Peak3 - Raised2Walk

Peak3 Registration

April 8-11, 2020 Mexico Home Build With Raised2walk Ministries and Youth With A Mission

Team Member Registration

Thank you for choosing to give your time and resources to build a home for the poor. In choosing to build a home you are also choosing to be the hands that will forever change a family’s life. We cannot wait for you to see their faces on the last day as you hand them the keys to their new home!

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Team

Participant's Name(Required)

First Last

Participant's Email Address(Required)

Participant's Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Age(Required)

Adult

Minor

Gender

Male

Female

Have you Attended a YWAM Trip Before?

Yes

Do you live in the US?(Required)

Yes

Date of Birth(Required)

Emergency Contact's Name(Required)

First Last

Emergency Contact Email(Required)

Emergency Contact Phone(Required)

T-shirt size(Required)

PLEASE READ CAREFULLY. THIS RELEASE AGREEMENT INCLUDES A COMPLETE RELEASE OF ALL CLAIMS OF PARTICIPANT AGAINST YWAM AND ANY COMPANY RELATED TO OR SPONSORING THE PARTICIPANT. PARTICIPANT ACKNOWLEDGES THAT HE/SHE HAS BEEN ADVISED TO ENGAGE LEGAL COUNSEL TO REVIEW THIS AGREEMENT.

Terms & Conditions

Release of Liability (adult)

I have been informed of the above activity sponsored by Youth With A Mission San Diego/Baja Inc., and I hereby voluntarily consent to participate in this activity. I understand all reasonable safety precautions will be taken by the leaders of this activity, and I acknowledge that the possibility of an unforeseen hazard does exist. In consideration of YWAM organizing, arranging and permitting me to attend and participate in the event described above and any related activity, I hereby waive all rights which I may now have or which may accrue in the future against YWAM its respective chapters, directors, officers, employees, agents and members (collectively “YWAM Representatives”), and I hereby release and discharge YWAM and the YWAM Representatives from all liability, and agree to indemnify and hold YWAM and the YWAM Representatives harmless from and against all liability for any and all actions, damages, causes of action, suits, costs, losses, expenses, claims, demands, damages and judgments (collectively the “Losses and Claims”), which I, my spouse, family members, children, invitees, heirs, executors, successors, administrators and assignees, now have or hereafter may have resulting from or arising in connection with my travel to, attendance at or participation in the YWAM event or any related activity. I acknowledge certain legal rights against YWAM or the YWAM Representatives may be available now or in the future as a result of any Losses and Claims, and that by executing this waiver and release of liability, I am forever relinquishing those rights against YWAM and the YWAM Representatives. I acknowledge that no promises, representations, or affirmations of fact were made to me by YWAM or the YWAM Representatives concerning the safety of the event or related activity, the security precautions taken in sponsoring the event, the relative safety or danger associated with traveling to the event or participating in any activity or outing related to, or connected in any way to the event. I affirm that I have read and understand the foregoing provisions of this Release of All Claims, Waiver of Liability, Assumption of Risk and Indemnification Agreement and I accept its terms as a condition to my attendance at that event.

Swimming Warning to Participants

We recommend your group not swim at the beaches in Mexico. Although the beaches are nice and enjoyable, there can be strong rip currents, and even good swimmers can find themselves needing help getting pulled out of the water. With strong currents and rip tides, those not used to the ocean can panic and not know what to do making it harder to get them out of the water. Normally there are no lifeguards at the swimming beaches and risk is assumed by each individual entering the water. Sanitation can also be an issue as the ocean can be polluted with sewage runoff for three days or longer after any rainfall. This recommendation is the same at the beaches from Imperial Beach, California, southward. Our recommendation is that if you do go to the beach you enjoy the views and ocean breezes and stay out of the water. Because of the safety concerns with swimming YWAM San Diego Baja will not have organized and scheduled swimming times in the program schedule.

Image Release (adult)

This is an agreement between you as a participant of Youth With A Mission (YWAM) San Diego/Baja and the YWAM San Diego/Baja Media Team, for the express purpose of the use of any photograph, video, and digital footage taken by the Media and Design Team or its designees. This agreement includes photos taken both on and off-campus or any outreach location in the U.S. or abroad. You hereby permit YWAM San Diego/Baja, its members, and agents, to take, use, and reproduce this footage for both internal and external purposes including, but not limited to, in brochures, catalogs, website use, exhibits/displays, stock photography and human-interest stories. You further permit YWAM San Diego/Baja to use, copy, or modify such images or recordings without restriction to copyright the same. You hereby release YWAM San Diego/Baja, its members, and agents, from all claims and liability related to these images and recordings.

Agree to Terms (Sign Here)

Medical Information

Do you have any medical allergies?

please list

Are you taking any medications?

Medication

dosage

Frequency

please list

Do you have any food allergies?

please list

Authorization & Consent For Teatment

In case of a medical emergency, I hereby give YWAM my permission to authorize any emergency medical treatment by a physician or nurse as he or she may deem necessary. I authorize the YWAM staff to use their best judgment in managing unforeseen medical emergencies that may arise while on this mission trip.

Parent's Signature

consent for treatment

Safety Guidelines

We have some safety guidelines for your group to note before you come to build houses with Homes of Hope.

PLEASE READ AND REVIEW:

Operate only power tools you have been specifically assigned to or trained for
Use safe lifting/carrying techniques
Lift with your knees, not your back
When carrying long or awkward objects, have a helper assist you and carry the object by the ends to avoid accidents

Power tool safety

Never wear gloves, loose jewelry, clothing, or long, loose hair while operating power tools – they may get caught in the power tools and pull you into danger Always wear safety glasses Know what is on the other side of what you are cutting or drilling – if you can’t see, check and assign someone to monitor the other side Use only the “Sawsall” reciprocating cutter to cut out the windows of upright walls—the circular saw poses too much danger when used to cut out windows Stop using any power tool that is missing guards, is dull, or has frayed electrical parts

Chop Saw Safety

TRAINED ADULTS ONLY
Never cross your hands in front of a moving blade.
Wait until the blade comes to a stop before moving your hands or the work piece.
Support both ends of the work piece in case it unexpectedly shifts after cutting it.
Wear safety glasses.
Do not wear gloves, loose jewelry, loose hair, or loose clothing.

“Skill Saw” (Circular Saw) and “Sawsall” (Reciprocating Saw) safety:

TRAINED ADULTS ONLY
Never cut objects laying on the ground – saw may snag on the ground and “run away” from you
Use only sharp blades
Never cut something you cannot have monitored on the opposite side
Wear safety glasses
Do not wear gloves, loose jewelry, loose hair, or loose clothing

Safety Rules for Each Participant

Adult 18+ years old:

Know all safety rules for your safety; and for your children’s safety
One parent is required to teach the Safety Guidelines to all your children and
work alongside any child under 14
Set an example for all – it is expected and “ok” for you to intercede tactfully when you see others of any age working in an unsafe manner

Young Adult 16-17 years old:

Know all safety rules
Only operate power tools when parents give approval, when you have been specifically assigned to and trained on, and ONLY when you are under adult supervision

Youth 12-15 years old

Know all safety rules
DO NOT OPERATE ANY POWER CUTTING TOOLS (Power drill is ok)
Work alongside at least one parent or assigned adult at all times

Youth under 12 years old:

Know all safety rules
DO NOT OPERATE ANY POWER TOOLS
DO NOT GET ON ROOF
Work alongside one of your parents at all times

Name

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