FUMCCV Youth Group

FUMCCV Youth Group Mexico Mission Trip

September 17th, 2017 – September 22nd, 2017

It’s Mexico Mission time! This year we are utilizing a full week to build a home in Ensenada, Mexico for a family in need. The extended timeline allows for us to build a stronger and deeper relationship with the ministry partners and the family we’re serving. We are excited to continue our partnership with YUGO Ministries, this time with a youth- focused trip.

The cost for the trip is $350 per person and must be paid in full no later than September 14th, 2017. Because the timeline for the trip is limited, we suggest that families fundraise independently through support letters (see www.fumccv.org/youth-ministry/ for an example) or other means (i.e. garage sales, lemonade stands, etc.)

Please complete and submit a separate permission slip for each student attending the trip no later than September 14th, 2014. Last minute sign-up will not be accepted due to limited vehicle and supply space.

If you have any questions, please contact RaeLynn Fuson, Director of Youth and Young Adult Ministries, at [email protected]. EVENT INFORMATION The undersigned parent or guardian hereby gives permission for the minor, ______to participate in the FUMCCV Mexico Mission Trip in conjunction with YUGO Ministries during September 17 th , 2017-September 22 nd , 2017 and any extension thereof, sponsored by the First United Methodist Church of Chula Vista. MINOR INFORMATION Birthdate ______Grade in School ______Address ______City ______State ______Zip ______Phone Number (_____)______Email address ______MEDICAL RELEASE The undersigned affirms that the above named minor has no health problem, which would preclude his/her participation in said activity. In addition, for the unforeseen possibility that my child would get injured or sick and need medical attention, I request that I first try to be contacted and if I cannot be reached that medical attention be given to my child. Prompt attention to my child’s injuries or sickness is greatly appreciated. List any medications taken by participant: ______List any known allergies to medication or other things: ______NAME OF HEALTH INSURANCE ______POLICY / SUBSCRIBER NAME & NUMBERS ______GROUP NUMBER ______PHONE NUMBER/BILLING ADDRESS ______Further, the undersigned expressly agrees to hold harmless First United Methodist Church of Chula Vista; its employees and agents, for any injury to the minor or damage to his/her or any personal property which may be incurred by or as a result of said participation.

Lastly, the undersigned gives permission for any appropriate pictures taken of the above named minor to be used in any publications, advertisements, etc. to promote First United Methodist Church of Chula Vista.

PARENT (Guardian) NAME ______(printed) (signature)

Relationship to Minor ______Date______Contact Home Phone ______Cell ______Work ______E-mail______Address same as minor above? Yes / No (circle one) If no, Parent (Guardian) Address______City ______State ______Zip ______List alternative persons, with relationship and phone numbers, to contact in case of emergency. 1.