St. Mary of Vernon Alpha OmegaSt. Mary of Vernon Alpha Omega

2017 Info Packet2017 Info Packet

July 22July 22--2929

Huntingburg, INHuntingburg, IN

Rooted. In this world of constant and uncertain change, we find

hope in being ROOTED in the truth that “Jesus Christ is the same

yesterday, today and forever.” (Hebrews 13:8) We have a mission

to be an inspiring voice for the young Church! We all know this journey is not a simple one, but when we are

ROOTED in the choice to join together, we can lead others to walk with His purpose in mind. It is our mission

to uplift, encourage and lead this young generation to stay on course, remain ROOTED in their Catholic faith, and confi-

dently walk with Christ. Through service to others we are challenged to walk in someone else’s shoes and to open our

eyes to the needs of people. This deep and important connection is at the heart of, and is ROOTED in, the social mission

of the Church. As St. Mary of Vernon plans this summer of service, we are ROOTED in the same mission of Christ and His

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2017 SUMMER MISSION TRIP HOMEBASE

Southridge High School 1110 South Main Street Huntingburg, IN 47542

Saturday, July 22nd – Saturday, July 29th

What is a Mission Trip? It’s an 8 day adventure filled with SERVICE, LAUGHTER, and PRAYER.

A week of Workcamp is not an easy feat, but in the end your tired body will have a renewed spirit, ready to continue loving and serving others.

Service to others requires us to get messy, not just physically (with dirty hands, cement splashed shoes and paint stained clothes), but also “emotionally messy” by listening to the stories of others, getting involved and then, without judgment, loving and caring as Christ would.

Our Mission Trip provides teens and their adult leaders service opportunities to restore homes and HEARTS: feeding the hungry, lifting the spirits of children, bringing joy to the elderly and disabled, and offering assistance; while partnering with social agencies. The service you will be providing includes: painting, yard work, indoor/outdoor clean-up, home repair, helping children, assisting at centers that distribute food to the needy, and restoring hope to those who have none.

For the 2017 Mission Trip we have registered for a “Next Level Workcamp”. In addition to the service work, there will be live music every morning and night, games and activities, Eucharistic Adoration, daily Mass, and a chance to meet tons of new people. The relationships you form can be life changing. In short, we will work hard, play hard and pray hard; and you will be changed by the experience.

Our group of 60 will be at a “camp” with about 230 other “campers” from Catholic churches around the U.S. All the “campers” are divided into random groups of 6 teens (not necessarily all from St. Mary of Vernon). There are always one or two adult chaperones assigned to each group that stays with the teens to supervise and guide them throughout each work day.

Catholic HEART Workcamp is committed to doing everything to ensure the safety of all those employed by and attending a Catholic HEART Workcamp. CHWC does complete a National FBI Background Check on all employees. All CHWC Staff are also trained in the Virtus program “Protecting God’s Children” in order to be in compliance with the US Catholic Bishops Charter for the Protection of Children and Young People.

Chaperones and 18yr old and older teens going on the Mission Trip must be in

compliance with CHWC’s “Protecting God’s Children” requirements as well. A 3-hour training

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will need to be completed along with some online forms. We will contact those who need to complete these requirements.

There will be additional meetings (probably three) spread out over the months leading up to the Trip. At these gatherings we will begin to prepare for our service experience, and we will start to get to know one another better. We hope that the teens and adult chaperones will do their best to attend these very important gatherings.

The Mission Trip is $500 if you register by February 3, 2017. Any registrations after February 3rd, the cost goes up to $550.

St. Mary of Vernon will be taking campers entering the 9th grade in the fall of 2017

through college students. It is expected that each student participating in the Mission Trip will work a minimum of three fundraisers. The cost of their Trip will be deducted by $50 for each fundraiser they work (a maximum of three fundraisers).

Fundraising Opportunities

Bake Sales (February 11&12, April 22&23)- All Mission Trip attendees are REQUIRED to make food items for BOTH bake sales. The more cupcakes, cookies, cakes, chocolate dipped pretzels, pies, banana bread, etc we have, the more we can sell. All food must be dropped off prior to the 5:00pm Saturday Mass to sell for the weekend. We will need teens to work at each mass selling the baked goods. Stock Sales (June 3&4, 10&11)- We need teens to work at each mass selling “Mission Trip Stock.” Purchasing stock allows people who cannot physical go with us to be with us in spirit. We will send them a postcard while on our trip and once we get back, we host a dinner for all of the Stockholders. At that time we thank them and share some of our trip experiences.

SMV Golf Outing (June 25)- We need teens to work the Golf Outing out on the course interacting with the golfers. This is done in 2 hour shifts.

Car Wash (July 9, raindate July 16)- We need teens to work washing cars while

parishioners attend Sunday Mass. Friends & Family Donation Request Letter (optional – See the form letter in this

packet) Parent Volunteer Positions

If you volunteer, and follow through as a Coordinator for one of these Fundraisers, you will receive a $50 discount on the Mission Trip cost. One Coordinator for the first Bake Sale - (February 11 & 12) One Coordinator for the second Bake Sale - (April 22 & 23) One Coordinator for the first Stock Sale - (June 3 & 4) One Coordinator for the second Stock Sale - (June 10 & 11) One Coordinator for the SMV Golf Outing - (June 25)

2017 Summer Mission Trip

Expenses & Payment Schedule

STUDENT’S MISSION TRIP FEE INCLUDES:

• Student’s CHWC Registration Fee • Mini-Van Rentals (usually about 4-6

mini-vans) • Gas and tolls for all the mini-vans going

to/from Huntingburg, IN (appx. 13 mini-vans)

• Lodging at a hotel while traveling to Huntingburg, IN

• Dinner and breakfast at the hotel while traveling to Huntingburg, IN

• Three meals a day while at CHWC • All extra snack food and beverages

while at CHWC • Lodging while at CHWC • Required tools per student &

chaperones: Paint brush, paint roller cover, drop cloth, masking tape, paint trays, and paint scrapers.

• St. Mary of Vernon t-shirt • CHWC t-shirt • ALL Chaperone expenses throughout

the trip (including their CHWC Registration Fee)

STUDENT’S MISSION TRIP FEE DOES NOT INCLUDE:

• “Free Day” Expenses which could be your Entrance Fee to park or to whatever we decide to do. This is still to be determined.

• Lunch, snacks and beverages for the ride to/from Huntingburg, IN. Once we determine our “Free Day” activity, we will know how many meals you will need to purchase.

• Souvenirs—This could include t-shirts, music CDs, etc.

PERSONAL SAFETY TOOL LIST

Each person is required to bring the following items to CHWC. Please put them in a small

backpack and take them to your worksite. These tools will not be collected…..

*Small insulated water jug

*Safety goggles *Work gloves

*Mini facemask for scraping/painting

Early registration cost prior to February 3rd is $500. After February 3rd, the cost goes up to $550.

PAYMENT SCHEDULE

1ST NON-REFUNDABLE Payment is due ASAP .......... ……………………………..$100 SMV Parishioners applications will be processed beginning 12/6/16.

Non-SMV Parishioner applications will be processed beginning 1/12/17.

2ND NON-REFUNDABLE Payment is due March 31, 2017 ………………….…..$150

Last NON-REFUNDABLE Payment is due June 30, 2017 ……………….$250/$300 (This amount depends on the date of registration, if your parent coordinates a fundraiser, and the number

of fundraisers actually worked.) *If you end up being unable to attend the Mission Trip but we are able to get a

“replacement” for your spot, we should be able to refund your deposit.

FRIENDS & FAMILY DONATION REQUEST LETTER Dear ______________________: I hope this letter finds you well. I have an opportunity this summer, July 22nd to July 29th, to join St. Mary of Vernon’s Youth Ministry, as well as other churches and youth groups from around the United States, on a mission trip to Huntingburg, IN through Catholic Heart Workcamp. Let me briefly tell you a little about Catholic Heart Workcamp whose mission is twofold. First: To share the love of Jesus and serve the neglected, brokenhearted and marginalized in any way needed. The Catholic Heart Workcamp mission is to revitalize communities and beautify homes for the elderly, disabled and those who cannot afford needed repairs. Their goal is to inspire participants to serve in their local communities as well. Second: To empower participants to live as Disciples of Christ through serving others. To foster the spiritual growth of each participant through the sacraments, Catholic faith sharing and prayer. What I hope to personally gain from this mission trip is _______________________ . The cost for students to participate in the Mission Trip is $500/$550 per student depending on when I register. This includes a $100 deposit which I have paid in advance in order to hold my spot. Any additional funds which I raise will go towards the general mission trip expense fund which helps to pay for transportation (van rentals and gas), lodging, food/meals, camp T-shirts, work tools and various other miscellaneous expenses. If you would be willing to help sponsor me and the St. Mary of Vernon Catholic Church Youth Ministry 2017 Mission Trip, please make your check payable to “St. Mary of Vernon”, write “Mission Trip” and my name on the memo line, and mail to ST. MARY OF VERNON, ATTN: YOUTH MINISTER, 236 US HIGHWAY 45, INDIAN CREEK, IL 60061. Any donation is greatly appreciated. All contributions are tax deductible. As important as the financial aspect is, I will value your prayers even more – not only for me personally, but for all the participants of the St. Mary of Vernon Mission Trip, and for those we hope to serve. For more information about Catholic Heart Workcamp, please visit their website at www.heartworkcamp.com. Thank you for your prayers and support! --(Student Signature)--

FRIENDS & FAMILY DONATION REQUEST LETTER

RULES

1) If you receive more than $400.00 in donations, under no circumstances will these funds be returned to the student or parent. These funds will go towards the general Mission Trip account.

2) As stated in the Friends & Family Donation Request Letter, all donations should be mailed directly to St. Mary of Vernon from the donor.

3) Regardless of how much money is donated on your behalf, your $100 deposit will not be refunded.

4) Please do not include these RULES with your LETTER. They

are for your information. 5) If you have any questions, please talk to Jim Welch before

mailing the letter.

ST. MARY OF VERNON 2017 Summer Mission Trip APPLICATION CHECK LIST

Please use this check list to verify that your Mission Trip Application is complete prior to turning it in.

� Student Application- Completely filled out with parent and student signatures.

� Catholic Bishop of Chicago… Release of all Claims- Must be signed by a parent and student.

� Chaperone Application- Only submit if a parent would like to go on the Mission Trip as a

chaperone. The Front must be completely filled out and signed.

� For the Chaperone, a Catholic Bishop of Chicago… Release of all Claims- Must be signed by the chaperone wanting to go.

� Chaperones must also turn in a copy of their 1) Driver’s License 2) Auto Insurance card 3) Health Insurance card

� Fundraising Commitment Form- The form must be completely filled out, with the fundraisers

ranked 1-6.

� Payment Form- The form must be completely filled out with the method of payment clearly marked.

� Payment- Payment must be included. $100 non-refundable deposit due prior to March 31, 2017. If the application is submitted after March 31st, a non-refundable deposit of $250 is due.

An incomplete Application will not be processed until it has been made complete. If you have any questions, please email Jen Daniels (jdaniels@maryofvernon.org) or

Jim Welch (jwelch@maryofvernon.org)

ST. MARY OF VERNON

2017 Summer Mission Trip STUDENT APPLICATION

This year the cost is $500 per student, before February 3, 2017.

After February 3rd, the cost goes up to $550. This form, along with a $100 *non-refundable deposit is due at this time to hold your spot.

(If you end up being unable to attend the Mission Trip but we are able to get a “replacement” for your spot, we should be able to refund your deposit.)

Your second non-refundable payment of $150 is due before March 31, 2017 and your final non-refundable payment is due before June 30, 2017. Student Name:______________________________________________________________________

please print all information clearly Address:___________________________________________________________________________

(street) City:_________________________________________ State:________ Zip:__________________ Home Phone:____________________________ Student Cell Phone:__________________________ Student Email Address:_______________________________________________________________ Parent/Guardian Name(s):_____________________________________________________________ Mother’s Cell Phone:________________________ Father’s Cell Phone:________________________ Parent Email Address:________________________________________________________________ Student’s Age on July 22, 2017:_______________________ High School:_______________________________________ Current Year in School:____________ T-Shirt Size:_______ Current Parish: ________________________________________ I understand that there will be required fundraising events and pre-trip meetings for all CHWC participants to attend. I also understand that I am required to supply baked good to both bake sales even if I am not working a bake sale. Student Signature:_________________________________________ Date:________________ Parent Signature:__________________________________________ Date:________________

OVER

CATHOLIC BISHOP OF CHICAGO, A CORPORATION SOLE, AND ST. MARY OF VERNON RELEASE OF ALL CLAIMS

In consideration for being accepted by ST. Mary of Vernon, I (we) being

21years of age or older, do for myself (ourselves and for and on behalf of my (our) child-participant (if said child is not 21 years of age or older) do hereby release, forever discharge and agree to forever hold harmless St. Mary of Vernon, employees and agents thereof, from any and all liability, claims, demands for personal injury, sickness, death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned or the child participant resulting from said child’s participation in the St. Mary of Vernon Mission Trip, (including travel between the child’s home and the camp, free day activities, excursions from the camp and anytime spent at the camp). Furthermore, I (we) (and on behalf of our child-participant if under the age of 21 years) hereby assume all risk of said personal injury, sickness, death, damage and expenses as a result of participation as above set forth. Further, authorization and permission are hereby given to St. Mary of Vernon to furnish any necessary transportation, food, lodging for this participant. The undersigned further agrees to hold harmless and indemnify St. Mary of Vernon, employees and agents, for any loss claim, liability, damage, including property damage or injury whatsoever incurred by child-participant as a result of the negligent, willful or intentional acts of said participant, including reasonable attorney’s fees and other expenses incurred attendant thereto. If the participant has not attained the age of 21 years:

I (we) am (are) the parent(s) or legal guardian(s) of this participant, and

hereby grant my (our) permission for him (her) to participate fully in said St. Mary of Vernon Mission Trip, and hereby give my (our) permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including, but not limited to emergency surgery or medical treatment, and assume the responsibility of all medical bills. I give permission for my child to be transported in privately owned vehicles or in public transportation and for the release of medical records to an attending physician in case of illness. Further, should it be necessary for the participant to return home due to disciplinary action, for medical reasons or otherwise, I (we) hereby assume all hotel and transportation costs. I (we) am aware of no physical, mental or emotional problems, which would limit participation in the St. Mary of Vernon Mission Trip. I (we) am (are) fully aware of the nature of the St. Mary of Vernon Mission Trip. Neither the Catholic Bishop of Chicago, A Corporation Sole, not St. Mary of Vernon will be liable for loss or damage to property of participants prior to, during or following the work camp due to theft, fire, accident or any other cause beyond its control. MEDIA/PHOTO WAIVER: I hereby authorize and give my full consent to St. Mary of Vernon to publish any and all photographs, video or audio in which I/my child will appear in while attending the St. Mary of Vernon Mission Trip.

X____________________________________ X_____________________________________ Print Participant Name Print Custodial Parent Name

X___________________________Date_____ X___________________________Date______ Participant Signature Custodial Parent Signature

ST. MARY OF VERNON 2017 Summer Mission Trip

CHAPERONE APPLICATION

If you would like to be a chaperone/group leader on the 2017 Mission Trip to Huntingburg, IN from July 22-29, 2017, please complete and return this form to Jim Welch as soon as possible to hold your spot. Please attach to this form a copy of your Auto Insurance Card, Medical Insurance Card, and Driver’s License. Chaperones are asked to pay for the cost of their own meals; however, other expenses will be covered by Youth Ministry. Chaperone Name:_________________________________________________________________

please print all information clearly Address: _________________________________________________________________________

(street) City:___________________________________________ State:________ Zip:_______________ Home Phone:___________________ Cell Phone: ___________________ T-Shirt Size:______ Email Address:____________________________________________________________________

Have you completed the Archdiocese of Chicago…

Virtus training? YES NO Federal Background check? YES NO DCFS Background check? YES NO Code of Conduct Form? YES NO

Do you have a Mini Van/ Large SUV that you would be willing to drive to the camp with teenage passengers? YES NO If yes, please indicate year, make, model. I understand that there will be required pre-trip meetings for all CHWC chaperons/group leaders. Signed:_________________________________________ Date:________________

OVER

CATHOLIC BISHOP OF CHICAGO, A CORPORATION SOLE, AND ST. MARY OF VERNON RELEASE OF ALL CLAIMS

In consideration for being accepted by ST. Mary of Vernon, I (we) being

21years of age or older, do for myself (ourselves and for and on behalf of my (our) child-participant (if said child is not 21 years of age or older) do hereby release, forever discharge and agree to forever hold harmless St. Mary of Vernon, employees and agents thereof, from any and all liability, claims, demands for personal injury, sickness, death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned or the child participant resulting from said child’s participation in the St. Mary of Vernon Mission Trip, (including travel between the child’s home and the camp, free day activities, excursions from the camp and anytime spent at the camp). Furthermore, I (we) (and on behalf of our child-participant if under the age of 21 years) hereby assume all risk of said personal injury, sickness, death, damage and expenses as a result of participation as above set forth. Further, authorization and permission are hereby given to St. Mary of Vernon to furnish any necessary transportation, food, lodging for this participant. The undersigned further agrees to hold harmless and indemnify St. Mary of Vernon, employees and agents, for any loss claim, liability, damage, including property damage or injury whatsoever incurred by child-participant as a result of the negligent, willful or intentional acts of said participant, including reasonable attorney’s fees and other expenses incurred attendant thereto. If the participant has not attained the age of 21 years:

I (we) am (are) the parent(s) or legal guardian(s) of this participant, and

hereby grant my (our) permission for him (her) to participate fully in said St. Mary of Vernon Mission Trip, and hereby give my (our) permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including, but not limited to emergency surgery or medical treatment, and assume the responsibility of all medical bills. I give permission for my child to be transported in privately owned vehicles or in public transportation and for the release of medical records to an attending physician in case of illness. Further, should it be necessary for the participant to return home due to disciplinary action, for medical reasons or otherwise, I (we) hereby assume all hotel and transportation costs. I (we) am aware of no physical, mental or emotional problems, which would limit participation in the St. Mary of Vernon Mission Trip. I (we) am (are) fully aware of the nature of the St. Mary of Vernon Mission Trip. Neither the Catholic Bishop of Chicago, A Corporation Sole, not St. Mary of Vernon will be liable for loss or damage to property of participants prior to, during or following the work camp due to theft, fire, accident or any other cause beyond its control. MEDIA/PHOTO WAIVER: I hereby authorize and give my full consent to St. Mary of Vernon to publish any and all photographs, video or audio in which I/my child will appear in while attending the St. Mary of Vernon Mission Trip.

X____________________________________ Print Participant Name

X___________________________Date_____ Participant Signature

ST. MARY OF VERNON 2017 Summer Mission Trip

FUNDRAISING COMMITMENT

Student Name:____________________________________________ COMPLETE THE FUNDRAISING SIGNUPS: Please number each of these fundraising opportunities between 1 and 6, with 1 being your first choice and 6 being your last choice. We will try our best to accommodate your preferences based on when you submit this form. To receive the maximum $150 discount, you will need to complete 3 fundraising opportunities. You will receive an email letting you know, in advance, which 3 fundraisers you’ve been assigned. If you cannot work at your assigned fundraiser, a family member may sub for you. _______ Work at First Bake Sale after Mass weekend of February 11 & 12. Circle Mass preference: 5:00pm 7:45am 9:30am 11:15am

_______ Work at Second Bake Sale after Mass weekend of April 22 & 23 Circle Mass preference: 5:00pm 7:45am 9:30am 11:15 am

_______ Work at First Stock Certificate Sale after Mass weekend of June 3 & 4 Circle Mass preference: 5:00pm 7:45am 9:30am 11:15 am

_______ Work at Second Stock Certificate Sale after Mass weekend of June 10 & 11 Circle Mass preference: 5:00pm 7:45am 9:30am 11:15 am

_______ Work at St. Mary of Vernon Men’s Club Golf Outing on June 25 (2 hour shifts) _______ Work at Alpha Omega Car Wash during Mass July 9 (raindate July 16) Parent Name: ______________________________________________________

If you volunteer, and follow through as a Coordinator for one of these Fundraisers, you will receive a $50 discount on the Mission Trip cost.

I am willing to Coordinate one of the following fundraisers: Please rank your choices in order of preference.

_______ First Bake Sale, February 11 & 12

_______ Second Bake Sale, April 22 & 23

_______ First Stock Sale, June 3 & 4

_______ Second Stock Sale, June 10 & 11

_______ St. Mary of Vernon Golf Outing

ST. MARY OF VERNON 2017 Summer Mission Trip

PAYMENT FORM

Student Name:____________________________________________________________________________

please print all information clearly Address: ________________________________________________________________________________

(street) City:_______________________________________________ State:________ Zip:__________________ Home Phone:___________________ Parent Cell Phone: ___________________ Student Email Address:_____________________________________________________________________ Parent Email Address:______________________________________________________________________

St. Mary of Vernon must pay the full balance to the Catholic Heart Workcamp by May 1, 2017. If your teen backs out, we lose hundreds of dollars. For this reason, payments cannot be refunded unless someone else fills your teen’s spot.

I understand that the payments are non-refundable after each payment deadline, unless

another teen is found to fill my teen’s spot.

Parent’s Signature: _________________________________________ Date: ________________ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Paying by CREDIT CARD:

Please charge my: __Visa __MasterCard __AmEx __Discover Card #: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Name on Card: _________________________________________ Exp. Date: _________ Security Code: ___________ Auth. Signature: ____________________________________________________ Select which payments you would like charged.

__ $100 Non-refundable Deposit charged on date application is received ______________ Date __ $150 Non-refundable 2nd Payment charged on March 31, 2017 __ Non-refundable Final Payment charged on June 30, 2017 (Final Balances will be available by June 23rd)

There is an annual one-time service fee of $5.00 on your first credit card payment only.

Paying by CHECK:

___ Attached is a check in the amount of $__________

Date Received: ___________ Check #: ________

Balance Due: ___________

Paying by CASH:

___ Attached is cash in the amount of $__________

Date Received: ___________

Balance Due: ___________

FOR OFFICE USE ONLY

Payment # _____ Date Received: ________ Payment # _____ Date Received: ________ Payment # _____ Date Received: ________ CASH CHECK CREDIT Check #: ________ CASH CHECK CREDIT Check #: ________ CASH CHECK CREDIT Check #: ________ Amount: $__________ Amount: $__________ Amount: $__________ Balance: $__________ Balance: $__________ Balance: $__________