Fall 2017 Trip Announcement and Form

Help 4 Haiti, INC. Ministry Trip – Fall 2017 – September 23-30

Onaville Children’s Ministry & Medical Clinic

New Covenant Missions of Haiti

Ministry Opportunity:

Pastor Estecoeur Olistin, Senior Pastor of New Covenant Baptist Church –

 16 congregations in Port-Au- Prince area serving 3000 adults + 2500 children

 Onaville Church & Orphanage serving 150 children in New Suburban Community

Ministry Needs:

Ministry of encouragement/hope to orphans & Church family & community

 Children’s Bible School and recreation ministry

 Medical and Dental Clinic Ministry

 $35/mo Sponsorships to feed 150 orphans

 Donations to dig well and install solar power regulator 

Trip Ministry Needs:

Bible school/music/recreation ministry – need Leader, materials , & volunteers

 Medical/Dental Clinic Ministry –DR Mark Salisbury team leader- need doctors, dentist and nurses

 Evening Revival Services – sharing hope through music & God’s word – Leader & volunteers

Trip Logistics-

$1600 Trip cost – airfare & transportation/food/lodging while in Haiti

 Submit application + $400 deposit at 1st Team meeting June 4 @ 1 PM @ Wildwood Baptist Church

 Submit $400 trip deposits at team meetings July 9 & August 6, 2017 1 Pm @ WBC

 Make all checks payable to Wildwood Baptist Church – Fall Haiti trip 2017

 Need current passport + Travel shots/meds for travel to Haiti

 Keep passport + copy of DL+ shots records on person @ all times+ $200 travel cash

 Pack 3 changes clothing 1 carry on/back pack + 1 checked bag (includes camping gear)

 Modest comfortable attire- knee length walking shorts/ Capri or long slacks

 3rd world conditions – limited water/showers/bath facilities

 Personal hygiene+ sunscreen/insect repellant + protein/snack bars+ drink flavor packs

 Avg Temps 75-95 F w/ 58% humidity – 30% chance of rain

 US Embassy Haiti – Ph 509-229-8942/ Pastor Olistin ph 509-37-11-4903

 Trip Leader Louis Chalmers – Ph 404-861-3959

P. O. Box 593, Kennesaw, GA 30156 

 

Form:

_________________________________________________________________________________________________

Help 4 Haiti

Ministry Trip Spring 2017

Volunteer Registration Form

Name ___________________________________________________________ Male/Female (circle)

Date of Birth_____________________ Passport #_______________________________ Expires ______________

Address __________________________________________________________

Home Phone _______________ Cell Phone __________________

Person to notify in case of emergency:

Name ___________________________________ Relationship ______________

Phone __________________________ email ________________________________

Allergies ______________________________________________________________

Medical condition/Medications ___________________________________________________________

Release & Indemnity Agreement

I do hereby represent and acknowledge I am entering a missionary venture with others: as a volunteer I am paying my own expenses, including insurance, for the purpose of helping others for the glory of God and to demonstrate my faith in Christ, that the work may at times be hazardous and somewhat arduous and will be performed by concerned volunteers: that the vehicles transporting these volunteers will be operated by volunteers, whom may or may not be professional drivers.

I recognize and acknowledge potential accidents in travel and in the ministry site, involving motor vehicles, in or about the living, sleeping and eating areas, or during activities of the ministry team: am fully aware of possible injuries to members of the ministry team, including myself.

Therefore, I desire to protect, release, acquit, indemnify, and hold harmless from any and all claims, injuries, damages, losses, expenses or attorney fees incurred by me, my heirs, administrators, executors or assigns.

For and on behalf of myself, my heirs, administrators, executors, assigns and all other persons, firms or corporations, I do hereby release and discharge from liability all other persons on the ministry team with me, those who notified, selected or assigned me to the said team, Help4Haiti, Inc. and all employees, representatives, successors or assigns, from any claims, demands, damages, actions, causes of actions which I, the undersigned , have or may hereafter, and on account of, or any way growing out of injuries, or damages both to persons or property resulting or that may hereafter result from this voluntary venture.

This wavier, release, and indemnity agreement is fully understood by me and I enter the same willingly for the purpose herein above stated.

Volunteer Printed Name: _______________________________________________________

Volunteer/Guardian Signature: _________________________________________________________

Witnessed, my hand on this the ____ day of _____________________, 20____

Witness Printed Name; _________________________________________________________

Witness Signature: ____________________________________________________________