Departure Time: Where: Oklahoma City, OK Southern Nazarene University 6729 NW 39th Expy Bethany, OK 73008

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1 DFC students, Want your world to be rocked in an amazing way? Then Summer Mission Trip is for you. We are headed to Oklahoma City for a life-changing adventure of helping many people effected by the tornadoes in We will be doing work projects to help rebuild what was effected by these tornadoes. I hope you will join us this Summer as we share the love and HOPE of Jesus to those impacted. Good Attitude Summer Clothing Light jacket in case it rains Toiletries (shampoo, towel, deodorant, soap, toothpaste, toothbrush, mouthwash) Sleeping bag & pillow Spending $ for whatever you want extra Work clothes & tennis shoes! Refillable water bottle Extras: Sunscreen, backpack, bug spray, hat & sunglasses Pastor Zack Harris: ( ) zackh@denverfirstchurch.com Nicole Harris: ( ) nicoleh@denverfirstchurch.com Departure Time: 7:00 AM, July 12 Where: Oklahoma City, OK Southern Nazarene University 6729 NW 39th Expy Bethany, OK Cost: $395/student if paid in full by June 22 $425/student if paid AFTER June 22 (Includes ALL meals, T-shirt, transportation, lodging, and activities) *PLEASE NOTE: If you participated in the student auction your cost is significantly less. Registration: Complete and turn in registration form with $100 non-refundable deposit by Sunday, April 27 and get a FREE EXTRA T-shirt! Return Time: Saturday July 19, approximately at 10pm *KEEP PAGES 1 & 3 FOR YOUR INFORMATION

2 $395/Person Student s Name Grade Address City State Zip Code Phone Birth Date New 7th graders are welcome to apply to attend Summer Mission Trip. However, we will be offering a more affordable 7th grader mission opportunity August 8-9 with Water World on that Saturday. All of the Nazarene students on the district will also be attending Water World on that Saturday. Allergies (Y/N) If yes, please list Parent/Guardians' Name & Phone Number Emergency Contact Number (If parents can t be reached) T-shirt Size (S,M,L,XL,XXL,XXXL) Please list medications to be taken on the trip Please list the schedule for medications to be taken Method of Payment Check or Cash Student Account REMINDER: Student Ministries must have the church liability form for ALL students participating. FOR OFFICE USE ONLY: REGISTRATION FORM DFC STUDENT MINISTRIES LIAB./COV. FORM AMOUNT PAID $

3 April 27: $100 Nonrefundable deposit due with application. (turn in pg.'s 2, 4, 5 & DFC liability form) May 25: $150 Second Payment Due June 22: $145 Final Payment Due *If you are not signed up & paid IN FULL by June 22nd your cost will be $425 and you will not receive a GROUP T-shirt. *Let us know if you want to use your student account. You must apply to go on mission trip by answering questions on the next page. You must have a NEW current liability form on file with our office. *Attached Complete TWO DFC approved service projects. (Be creative. We aren t picky but want you to have an understanding of why we are going on missions) Attend our mission trip meeting on 7/6. 3rd floor in 12:15pm. Turn in your payments on or before the due dates. Keep a Philippians 2:14 mindset, Do everything without grumbling. You must be pursuing a relationship with Christ. Demonstrate an attitude of obedience to your parents and adult staff. Saturday 7am Travel to SNU Sunday Lifechurch.tv Hang Out Day Monday Tuesday Wednesday Thursday Friday Saturday Travel Back to Denver

4 Turn this in with pages 2, 5, & orange liability release Tell us about your relationship with Christ: (use an extra sheet if necessary) Why do you want to go on this summer mission trip?

5 2014 SMT SERVICE PROJECTS (BY SIGNING AND SUBMITTING THIS CONTRACT YOU ARE STATING THAT YOU HAVE FULFILLED 2 MEANINGFUL SERVICE PROJECTS OF VOLUNTEER NATURE AND YOU WILL BE ELIGIBLE TO ATTEND SUMMER MISSION TRIP) NAME: GRADE: AGE: PHONE: SERVICES PERFORMED: DATES PERFORMED: STUDENT SIGNATURE PARENT SIGNATURE SERVICE SUPERVISOR SIGNATURE/DATE APPROVED BY PASTOR ZACK/DATE