietary  restrictions  your  group  has   by  9am  on  March  14th.      

  9.  Free  Time  Suggestions:   If  your  group  decides  not  to  go  to  the  recreation  center  on  Saturday  afternoon   there  are  other  opportunities.     • Shower  time:  Your  youth  might  want  showers  after  the  mission  portion  of   the  day.   • Sonic:  The  local  Sonic  has  happy  hour  from  2-­‐4.     • Park:  The  Scott  County  Park  (1260  U.S.  25,  Georgetown,  KY  40324)  is  an   amazing  place  with  a  playground,  a  small  pond  with  ducks  to  feed,  a   walking  track,  basketball  courts  (bring  your  own  ball),  and  areas  for  Frisbee   or  kickball      

AGREEMENT  TO  RELEASE  ALL  CLAIMS  FOR  INJURY  OR  DEATH  TO  ME  AND  TO  PROTECT  THE  COLLEGE  AND  OTHERS   FROM  ANY  SUCH  CLAIMS  WHICH  MAY  BE  BROUGHT     I,   ________________________________________,   being   18   years   of   age   or   older,   have   decided   to   participate   in   ____________________________________________________________________________  (ACTIVITY  OR  COURSE).     I   have   made   this   choice   in   recognition   and   appreciation   that   there   will   be   known   and   unknown   risks,   dangers   and   hazards  which  could  injure  or  kill  me  which  may  be  encountered  in  the  above  mentioned  ACTIVITY  OR  COURSE,  which   may   include   or   result   from   the   negligence,   gross   negligence   or   recklessness   of   Georgetown   College   or   my   fellow   students.   With   this   in   mind,   I   DO   HEREBY   VOLUNTARILY   ASSUME   ALL   RISKS,   DANGERS   AND   HAZARDS,   which   I   may   encounter  during  my  participation  in,  and  transportation  to,  from,  or  as  a  part  of,  the  ACTIVITY  OR  COURSE.  In  addition,   I   declare   that   I   intend   to   be   financially   responsible   for   any   death   or   injury   that   may   occur   to   me   during   or   as   a   result   of   such  participation  or  transportation.     FURTHER,   IN   CONSIDERATION   OF   BEING   PERMITTED   TO   PARTICIPATE,   I   HEREBY   AGREE   TO   RELEASE   GEORGETOWN   COLLEGE,  ITS  BOARD  OF  TRUSTEES,  OFFICERS,  AGENTS,  AND  EMPLOYEES  (RELEASED  PARTIES)  FROM  ALL  LIABILITY  AND   CLAIMS   OF   ANY   KIND,   INCLUDING   CLAIMS   FOR   LOSS,   EXPENSE,   DAMAGES,   PUNITIVE   DAMAGES   OR   ATTORNEY   FEES,   WHICH  MAY  ARISE  ON  ACCOUNT  OF  PERSONAL  INJURY  TO  ME  OR  MY  DEATH,  INCLUDING  EMOTIONAL  DISTRESS  TO   ME   OR   LOSS   OF   COMPANIONSHIP   OR   SUPPORT   TO   MY   FAMILY,   OCCURING   DURING   OR   AS   A   RESULT   OF   MY   PARTICIPATION   IN,   OR   TRANSPORTATION   TO,   FROM,   OR   AS   A   PART   OF,   THIS   ACTIVITY   OR   COURSE   (CLAIMS).   THIS   RELEASE   APPLIES   EVEN   IF   MY   INJURY   OR   DEATH   IS   CAUSED   BY   THE   NEGLIGIENCE,   GROSS   NEGLIGENCE   OR   RECKLESSNESS  OF  RELEASED  PARTIES.     FURTHER,  I  PROMISE  TO  INDEMNIFY  AND  HOLD  HARMLESS  GEORGETOWN  COLLEGE,  AND  PAY  ITS  COST  OF  DEFENSE,   IF   CLAIMS   ARE   BROUGHT   BY   ME   OR   ANYONE   ELSE   AGAINST   ANY   OF   THE   RELEASED   PARTIES   TO   RECOVER   MONEY   DAMAGES  RELATED  TO  INJURIES  OR  DEATH  TO  ME.  THIS  PROMISE  APPLIES  EVEN  IF  MY  INJURY  OR  DEATH  IS  CAUSED   BY  THE  NEGLIGENCE,  GROSS  NEGLIGENCE  OR  RECKLESSNESS  OF  RELEASED  PARTIES.     I  have  entered  into  this  AGREEMENT  on  the  basis  of  my  own  information  and  not  in  reliance  upon  representations  of   the   College   or   other   released   parties.   I   understand   that   I   have   the   right   to   consult   an   attorney   of   my   choice   before   signing.   I   further   understand   that   this   document   contains   the   entire   agreement   and   no   oral   or   written   agreements   limiting  or  modifying  the  effect  of  the  terms  of  this  AGREEMENT  exist.     I   agree   that   if   any   part   of   this   agreement   is   held   to   be   invalid   or   unenforceable   for   any   reason,   the   balance   of   the   agreement  remains  valid  and  enforceable.     I   INTEND   THAT   THIS   AGREEMENT   IS   AND   WILL   BE   BINDING   ON   MY   FAMILY,   ESTATE,   HEIRS,   SUCCESSORS,   ASSIGNS,   INSURERS,  MEDICAL  PROVIDERS  AND  PERSONAL  REPRESENTATIVES.     By  my  signature,  I  represent  that  I  have  knowingly  and  voluntarily  signed  this  AGREEMENT  with  the  intent  that  it  be  a   legally  binding  document  designed  to  protect  Georgetown  College  and  other  RELEASED  PARTIES  from  all  CLAIMS  which   could  be  brought  by  myself  or  anyone  else  on  account  of  injury  or  death  to  me,  regardless  of  cause  or  fault.     _____  I  am  traveling  on  my  own  






_____  I  am  traveling  with  a  group  




DATE:  __________________    


PHONE:  ________________    

TRAVEL  DATE(S):  ______________________________     SIGNATURE:  _____________________________________  

ADDRESS:  ______________________________________________________  

VOLUNTEER AGREEMENT, ASSUMPTION OF RISK, RELEASE FROM LIABILITY AND AUTHORIZATION FULL LEGAL NAME: _____________________________________________________________ HOME ADDRESS: ________________________________________________________________ CITY: ________________________________ STATE:_________ ZIP: ______________________ PHONE: ______________________________ DATE OF BIRTH: __________________________ EMERGENCY CONTACT NAME/NUMBER: _________________________________________ VOLUNTARY PARTICIPATION: I acknowledge that I have voluntarily agreed to participate in Youth Missions Weekend (referred to as “YMW”), sponsored by CBK Kentucky and Georgetown College (jointly referred to as the “Sponsors”). I understand that as a participant, I may engage in community service projects. I understand that I will not be paid for my services, that I will not be covered by or eligible for any insurance coverage (if any) of the Sponsors, or other volunteers or sponsors, including but not limited to medical, property and liability insurance, or Workers Compensation benefits. I further agree that my participation in YMW may be terminated at any time by the Sponsors or by me with consent of my parents/guardians. ASSUMPTION OF RISK: I am aware that in participating in YMW, I may be exposed to personal injury or death or damage to my property as a result of my activities, the activities of other volunteers, the condition of the under which my participation is performed. WITH KNOWLEDGE OF THESE RISKS, I AGREE TO ACCEPT ANY AND ALL RISKS OF PERSONAL INJURY OR DEATH, OR DAMAGE TO MY PROPERTY. RELEASE OF LIABILITY: In consideration of the opportunity afforded me to participate in YMW, I hereby agree that I, my successors, assignees, heirs, guardians and legal representatives (collectively, the “releasing parties”), will not make any claim against the Sponsors, or any of their affiliated organizations, or their officers, directors or employees, or the suppliers of any materials or equipment that are used during YMW, any of the YMW volunteers, sponsors, and that the releasing parties hereby release and forever discharge the released parties from any and all liability, claims, damages, debts, and demands of whatever kind and nature, whatsoever, in law or in equity, including but not limited to injury, death, loss of use or damage arising out of or resulting from the acts or omissions of any person or entity, however caused, arising from any participation in YMW, including but not limited to the negligence of any of the released parties (hereinafter, the “claims”). WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, I HEREBY WAIVE AND RELEASE ANY RIGHTS, ACTIONS OR CAUSES OF ACTION ARISING OUT OF MY PARTICIPATION WITH YMW, INCLUDING WITHOUT LIMITATION, THOSE ARISING OUT OF PERSONAL INJURY TO ME OR MY DEATH, OR LOSS OF USE OR DAMAGE TO MY PROPERTY, AND HEREBY FULLY RELEASE AND FOREVER DISCHARGE AND HOLD HARMLESS EACH OF THE RELEASED PARTIES FROM THE CLAIMS. AUTHORIZATION: I hereby grant and convey to the Sponsors all right, title and interest in any and all photographs, images (including digital images) and video and audio recordings made of me by or on behalf of the Sponsors, including but not limited to any royalties, proceeds, and/or other benefits derived from such photographs or recordings, and I consent to the unrestricted use by the Sponsors and/or any person authorized by them of any photographs, recordings, interview videotapes, motion pictures or similar visual or auditory recording of me created in connection with YMW. OTHER: I expressly agree that this release is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Kentucky, and that this release shall be governed by and interpreted in accordance with the laws of the Commonwealth of Kentucky. I agree that in the event that any clause or provision of this release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this release, which shall continue to be enforceable. KNOWING AND VOLUNTARY EXECUTION: I have carefully read this agreement and fully understand its contents. I AM AWARE THAT THIS IS A CONTRACT BETWEEN MYSELF AND THE SPONSORS AND CONTAINS AN ASSUMPTION OF RISK, RELEASE OF LIABILITY and AUTHORIZATION, AND I SIGN IT OF MY OWN FREE WILL. Participant Name (print): _______________________ Signature: _________________________ Date: __________ Parent or Guardian Signature (if under 18 years old): _________________________ Date: __________

Youth Missions Weekend 2017 Info Pak