You are on page 1of 4

The Yak ‘10

July 11 — 17th, 2010


“He has shown all
you people what is
good.
And what does the
Lord require of you?
To act justly and to
love mercy and to
walk humbly with
your God.”
Micah 6:8

Micah 6:8 Act Justly


Love Mercy
Walk Humbly
Registration Form
Important Dates Name__________________________________
Age _____ Current Grade _____ Gender _______
Shirt Size (Adult): XS S M L XL
Nov. 11th - Registration opens
Address ________________________________
City ______________________Zip __________
Jan. 6th - Registration closes Parent’s Names __________________________

(First come first served!) Phone # _______________________________


Email _________________________________
Alternate Contact _________________________
Jan. 10th - First Training/Info Meeting Phone # _____________ Work # ___________
(Parents welcome!) at HCC at 12:30pm MEDICAL INFORMATION:
Allergies: _______________________________
Medication Being Taken: ___________________
May 26th - Letter writing money due
_______________________________________
Physical Handicaps or Limitations: ____________

June 9th - Final payment due _______________________________________


Medical Insurance Company: ________________
Policy Number: __________________________
July 11th - Leave for Yakima Member’s Name: _________________________
Primary Physician: ________________________

July 17th - Return to Gig Harbor Physician’s Phone# _______________________

PLEASE COMPLETE ALL THREE FORMS (COMMITMENT,


MEDICAL RELEASE AND REGISTRATION), ATTACH
DEPOSIT AND PLACE IN OUR DROPBOX OUTSIDE THE
YOUTH POD (ROOM 106)
Medical Release Form |

What is The Yak?


|
I give permission for _______________________ to |
|
travel to “The Yak ‘10 Mission Trip” with Harbor Cove-
|
nant Church (Gig Harbor, WA) July 11-17th 2010. | The Yak is our Mission Trip to the Yakama Indian
| Reservation. Here we will partner with Youthworks!
I hereby release Harbor Covenant Church, its staff | to come alongside people in Yakima to work and
and sponsors, from responsibility and liability for any |
injury and illness that my child may sustain during this | sweat and play!
activity. In the event of an emergency, I hereby au- |
thorize an adult leader of this activity, as an agent for | We will focus on two primary areas of ministry:
|
me, to consent to any x-ray examination; medical, home improvement and children. Our work projects
|
dental or surgical diagnosis; treatment; and hospital include minor home repair and painting projects.
|
care as advised by a physician, surgeon or dentist (as | These work projects go a long way in bringing hope
appropriate) as listened to practice under the laws of | and a chance to share the love of God with some
the state/province where the services are rendered, |
either at the doctors office or in any hospital. I expect |
people in need.
to be contacted as soon as possible. |
| With the children, we will do a VBS style program
I also understand that if my child is disruptive, brings | led by you and offer them games, crafts, skits,
alcohol, drugs, weapons, causes any injury to them- |
| songs and lessons that will help them learn more
selves or others, or engages in any unacceptable be- | about Jesus.
havior, I will be responsible to remove my child from |
this activity and transport them immediately back to
Gig Harbor.
|
We’ve started to alternate our Mission Trips. Two
|
| years ago was the first year we went on The Yak and
Photography Release | this last year we went back to Gleanings where we
The undersigned gives permission to Harbor Covenant | prepared food for missionaries to then take and use
Church to photograph his or her son or daughter and |
|
to share the love of Christ. This year is our
use the resulting photographs for any purpose that opportunity to put on different shoes and be that
|
Harbor Covenant Church deems proper. (For further | missionary. This summer we have a chance to go
explanation, please contact Jen Easton at the church
(253-851-8450, jeaston@harborcovenant.org or on
| and physically care for God’s people.
|
his cell 253-241-3760). |
| So are you ready? Do you want to be a part of
__________________________ __________ | something? You have the whole summer to
Parent or Legal Guardian Date
|
yourself, how about giving a week back to Him?
|
|
Harbor Covenant Church, | Can’t wait to see ya at The Yak!
5601 Gustafson Dr. NW |
Gig Harbor, WA 98335 |
|
|
|
What does it take to be a part of the | Commitment Form
|
2010 Middle School Mission Trip? | NAME:_______________________________________
|

Please cut along the dotted line and return All 3 forms (Commitment, Medical Release and Registration),
• Be one of the first 18 students to register before Jan. 6th (it will |
be first come first served, after that there will be a waiting list). |
- Fill out the registration, commitment and Medical release | QUESTIONS (You must answer each of these if you want
form in this booklet.
| to a part of the Middle School Mission Adventure)
|
- attach a non-refundable $100 deposit (please write in the

attach deposit and place in our Drop box outside the Youth Pod (Room 106)
memo line: The Yak—”student’s name” )
| 1. Read Micah 6:6-8...what do you think Micah is trying
| to tell us?
|
• Attend all training meetings |
These monthly training meetings are designed to help build |
us into a team instead of a group of individuals. These will |
need to be a priority. |
- Our First Meeting will be an info meeting (Parents Welcome) |
and will be on Sunday January 10, 2010 at 12:30pm at HCC. | 2. What do you think it will take for us to have a
| successful mission trip?
• Pay / Raise the Money |
The total cost for the Middle School Mission Trip is $395 but |
that number is not what you will pay out of pocket! |
|
- Each student will make a $100 deposit |
- Each student will receive at least $25 for helping at the |
Sweetheart Banquet (Feb. 12th)
| 3. Why do you want to be a part of this mission team?
|
-Each student will sell 16 car wash tickets for a total of $112
|
- Each student will be writing support letters with the goal of |
$50-100 (we will discuss how at one of our training meetings) |
- Any money collected for selling Poinsettias in the Fall |
- And we’ll be adding a new fundraiser in the Spring |
- Final payment is due June 9th. |
|
If done correctly, you could go for the cost | 4. Are you willing to commit to making it to all the
of your deposit alone! | training meetings and paying/raising the entire 395?
|
• Have a strong desire to make a difference |
This is not a vacation...it is an opportunity to make a differ- |
ence in someone else's life. It is time for the world to see that |
Middle School students can and will make a difference! | Student Signature:_____________________________
|
|
| Parent Signature:______________________________
|

You might also like