Operation Rosharon -- Mission Trip 2018
To fulfill the Great Commission, encourage families to serve towards the same goal, build FCBC and CBC community.
Last day to register June 17, 2018!
General Information
All students under 18 yrs old must attend with a parent. Any High school student may attend with a sibling (sibling must be 18 yrs or older)
Family Last Name *
Your answer
First names (Include yourself and family members, including children under 18 only. Over 18 need to fill out separate form). *
Your answer
Address *
Your answer
Cell Phone # *
Your answer
Additional Cell Phone #s
Your answer
Email Address *
Your answer
Additional email addresses
Your answer
Emergency Contact & Phone # *
Your answer
Medical Insurance Name & Phone #
Your answer
Other Medical Insurance
Your answer
Who registered has accepted Christ as their Savior? *
Your answer
What church do you attend? *
Your answer
How long have you been attending that church? *
Your answer
What areas would you like to serve? *
VBS, Dental, Medical, Youth Sports, Tutoring, Food Team, Outreach Team, Light Construction, Other (Specify for each person in your family)
Your answer
Lodging
I would like to stay in a room with *
List All Names of People in the room.
Your answer
Payment
Payment Preference *
T-Shirt Sizes - Specify # of each Size: Child Medium or Large; Adult Small, Medium, Large, X-Large, XX-Large *
Your answer
Medical, Liability & Media Release:
I authorize any staff member of the Mission Trip Team or any medical facility personnel to provide emergency medical treatment as deemed necessary. In case of such emergency medical treatment provided, I agree to be responsible for all actual fees and costs incurred.

I agree to release the Mission Trip Team members and the First Chinese Baptist Church of San Antonio from any legal and/or financial liabilities if myself or family suffers bodily injuries during this Mission Trip.

I consent and agree that First Chinese Baptist Church of San Antonio, its employees, or agents have the right to take photographs, videotape, or digital recordings of myself and my family listed above and to use these in any and all media, now or hereafter known, and exclusively for the purpose of First Chinese Baptist Church of San Antonio’s ministry. I do hereby release to First Chinese Baptist Church of San Antonio, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately. I waive any rights, claims, or interest I may have to control the use of mine or my families identity or likeness in whatever media used. I understand that there will be no financial or other remuneration for recording mine or my families, either for initial or subsequent transmission or playback.

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