High School Spring Break

HIGH SCHOOL SPRING BREAK TRIP

April 3-9 Joplin, MO

Important info: There is an interest meeting on January 27th at 8pm after Revolution upstairs where forms and information will be provided. You do not have to attend the interest meeting to go on the trip! There will be more information and meetings leading up to the trip. The trip costs $375 all together. Payments will be in increments.

Important Dates:

  1. January 28th – Interest meeting after Revolution upstairs at 8pm.
  2. March 2nd – All forms and deposit of $100 due.
  3. March 3rd – Cost increases to $400 if deposits have not been turned in.
  4. March 16th – Adult leader meeting (no students) in the youth area at 8pm.
  5. March 23rd – Final Parent, student, & leader meeting in Room 1204. Check-in at 7:30pm to 8pm. The meeting will begin at 8pm.
  6. March 30th – Drop off luggage to the canopy/Prayer Hallway Area of the church 5:30pm to 7:30pm

Important Forms: Forms for the mission organizations we will be working with are available in the church atrium at the High School info table. There are specific forms for those under 16 years old and those over 16 years old. Instruction on which form to take is displayed. Below are online available CBC forms for Adult Leaders as well as Students. These are also available at the High School info table in the atrium of the church.

Church Trip Release Form - Minors

  • Please enter a value between 10 and 60.
  • Medical Information

  • Activity/Trip Information

  • PHOTO AND VIDEO PERMISSION

  • By clicking yes, you grant permission for Crestwood Baptist Church to videotape or photograph your child or young person during the church event or normal activities. You understand these photos may be used as church promotional materials.
  • Emergency Contact Information

  • RELEASE, HOLD HARMLESS AND INDEMNITY

  • I, the undersigned, as parent or legal court appointed guardian of _____________________, a minor under the age of eighteen (18), (“Minor”), with full authority to act on behalf of Minor, do hereby agree and give my consent to the Minor participating in the Programs and Activities at Crestwood Baptist Church. I, on my own behalf and on behalf of Minor, acknowledge that participating in the Programs and Activities involve certain risks and that injuries, death, or other harm (including damage to Minor’s property) could occur to Minor (“Injuries”). By allowing Minor to participate in the Programs and Activities, I, on my own behalf and on behalf of Minor, hereby assume full responsibility for the risk of Injuries, whether caused by negligence or otherwise. I, on my own behalf and on behalf of Minor, and our heirs, successors, assigns, executors and administrators, hereby RELEASE AND HOLD HARMLESS AND AGREE TO INDEMNIFY Crestwood Baptist Church of Crestwood, Kentucky, Inc. and its staff, volunteer leaders, members, employees, deacons, council members, Ministry and Church Leadership (hereinafter collectively referred to as “CBC”) from and against any and all liability, claims, damages, causes of action, loss, costs and expenses (including, without limitation, attorneys fees) for Injuries arising out of or connected with the Programs and Activities, including traveling to and from the Programs and Activities.
  • MEDICAL CONSENT AND AUTHORIZATION

    If, while participating in the Programs and Activities, Minor requires emergency medical treatment, I hereby give my consent for any emergency medical care to be rendered to Minor as may be deemed necessary by any duly licensed physician or dentist. I hereby give my permission to CBC to obtain the emergency medical treatment at any hospital, clinic or other health care provider as may be deemed appropriate. In these circumstances, I hereby request and authorize any duly licensed physicians, dentists and staff, or other licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of Minor, including but not limited to medical transport, hospital tests, injections, anesthesia, surgery and administration of prescription drugs. I assume full responsibility for all medical expenses incurred as a result of such emergency treatment.
  • Signature will be required.
  • Required if under the age of 18.

Church Trip Release Form - Adults

  • Please enter a value between 10 and 60.
  • Medical Information

  • By clicking yes, you grant permission for Crestwood Baptist Church to videotape or photograph your child or young person during the church event or normal activities. You understand these photos may be used as church promotional materials.
  • Emergency Contact Information

  • RELEASE, HOLD HARMLESS AND INDEMNITY AND MEDICAL AUTHORIZATION

  • I, the undersigned, acknowledge that participating in the CBC Mission Trip to ________________ (the “Mission Trip”) involves certain risks and that injury, death, or other harm (including damage to property) could occur to me (“Injuries”). By participating in the Mission Trip, I hereby assume full responsibility for the risk of Injuries, whether caused by negligence or otherwise. I, on my own behalf and on behalf of my heirs, successors, assigns, executors and administrators, hereby RELEASE AND HOLD HARMLESS AND AGREE TO INDEMNIFY Crestwood Baptist Church of Crestwood, Kentucky, Inc. and its staff, volunteer leaders, members, employees, deacons, council members, Ministry and Church Leadership (hereinafter collectively referred to as “CBC”) from and against any and all liability, claims, damages, causes of action, loss, costs and expenses (including, without limitation, attorneys fees) for Injuries arising out of or connected with the Mission Trip, including traveling to and from the location(s) of the Mission Trip.
  • MEDICAL CONSENT AND AUTHORIZATION

    If, while participating in the Mission Trip, I require emergency medical treatment, I hereby give my consent for any emergency medical care to be rendered as may be deemed necessary by any duly licensed physician or dentist. I hereby give my permission to CBC to obtain the emergency medical treatment at any hospital, clinic or other health care provider as may be deemed appropriate. In these circumstances, I hereby request and authorize any duly licensed physicians, dentists and staff, or other licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment as may be necessary, including but not limited to medical transport, hospital tests, injections, anesthesia, surgery and administration of prescription drugs. I agree to the release of any records necessary for treatment, referral, billing, or insurance purposes from any Medical Contacts provided to CBC. I agree to assume and pay for all costs of such emergency medical treatment.
  • Signature will be required.