Mission 901Registration

Packet

DearFriend,

ThankyouforexpressinganinterestinMission901!OurchurchesareexcitedaboutthepossibilityofpartneringwithyouinourgreatcityofMemphis.Ifyoudecidetopartnerwithus,theministryroleyouwillplaywillgreatlyencourageourpastorsandthechurchestheylead.WewelcomeyoutocomeandhelpourchurchesengageMemphisintellingallthegoodthingsofGod!“That’swhyscriptureexclaims,Asighttotakeyourbreathaway!GrandprocessionsofpeopletellingallthegoodthingsofGod”(Romans10:15MSG)

Oursummerscheduleisalreadyfillingup,sopleaseletusknowassoonaspossibleifyouwouldliketopartnerwithusforMission901.Includedisinformationaboutus,theplansweoffer,andouravailableweeks.(alsoavailableonlineatwww.mission901.com).

Tosecureaweekforthesummer,faxormailtousthecompletedregistrationformassoonasyoucan.Wewillthenconfirmthedatesanddiscussyourministryroleandassignment.Youwillbepartneredwithachurch,andwillservewiththemfortheweek.Insomeinstancesitmaybenecessarytoaddsomeotherministrysitessuchasapartmentministries,ministrycentersoranotherchurch.Themajorityofyourservicewillbeevangelistic,buttheremaybeapossibilityofaworkteaminvolvedandthatwilldependonyourpartneringchurchandtheskillsandtalentsofyourteam.SomeoftheministryrolesmaybebackyardBibleclubs,VBS,blockparties,communitysurveying,sportscamps,prayerwalking,passingoutchurchpromomaterials,painting,etc.Yourpacketandthewebsitecontainasampleitineraryforyouthatwillbeverysimilartoyourministryweek.Youwillbestayingatachurch(mayormaynotbeyourhostchurch)unlessyouchooseoptionBforyourlodging.

Welookforwardtopossiblypartneringwithyou.

Servingwithyou,

DarlaRichardson

Mission901Director&NAMBMissionary

! ! ! ! ! ! ! ! ! ! ! Mission 901! ! ! ! ! ! ! ! ! ! ! 6896 US HWY 70! ! ! ! ! ! ! ! ! ! ! Bartlett, TN 38133! ! ! ! ! ! ! ! ! ! ! 901-373-6161! ! ! Taking the Gospel on Mission in the 901 901-373-2992 (Fax)! ! ! A ministry of the Mid South Baptist Association mmissi! ! ! ! ! ! ! ! ! ! ! Mission901@midsouthbaptist.com! ! ! ! ! ! ! ! ! ! ! www.mission901.com

Taking the gospel on mission in the 901

WhatWe’reAreAbout

Mission901isaministryoftheMid-SouthBaptistAssociationthatmatchesmissionteamswithourassociationChurchesinordertobeintentionalaboutourstrategyofstrengtheningandstartingnewchurches.

Mission901ispassionateaboutseeingthechurchlivingloudtheirfaithinwordanddeed.WenotonlywanttoseeMemphistransformed,butyourlifechangedasaresultofyourtriptoMemphis.

OurstrategyanddesireistoseeourMemphischurchesgrowingandreachingtheircommunitiesforthekingdom.Wewanttoseemoregreatcommissionchurchesstarted.WhenyoucomeandservewithourchurchesyouwillexperiencefirsthandwhatJesustaughtintheGreatCommission.“Asyougo,makedisciples,thatmeanswhereyoulive,andasyougoaboutyoureverydaylife.Thatalsomeanstointentionallygotootherplaces,whichinvolvestheActs1:8strategyofbeingHisdisciplesinJerusalem,Judea,Samariaandtotheendsoftheearth.TheendsoftheearthhavecometoAmerica,wherewehavemanynationsrepresented.InMemphiswehave45pluslanguagesrepresented.

OurvisionforMemphisisacitywheretheidealsofourfaitharelivedoutthroughservinginanurbanenvironmentinawaythatisauthenticandtransformingforusasindividualsandforusasacommunity.WewanttoseeyourlifetransformedasaresultofyourshorttermmissionjourneythroughMission901.

WewelcomeyoutocomeandhelpourchurchesengageMemphisintellingallthegoodthingsofGod!WepraywhenyouleaveyouhavemorepassionforyourownchurchandcityandwillbeequippedtotellallthegoodthingsofGod,asyougo!

“Everyonewhocalls,‘help,God!’getshelp.Buthowcanpeoplecallforhelpiftheydon’tknowwhototrust?Andhowcantheyknowwhototrustiftheyhaven’theardoftheOnewhocanbetrusted?Andhowcantheyhearifnobodytellsthem?Andhowisanyonegoingtotellthem,unlesssomeoneissendtodoit?That’swhyScriptureexclaims,Asighttotakeyourbreathaway!GrandprocessionsofpeopletellingallthegoodthingsofGod!(Romans10:13-15MSG)

Mission 901 Checklist for Summer of 2017

1. Enlist your church in prayer support.

2. Fax or mail to us the preliminary registration form and please indicate Plan A or Plan B.

3. Challenge and enlist youth and adult mission team participants.

4. Train mission team members in discipleship, ministry skills development, personal

evangelism, and group dynamics. We will have a Pre-Project Discipleship Curriculum

for you to take your group through. Remember the importance of physical conditioning

to your group as well. The ministry you will be undertaking is physically demanding and

will occur in an area of relatively high heat and humidity.

5. Raise monies a needed.

6. Return registration forms, group roster (including T-shirt sizes), and a $50 per person

non-refundable deposit as soon as possible. You will not be registered until we receive

your deposit. The balance of the cost is due upon arrival. The deposit is non-refundable

due to the fact that the money is used for the advance purchase of materials.

7. Have a time of Commissioning for your group prior to departure.

8. Check-in times each week will be from 3:00-5:00 PM Saturday at assigned church. (to

be determined before your arrival)

9. A time of Orientation and Fellowship will be held on Saturday at 6 p.m. or 7 p.m.

(depending on the Saturday your team arrives) at one of our local churches that all

groups must attend.

10. Come with an expectant heart to see God at work in and through you!

“Prayer does not just prepare you for the greater work, PRAYER is the greater work”

(Oswald Chambers)

Mission 901 Sample Itinerary 2017 Saturday arrive mid-afternoon in Memphis 3:00-5:00 Check in at designated place such as church or hotel meeting room pay final balance, get t-shirts, paperwork, instruction,etc. 6:00 Pizza Dinner 7:00 Orientation and Worship Session with Mission 901 staff 8:00 Small groups/Evangelistic Training led by Mission 901 staff 9:15 Adjourn for the evening

SUNDAY AM: Breakfast/ Devotionals Lunch at your church (or on your own if church is not providing) 1:00 Prayer Walk or Canvas neighborhood for weekly promotion of VBS or upcoming block party, etc 3:00 Tour of downtown Memphis tour/ /Civil Rights Museum (if open) 5:00 Dinner at Memphis BBQ place: Rendevous, Central BBQ, etc.

Alternative option: (with this option you can prepare your own sack lunch to take with you)

1:00 Lead and serve at Church Without Doors (only one church per/week) or other shelter/mission 3:00 Tour of downtown Memphis/or attend Civil Rights Museum (if open) 5:00 Dinner at Memphis BBQ place: Rendevous, Central BBQ, etc. 6:30-7:00 Return to hotel/church for group time devotions, etc.

MONDAY-THURSDAY AM Breakfast (on their own/or at hotel) 8:30 Begin ministry with your local or host focus church or church plant 12:00 LUNCH at ministry site or church 1:00 Afternoon Ministry Site: Multi housing bybc, sports clinic, or MAMS site, school site, church plant site, 4:00 Head back to church/hotel 5:00 DINNER (on their own or provided by their host church) 6:00-8:00 Monday & Tuesday Night (optional ministry night or group time) Ministry could be to lead and serve at Calvary Rescue Mission, or Memphis Union Mission, Beale street/downtown prayer ministry, or multi housing apartment ministry Wednesday Night Worship with local host church (if the church has a service) (If not, ministry time or own group worship time or free time

Thursday Night at 6:30 Closing Celebration and Worship

FRIDAY AM BREAKFAST Depending on ministry assignment will complete morning ministry (VBS, Bible Club, etc) and then free time in the afternoon to sight see. (Zoo, downtown, shopping, Bass Pro, etc)

SATURDAY: Depart for home

MISSION 901 SUMMER MISSION GROUP REGISTRATION FORM 2017

Make checks payable to:

Mid-South Baptist Association 6896 U.S. Highway 70

Bartlett, TN 38133-3812 Designate to: Mission901

Please complete this form in its entirety and mail with the deposit (you will not be registered until we receive your deposit) to:

Mission 901 6896 U.S. Highway 70

Bartlett, TN 38133-3812

Church Name:

Group Leader Name & Position:

Address: City, State, Zip Code:

Work Phone: Home Phone:

Cell Phone: Church Phone: Email: Fax:

Number of Adults: Number of Youth: Number of Children:

Total Participants (Adults, Youth, Children):

2017 Summer Mission Group Dates

Please indicate two choices of weeks you are interested in attending.

June 3-9 July 1-7 June 10-16 July 8-14 June 17-23 July 15-21 June 24-30

July 22-28

You will arrive on Saturday afternoon and depart the following Friday after morning ministry. You have the option of staying Friday for sight seeing and leaving Saturday morning.

Taking the Gospel on Mission in the 901

College Spring Break Mission Group Dates

Date: _____________________________ Will be determined based on your Spring Break Week

Schedule is completely flexible and customized based on your group needs.

Pre-Project Training It is recommended (but not required) that all Mission901 mission groups attend a Pre-Project Orientation. PPT begins Monday at 1 p.m. and concludes Tuesday at 11 a.m. Orientation materials will be provided for two leaders, but you may bring as many leaders as you wish. There is no cost for this training. You will be responsible for securing your own lodging and meals. Please indicate below which time that you plan to attend and how many leaders will be attending with you. (once confirmed, we will send a schedule)

Pre-Project Training Dates: February 6-7 February 20-21 Number in Attendance:

(Can be flexible and complete in one day)

Registration Fee Mission901 Registration Deposit per Mission Group Volunteer: $50.00 (This is a non-refundable deposit and is due with registration form.)

The remainder of your registration fee is due upon on arrival.

Mission901 has two options for lodging your summer mission group:

Option 1: $175.00 Option 2: $150.00 Registration Fee Registration Fee 1-T-Shirt 1 T-Shirt Name Tag/Lanyard Name Tag/Lanyard Devotional Guide Devotional Guide Pizza Dinner Pizza Dinner Celebration Dinner Celebration Dinner 5 Lunches 5 Lunches Water Bottle Water Bottle Six Nights Lodging at a Church** Six Nights Lodging at an Area Hotel (paid directly to

Hotel) **Churches provide floor space. Participants should bring sleeping bags, pillows, or air mattresses, if desired. Kitchen access and large group meeting space is available. Showers are available, but some may only have a few showers.

Mission 901- A ministry of the Mid-South Baptist Association 6896 U.S. Highway 70, Bartlett, TN 38133 Office: 901-373-6161 Fax: 901-373-2992 Email: mission901@midsouthbaptist.com

www.mission901.com

2017 MISSION 901 PARTICIPANT MEDICAL RELEASE FORM (PRINT, COMPLETE, AND BRING (2) COPIES WITH YOU TO MISSION 901 – DO NOT MAIL)

Group Name: ______________________________________________________________

Mission 901 Date of Week: ___________________________________

Participant Name: __________________________________________ Age _____ Date of Birth: ____/_____/______

Parent/Guardian Names _____________________________________________________________________________

Parent/Guardian Phone: __________________________________ / _____________________________________

Mailing Address: ___________________________________________________________________________________

City: ___________________________________________________________ State: ________ Zip: _______________

Emergency Contact Information: (Other than Parent/Guardian)

Emergency Contact Name: ________________________________________Relationship to Participant______________

Emergency Contact Phone: _______________________________ / ____________________________________

Family Physician ________________________________________ Phone: ___________________________________

Insurance Information:

Insurance Carrier: ________________________ Policy # _______________________ Phone: _____________________

Subscriber Name: ____________________________ DOB of Subscriber: ____/____/____ Subscriber # _____________

Place of Employment: _________________________ Occupation: __________________ Work Phone: ______________

Medical Information:

Date of Last Tetanus Immunization: __/___/_____ General Health: (check one) __ Excellent ___ Good ___ Fair ____ Poor If FAIR or POOR please explain _________________________________________________________________________ List any medical difficulties for which you are currently being treated___________________________________________ __________________________________________________________________________________________________ List any medicines or substances/food to which you are allergic: ______________________________________________ __________________________________________________________________________________________________ List any previous operations or serious illnesses:___________________________________________________________ __________________________________________________________________________________________________ List medications you are currently taking, including vitamins: (Prescription medications MUST have pharmacy label and name of doctor.) ___________________________________________________________________________________ __________________________________________________________________________________________________ PERMISSION TO TREAT AND PHOTO/VIDEO RELEASE I, the undersigned, do for myself (or for and on behalf of my child under 18 years of age) hereby release from all claims and forever hold harmless the staff, employees, and agents of the Mid-South Baptist Association, Bartlett, TN and any and all adult sponsors of this event from any nature incurred by injury or damage I (or my child under 18 years of age) may cause to suffer while participating and I agree to bear the costs of such injury or damage myself. I also understand that as a participant, my child may be photographed or videotaped during the normal MISSION 901 activities and these photos/videos may be used in promotional materials. I, the undersigned, do for myself (or for and on behalf of my child under 18 years of age) give permission for an attending medical personnel or physician to administer medical care if deemed necessary by the adult in charge during this activity.

______________________________________________ ________________________ Participant or Parent/Guardian Signature Date

Notarization: On this ___________ day of ______, __________, _______________________________ personally appeared (date) (month) (year) (Name of parent/guardian) before me in ___________________________ County (in the state of ___________________________) and, in my presence, signed this medical release form. Name of Notary Official: _________________________________ Signature: _____________________________________________ Commission Expires: ____________________________________

ASSUMPTION OF RISK For Adult/Youth Volunteers of Mission 901, d.b.a. Mid-South Baptist Association

I, ___________________________________________________, in consideration of (Please Print or Type Name Legibly)

my acceptance by Mission 901, d.b.a. Mid-South Baptist Association as a volunteer for

programs, projects, and mission activities, represent and agree that:

1. I (of my unaccompanied child/children, henceforth in this document referred to be inclusive

with the title “I”) am a volunteer worker, and acknowledge that I am not an employee of

Mission 901, d.b.a. Mid-South Baptist Association.

2. I am aware of the hazards and risks to my person and property associated with serving in this

volunteer capacity. Such hazards and risks include, but are not limited to, death or injury by

accident, illness, and random acts of violence. I accept my assignment with full awareness of

these risks, and I voluntarily assume all risks of death, injury, and illness; I further recognize

that such risks have always been associated with missionary service (2 Corinthians 11:23-28).

3. I attest and certify that I am physically fit and have no medical conditions that would prevent

me from performing my duties.

4. I waive any and all claims for damages, which I, or my heirs or successors, may have against

Mission 901, d.b.a. Mid-South Baptist Association arising from my death, illness, injury, or any

property damage or loss that I may suffer as a result of said assignment, from those causes

described above.

5. If I am an adult and in the event that I have minor children who will accompany me on my

assignment, I, acting both on my own behalf and in their behalf as their parent and/or legal

guardian, do hereby assume all risks of death, illness, or injury that they may suffer as a result

of said assignment, from those causes described above.

6. If I am an adult not accompanying my child/children on this assignment, I am signing my

signature for said minor child/children as their parent and/or legal guardian. I, acting in their

behalf do hereby assume all risks of death, illness, or injury that they may suffer as a result of

said assignment, from those causes described above.

7. I expressly waive any defense to the enforcement of any provision of this commitment arising

from a claim of lack of consideration and warrant that this commitment constitutes a legal and

binding obligation upon me, enforceable against me in accordance with its terms.

8. I expressly agree that this Assumption of Risk and indemnity agreement is intended to be as

broad and inclusive as permitted by law. I further state that: I HAVE CAREFULLY READ THE FOREGOING ASSUMPTION OF RISK AGREEMENT AND UNDERSTAND THE CONTENTS THEREOF, AND I VOLUNTARILY SIGN THIS RELEASE AS MY OWN FREE ACT.

______________________________________________________ _____/____/ _____ Legible Signature of Adult Volunteer (if volunteer is a minor, Parent and/or Today’s Date

Legal Guardian must sign here).

______________________________________________________ ____/ ____/ _____ Adult Witness – Legible Signature Today’s Date

MISSION 901 BACKGROUND CHECK INFORMATION AND FORM (PLEASE BRING FORM TO MISSION 901 – DO NOT MAIL)

CHILD PROTECTION PROGRAM: Mission 901 and Mid-South Baptist Association are committed to

providing a safe and secure environment for all children and youth that may participate in our

programs. All churches/organizations that bring children, youth, and adults to work in our summer

mission program are expected to have a proper and adequate child protection program in place and in

use for screening and protection against child abuse. All adult chaperones, leaders, and participants 18

years and older must have been screened and approved through your church/organization’s child

protection program, in addition to having verification of such screened available if requested. By

signing this document you re certifying on behalf of your church/organization that your

church/organization has an ongoing child protection program in place for screening and protection

against child abuse and that the program is being enforced.

Mission 901 Attending Date: ____________________________________________

The following people from ___________________________________________________

(Name of Church/Organization)

Located at ___________________________________________________________________

(Street Address) (City, State, Zip Code)

Have been cleared by background checks – performed by a professional company – to

accompany, chaperone, work with youth or participate in other activities at Mission 901 during

the week of __________________________________.

Any person who is found to have criminal convictions related to sexual offenses shall in no

case be permitted to attend Mission 901.

Name of Adult Indicate what person is doing: chaperoning, driving a vehicle, teaching

Bible Studies, etc.

Use more than one sheet if necessary. This form is certified by signature of pastor of the church, chairperson of deacons, head of

personnel committee, or other church staff or member in a leadership position.

Position in Church/Organization __________________________________________________

Print Name ___________________________________________________________________

Signature ________________________________________________ Date _____/____/_____

Mission 901 ● 6896 U.S. Hwy. 70 ● Bartlett TN 38133 ● www.mission901.com

MISSION 901 MISSION TEAM ROSTER FORM

Group Information Group Name: Group Leader: Group Leader Contact Info: Work Phone: Home Phone: Cell Phone: Email: Dates Attending: Approximate Group Size:

Participant Name M/F Age Shirt Size