Building Relationships with God, Youth and our Neighbor

Transcription

1 What: Who: Recognize that our neighbor is someone as worthy of God s love as I 2014 Theme Being Jesus Rejoicing and Sharing God s Love with the World John 3:16-18 / 2 Corinthians 13:11-13 Mission Statement Building Relationships with God, Youth and our Neighbor San Antonio Neighbors Mission Trip 150 teens are coming from all over San Antonio and Fredericksburg to participate in helping their neighbor by painting, cleaning and repairing homes in the 7 th Council district on the west side of San Antonio When: June 15-20, 2014 Where: Holy Rosary Catholic Church Why: For our youth to take part in a project of hope Restoring One Home, One Family, and One Block at a Time About the San Antonio Neighbors Youth Mission Camp This will be our 5 th annual SAN Youth Mission Camp, put on by St. Mark youth office, Teens and their families. We partner with Youth Ministers and their church families from St Mark, Holy Spirit, St Mary s of Fredericksburg, St Luke, and St Bridged Catholic Churches. Together we go to one of the poorest neighborhoods in San Antonio and in our country. We help our elderly and handicapped neighbors by painting and cleaning up the outside of their homes. In most poor neighborhoods people rent their homes. However, in this neighborhood they usually own their homes and have worked their entire lives. Because of age or illness they can no longer afford to keep their homes painted. On average it costs us $ to fix the outside of a home. The labor is completely done by volunteers and the teens bring their own equipment to paint and clean. We buy the best paint at a low cost, so it will last. One year a contractor looked at the restoration we had completed on a home and he told us he could not have done it for less than $ Our young teens and adult chaperones are amazing and they work in the hottest weather with joyful hearts. This event is transformational for all who take part, from the neighbors we serve to our volunteers who put their faith into action through team work and serving others. People are amazed at what our young people can accomplish. We finish the week by cooling off at Schlitterbahn and eating together at Rudy s bar-b-q. If you would like to take part in our Mission Trip by attending or by sponsoring a teen, or a home, give us a call at the Holy Trinity Faith Formation office and speak with Debbie Gray or Renee Kuntz at (210) ext.333 Many Blessings to each of you! Debbie Gray

2 2014 San Antonio Neighbors YOUTH WORKCAMP APPLICATION June 15 to June 20 Sunday to Friday for Camp / Schlitterbahn on Friday Cost $ PLEASE PRINT NEATLY Church : Holy Trinity Catholic Church Group Contact Leader: Debbie Gray Youth Name ( ) Male ( ) Female Teen Teen Mobile (_ ) Provider for text Date of Birth Age Grade (Fall of 2014) Shirt Size Adult S M L XL 2XL 3XL Street Address (Home) City State Zip Code Dad (Guardian) Mom (Guardian) Home Phone ( ) Home Phone ( ) Mobile Provider Mobile Provider Have you attended SAN before? No Yes, number of years_ WORK EXPERIENCE: Level 1 no experience, level 5 very skilled List areas in which you are skilled: Comments to help us place you on a team: Holy Trinity Catholic Church c/o Youth Ministry Office Huebner Rd San Antonio, TX 78258

3 MEDICAL CONSENT AND PERMISSION TO TREAT My child is in the care of for the purpose of this youth ministry activity:. I am giving medical permission and consent to treat. To the best of my knowledge, my child, is in good health, and I assume all responsibility for the health of my child. In the event of an emergency, I give permission to transport my child to a hospital for emergency treatment. I wish to be advised prior to any further treatment by the hospital or doctor. Parent/Guardian's Name: Home Address: Zip: Home Phone: ( ) Business Phone: ( ) Cell Phone: ( ) If you are unable to reach me, please contact: Name: Relationship to me or my son/daughter: Home Phone: ( ) Business Phone: ( ) Mobile Phone: ( ) Please include a photocopy of your Insurance Card, front and back. Insurance Carrier: Policy Number: My son/daughter is taking medication and will bring all medication with him/her and it will be clearly labeled. My son/daughter is taking the following medications) and directions for taking this medication, including dosage, frequency and storage are as follows: I hereby grant permission for non-prescription medication (such as cough drops, cough syrup, Tylenol, etc.) to be given to my child if necessary. I understand that aspirin will not be given to my son/daughter without my express permission: I grant such permission Yes, No. My son/daughter is allergic to the following: My son/daughter's immunizations are current and up to date Yes, No. My son/daughter has the following limitations: My son/daughter experiences homesickness, emotional reactions to new situations, sleepwalking, fainting, bedwetting, etc. Yes, No. Please explain: Parent/Guardian Name (PRINT) Signature Date I agree on behalf of myself, my child named herein, our heirs, successor and assigns to hold harmless and defend St. Mark the Evangelist Catholic Church, its officers, directors, and agents, and the Archdiocese of San Antonio from any and all liability for illness, injury or death arising from or in connection with my child attending the above-named event and I agree to compensate the parish, its officers, directors, and agents, and the Archdiocese of San Antonio, or representative associated with the event for reasonable attorney s fees and expenses arising in connection therewith. Parent/Guardian Signature: Date:

4 San Antonio Neighbors RELEASE OF ALL CLAIMS Must be filled out on both sides by every participant. Please return to Group Contact Leader. DO NOT mail/fax these forms to the (SAN) Office. Please put these forms in alphabetical order. In consideration for being accepted by San Antonio Neighbors, I (we) being 21 years of age or older, do for myself (ourselves) and for and on behalf on my (our) child-participant (if said child is not 21 years of age or older) do hereby release, forever discharge and agree to forever hold harmless San Antonio Neighbors, The Archdiocese of San Antonio, my parish and its managers, members, directors, officers, employees and agents thereof, from any and all liability, claims, demands for personal injury, sickn ess, death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned or the child participant resulting from said child s participation in the above-described camp, (including travel between the child s home and the camp, free day activities, excursions from the camp and anytime spent at the camp). Furthermore, I(we) (and on behalf of our child-participant if under the age of 21 years) hereby Assume all risk of said personal injury, sickness, death, damage and expenses as a result of participation as above set forth. Further, authorization and permission are hereby given to said organization to furnish any necessary transportation, food, lo dging for and to assign work projects to this participant. The undersigned further agree to hold harmless and indemnify San Antonio Neighbors and associated social agencies and day care centers and their directors, officers, employees and agents, for any loss, claim, liability, damage, including property damag e or injury whatsoever incurred by child-participant as a result of the negligent, willful or intentional acts of said participant, including reasonable attorneys fees and other expenses incurred attendant thereto. If the participant has not attained the age of 21 years: I (we) am (are) the parent (s) or legal guardian(s) of this participant, and hereby grant my (our) permission for him (her) t o participate fully in said camp, and hereby give my (our) permission to take said participant to a doctor or hospital and here by authorize medical treatment, including, but not limited to emergency surgery or medical treatment, and assume the responsibili ty of all medical bills. I give permission for my child to be transported in privately owned vehicles or in public transportation and for the release of medical records to an attending physician in case of illness. Further, should it be necessary for the participant to return home due to disciplinary action, for medical reasons or otherwise, I (we) hereby assume and indemnify San Antonio Neighbors for all transportation costs. I (we) am aware of no physical, mental or emotional problems, which would limit participation in or wo rk performance during the camps. I (we) am (are) fully aware of the nature of the work to be undertaken du ring the San Antonio Neighbors camp. San Antonio Neighbors will employ reputable staff members and take reasonable precautions to safeguard the camp participants during the week of camp. However, neither the San Antonio Neighbors associated social agencies nor the school acting as home base will be liable for loss or damage to property of participants prior to, during or following the camp due to theft, fire, accident or any other cause beyond its control. MEDIA/PHOTO WAIVER: I hereby authorize and give my full consent to San Antonio Neighbors, The Archdiocese of San Antonio and my parish to copyright and or publish any and all photographs, video or audio in which I/my child will appear in while attending San Antonio Neighbo rs camp. I further agree that San Antonio Neighbors camp may transfer these photographs, video or audio for use on the San Antonio Neighbors camp website and all promotional material. Print Participant Name Print Custodial Parent Name Participant Signature Custodial Parent Signature (if under 21 years of age)

5 Code of Behavior The purpose of San Antonio Neighbors Youth camp is to provide the young Catholic Church and their adult leaders an opportunity to celebrate, serve, pray and play together. SANYC believes that Jesus is among us! In order to carry out this mission, we ask each youth and adult participant to read, sign and follow the Code of Behavior. I agree to respect the rights and property of others. I agree to respect SAN staff and adult leaders, even if these leaders are not from my parish. I will remove my hat, refrain from eating, drinking, and private discussions during Mass. I will participate in all planned activities, group sessions and work projects. I will follow all Safety and Worksite requirements I have use my phone respectfully and never during Mass or at Program I will respect the privacy of my fellow campers and not go into any other sleeping quarters, (guys or girls) which is not assigned to my group. I will go to my sleeping quarters to prepare for bed at 10:30 and observe the lights out at 11:00. I will be responsible for assisting our parish group with snacks and help keep snack area clean. I will not possess any alcohol, non-prescription drugs, fireworks, weapons or knives. I will act as a lady or gentleman and refrain from any sexual misconduct. I will not leave the school grounds, unless my adult leader grants permission. I will build new relationships with my team members, resident, agency leaders, others in the community and children I encounter during this service week. YOUTH I have read, understand and agree to follow the Code of Behavior outlined above I will also encourage other group members to live by these rules. (Signed) Date ADULTS We need young adult leaders and adult chaperones cooperation to assist SAN in making this service week successful. We need your support to help us enforce camp guidelines. I have read, understand and agree to follow the Code of Behavior outlined above. I will also encourage other adult leaders to live by these rules. (Signed) Date_ Church: Please return to your camp Contact Leader. Leaders please bring to registration.