January 7 - 14, 2017 Baton Rouge Mission Trip chicagoareamissionpartnership.com

Chicago Area Mission Partnership

we exist to serve bywe exist to serve by

of those affected by crisisof those affected by crisis

restoring the spiritual & physical needs

The rains came down and the floods came up......and affected over 100,000 homes in the Baton Rouge, Louisiana area. You will be His hands/feet, ears/eyes, hearts/hugs as we help with the restoration of lives and living in Baton Rouge.

Construction: We are partnering with the newly created Camp Restore BATON ROUGE assisting in

debris removal and reconstruction. ALL SKILL LEVELS ARE NEEDED and WELCOME! If you are willing to

be flexible, learn, and share the love of Jesus Christ, then get registered!

Outreach: Volunteers will assist at local non-profits, work in various outdoor projects, and simply be

good listeners.

We will be working five days (Monday-Friday). Here is a typical work day: 6:45 am Breakfast at Camp Restore Baton Rouge 7:30 Depart for work sites Noon Lunch at work sites 4 - 5 pm Leave work sites 5:45 pm Dinner at Camp Restore Baton Rouge 7 pm Bible Study, Team Building, Team Meetings 8:30 pm Respite NOTE: Chicago Area Team Members will depart early-mid afternoon on Friday.

what is this trip all about?what is this trip all about?

what type of work will we do?what type of work will we do?

what is typical day like?what is typical day like?

who can sign up for this trip?who can sign up for this trip? This trip is open to everyone age 18+. One need not be a skilled carpenter to be a useful member of the mission team. A willingness to work is the most important qualification!

A few qualifiers for each mission team member:

Must complete the four (4) registration and release forms included in this booklet and mail along with a check for trip charges to St. Matthew Lutheran Church in Barrington by December 10, 2016.

Must have received a tetanus shot in past ten years. Must have proof of medical insurance or sign a waiver provided by CAMP.

(Yep…..we know there is redundancy in the registration and release forms, but all entities need their own, so it’s important you fill out all forms completely. Thanks for your understanding.)

Camp Restore BATON ROUGE is a large converted house that accommodates a maximum of 50

guests using top and bottom bunks in traditional bedrooms that have been converted to gender specific bunk rooms. Camp Restore BR also has a dining area, small TV area, and traditional house-type kitchen. Multiple bathrooms and a shower trailer provided by Orphan Grain Train are also available.

Continental Breakfast served each morning at 6:45 a.m. (No hot entrees)

Lunches consisting of cold meat/PBJ sandwiches, chips, and fruit will be packed each morning and taken to the job site. Volunteers are encouraged to bring a water bottle to take to the job site, as well as personal snack items.

Dinner is prepared at Camp Restore BR and served at 5:45 p.m. in the dining area. Please note any dietary restrictions on your registration form.

In order to keep Camp Restore BR clean, volunteers will assist with meal-prep and clean-up. For each meal, volunteers will help set up, prepare, serve, and assist in clean-up. Meal prep and clean-up doesn’t take long and shouldn’t interfere with your work day or evening plans.

NEW INFO! NEW INFO! where do stay and eat?where do stay and eat?

Chicago Area Team Members Driving -- Camp Restore: $350. Includes 7 nights lodging (dual occupancy to/from Chicago in hotels), 6 breakfasts, 5 lunches, 5 dinners, fuel/tolls, devotional materials, and administrative costs. Bring extra money for your meals to and from Baton Rouge.

FRIENDS FROM ACROSS THE COUNTRY driving and staying at Camp Restore: $210. Includes 5 nights lodging (Sun - Thurs) and all meals at Camp Restore, devotional materials, and administrative costs.

FLYERS from all areas staying at CAMP RESTORE: $210. Includes 5 nights lodging (Sun - Thurs) and all meals at Camp Restore, devotional materials, and administrative costs.

All volunteers should bring extra money for one dinner night out during the week.

how much does it cost?how much does it cost?

how do I register?how do I register? Complete the four registration and release forms included in this booklet and mail along with your

check payable to St. Matthew Lutheran Church. Mail to: St. Matthew Lutheran Church, Attn: Baton

Rouge Trip, 720 Dundee Ave, Barrington, IL 60010 Registration Deadline December 10, 2016.

Please note “Baton Rouge” in the memo section.

what happens after I register?what happens after I register?

Watch your e-mail -- more information coming your way!

how do we get to Baton Rouge?how do we get to Baton Rouge?

CHICAGO AREA TEAM MEMBERS will depart via a coordinated car pool from Immanuel East Dundee with a Saturday night hotel stop in greater Memphis. Chicago area team members will depart from BR by mid-afternoon on Friday with hotel stop in Hayti, MO before departing at leisure for home on Saturday. It is necessary that we have vehicles in Baton Rouge to get work teams to job sites, so please consider driving your vehicle.

Fuel and tolls will be reimbursed. Teams traveling separately from the caravan are asked to be at Camp Restore Baton Rouge Sunday, January 8 by 5:00p CST for dinner and opening devotions. If you chose to fly, please make transportation arrangements to and from Camp Restore. Flight and transportation costs are at your expense.

FRIENDS FROM ACROSS THE COUNTRY: We look forward to seeing you in Baton Rouge! Please plan to be at Camp Restore on Sunday, January 10 by 5:30p CST. Your travel expenses are not covered in the trip cost and have been subtracted accordingly. (see How much does it cost?)

Contact one of the following:

Shelly Davidson -- sdavidson@immanuelcl.org

Pastor Phillip Baerwolf -- pbaerwolf@immanuel-ed.org

John Kelly -- jkelly@ottosenbritz.com

Lark Sanders -- larkn5@sbcglobal.net

You will receive more information after registering.

Bring basic hand tools for construction (see below). You are welcome to bring additional specialized tools, but it is

not necessary.

BRING: Utility knife, tape measure, hammer, pencil, dust masks, safety glasses, work gloves, sunscreen

HELPFUL, BUT NOT REQUIRED: Circular saw, framing square, T-square, recip saw, drill/battery/charger, chalk line

SATURDAY, DECEMBER 10, 2016: Registration deadline AND full payment

due for January 2017 trip to Baton Rouge!

Make check payable to St. Matthew Lutheran Church.

IMPORTANT: Note “Baton Rouge” in memo section.

You will receive a complete listing in the trip handbook….here are a few highlights:

Personal items and toiletries—think small and portable. Travel sizes are a good idea. (contact lens

solution and extra pair of contacts, glasses, soap, shampoo, hair products, razor, toothbrush/paste, etc.)

Medications --including pain relievers. First-Aid kit will be on site.

Appropriate attire for doing manual labor. Think layers. Temperatures can vary greatly.

Shower shoes

Work gloves, Safety glasses and simple masks to cover your mouth and nose.

Ear plugs--there will be snoring!

Spending money for meals to and from Baton Rouge, dining in the city, misc expenses

Bedding: sleeping bag (or sheets/blanket) and pillow (Camp Restore does not provide linens for the twin

sized beds). A fitted twin sheet is highly recommended.

Wash cloth and towel

do I need to bring tools?do I need to bring tools?

what else do I need to bring?what else do I need to bring?

questions? registration deadline?questions? registration deadline?

VOLUNTEER REGISTRATION -- Baton Rouge

Chicago Area Mission Partnership, Barrington, IL

Arrival date: January 8, 2017 Departure date: January 13, 2017

Name:_______________________________________ Date:_______________

Address:______________________________________________ Birthdate:___________________

City:__________________________________ State:___________ Zip:___________

Telephone #:__________________________ Cell #:________________________________

E-mail address:_________________________________________________________

Home Church: _________________________________ City: __________________ State:________

Medical Information and History: Please check or list any allergies you have:

____Penicillin ____Asthma ____Hay Fever ____Poison Ivy ____Insect Stings

Food: ______________________________ Other: ________________________________________________

What special treatment might you need for these conditions?

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

Date of your last tetanus __________________ (must be within last 10 years)

Please list any medications you take daily or on a regular basis.

_____________________________________________________________________________________

_____________________________________________________________________________________

List any specific activities that should be limited or excluded from your experience:

_____________________________________________________________________________________

List any food allergies or special dietary needs:

________________________________________________________________________________________________________

Medical insurance carrier____________ ______________ Policy or Group Number _________________________________

Please make a copy of your insurance card and attach to this form.

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(Complete this form and mail to St. Matthew Lutheran Church, 720 Dundee Ave, Barrington, IL 60010)

LAST NAME: ____________________________ FIRST NAME: ________________________

Chicago Area Mission Partnership -- January 7 - 14, 2017

SKILLS ASSESSMENT Indicate your skill level using the following criteria:

0 = I am unable to do or am not interested in this skill

1 = I don’t know how but am willing to learn/try

2 = I have done it before but still need help

3 = I can do a good job by myself

4 = I can do a good job and can guide/teach others

5 = I am licensed in this area

_____ Concrete-forming/pouring/finishing

_____ Masonry-block/brick

_____ Electrical

_____ Heating/cooling HVAC

_____ Rough carpentry-framing and repairs

_____ Finish carpentry-doors, install cabinets, trim etc.

_____ Roofing

_____ Hanging or Finishing drywall/sheetrock

(please circle H, F, or both)

Community OUTREACH Projects

An opportunity to work and witness with locals working to rebuild our community. Please place a check next to areas you’re interested in.

______ Service - Involves jobs that support the work of small missions throughout the Baton Rouge area. Volunteers have repaired playground equipment, stuffed backpacks for the needy, completed general maintenance tasks, and small facility improvement projects.

______ Human Care - For disaster survivors, telling their story is a vital part of recovery. Reflect Jesus as you serve, listen and witness at the following types of sites: Nursing homes ~ Child-care centers ~ Youth Centers ~ Homeless Shelters

______ Environment - All environmental sites involve working outside. The work may involve grass cutting, harvesting and planting grass along the bayous or marshes, and maintenance work in public parks & cemeteries.

______My check payable to St. Matthew Lutheran Church is enclosed and BATON ROUGE MISSION TRIP is written in the memo section.

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(Complete this form and mail to St. Matthew Lutheran Church, 720 Dundee Ave, Barrington, IL 60010)

_____ Siding-vinyl, aluminum, wood (circle type of experience)

_____ Painting

_____ Plumbing

_____ General handyman/woman

_____ Floor coverings - carpet, linoleum, vinyl, hardwood, tile

(circle type of experience)

_____ Equipment operator- specify________________________

_____ Other- specify____________________________________

Chicago Area Mission Partnership, Barrington, IL -- PARTICIPANT LIABILITY RELEASE

The statements below MUST be signed in order to participate:

I,________________________________________________, acknowledge and state the following; I have chosen to travel to the work site to perform cleanup/construction work in disaster response. I understand that this work entails a risk of physical injury and often involves hard physical labor, heavy lifting, and other strenuous activity; and that some activities may take place on ladders and building framing other than ground level. I certify that I am in good health and physically able to perform this type of work. I understand that I am engaging in this project at my own risk. I understand that this is a “grass roots” activity to support individuals adversely affected by the disaster. I assume all risk and responsibility for any damage or injury to my property or any personal injury, which I may sustain while involved in this project. In the event that Chicago Area Mission Partnership arranges accommodations, I understand that they are not responsible nor liable for my personal effects and property and that they will not provide lock up or security for any items. I will hold them harmless in the event of theft resulting from any source or cause. I further understand that I am to abide by whatever rules and regulations may be in effect for the accommodations at the time. By my signature, for myself, my estate and my heirs, I release, discharge, indemnify and forever hold the churches represented by the Chicago Area Mission Partnership and the Board of Directors of the Chicago Area Mission Partnership together with their officers, agents, servants, and employees, harmless from any and all causes of action arising from my participation in this project, and travel or lodging associated therewith, including any damages which may be caused by their own negligence.

Signature:________________________________________________ Date: _______________________

This Medical Information and History included with the completed Volunteer Application is correct, so far as I know, and I can engage in all activities during the Baton Rouge, LA Mission Trip on January 7-14, 2017.

Signature: _______________________________________________ Date: ________________________

Emergency Authorization: I hereby give permission to an adult leader for the Baton Rouge, LA Mission Trip on January 7-14, 2017 to seek medical attention for me in the event of an emergency. If my next of kin or emergency contact cannot be reached to authorize treatment, I also give consent for said adult to order X-rays, routine tests, and treatment from me. I hereby give permission to the medical personnel selected by the adult leaders to hospitalize, order necessary related transportation, secure proper treatment for, and to order injection and/or anesthesia and/or surgery for me.

Signature: ________________________________________________ Date: ________________________

Legal Release: I release and forever discharge the churches represented by the Chicago Area Mission Partnership and the Board of Directors of the Chicago Area Mission Partnership their agents, servants, employees and other representatives against loss from any and all present or future claims, demands or damages and causes of action either at law or in equity that I may have as a result of my participation in, and attendance at, the Baton Rouge, LA Mission Trip on January 7-14, 2017. Furthermore, I do hereby expressly stipulate, and agree to indemnify and hold forever harmless the churches represented by the Chicago Area Mission Partnership and the Board of Directors of the Chicago Area Mission Partnership their agents, servants, employees and other representatives against loss from any and all present or future claims, demands or action in law or in equity that may hereafter be made or brought by me or my family, by anyone on behalf of me or my family, or by anyone else on their own behalf for damages or any other legal or equitable remedy on account of any injury, illness, physical condition, inconvenience, or loss sustained by me during the service trip or travel to or from the same. I, the undersigned, herby acknowledge that I have read the foregoing, understand its contents and have signed the same as my own free act:

Signature: ______________________________________________ Date: _______________________

Photography Release: I release the rights to all photos taken of (your name)__________________________________ to the Chicago Area Mission Partnership. Pictures will be used only for promotion of future mission activities related to Chicago Area Mission Partnership mission trips.

Signature: _______________________________________________ Date________________________

3 (Complete this form and mail to St. Matthew Lutheran Church, 720 Dundee Ave, Barrington, IL 60010)

Phone: 1-888-248-2636 Trinity Oaks Retreat; 15160 S. Harrells Ferry Road

Fax: 504-242-5885 Baton Rouge, LA 70816

(Please print clearly) VOLUNTEER INTAKE FORM (Required for all volunteers)

CHICAGO AREA MISSION PARTNERSHIP ~ Barrington, Illinois

Arrival: January 8, 2017 -- 3 pm Departure: January 13, 2017 -- 3 pm

Group Leaders: Pastor Phillip Baerwolf, Shelly Davidson, Lark Sanders, John Kelly

Volunteer Name: _____________________________ __________________________ Birth Date: ____/____/____

Address: ____________________________________ City & State: ____________________________Zip:_______

Home Phone: ( ) Work: ( ) Cell: ( )_________________

Email: _______________________________________________________

Male Female Youth 16 to 18 years old Youth 13 to 15 years old

I am a member of Thrivent Financial for Lutherans

I am part of a church. Denomination: _________________________LCMS/ELCA Congregation: ______________________

I have previous mission trip/volunteer experience (where/when) _____________________________________________________

Photo/Audio/Video Release

I, the undersigned, hereby give permission for audio and visual images of me and/or my child under age 18, captured during regular Camp Restore activities

through audio, photo and/or video recording means, to be used solely for the promotional material, multimedia and publication purposes of Camp Restore and RAI Ministries.

Volunteer Initials: ______ Parent/Guardian Initials (for those under 18): ______

Participant Liability Release I, the undersigned, acknowledge and state the following: I have chosen to perform community and/or construction projects in the Baton Rouge, LA area as a

volunteer.

I understand that this work entails a risk of physical injury and may involve hard physical labor, heavy lifting and other strenuous activity, work around mold, and that some activities may take place on ladders and building framing other than ground level. I will only work within my physical capabilities. I certify that I am in good health and physically able to perform this type of work.

I understand that I am engaging in this project at my own risk. I assume all risk and responsibility as well as related costs and expenses for any damage or injury to my property or any personal injury, which I may sustain while involved in this project.

I understand that Camp Restore will not be held responsible or liable for my personal effects and property, including property kept in lockers. I will hold them harmless in the event of theft, or for loss resulting from any source or cause. I further understand that I am to abide by camp policies and instructions in effect for my accommodations during the trip.

I understand the need for confidentiality and will not discuss, photograph or otherwise disclose identifying information about families at construction sites or individuals associated with community project sites without the express permission of said individuals. This includes any reference to names, addresses, or other identifiable information.

By my signature, for myself, my estate, and my heirs, I release, discharge, indemnify and forever hold Camp Restore, its parent RAI Ministries and all affiliated churches, facilities and organizations, together with their officers, agents, servants and employees, harmless from any and all causes of action arising from my participation in this project, including travel or lodging associated therewith.

Volunteer Signature: ___________________________ Date: ___/____/______

Parent/Guardian Signature: _____________________ Date: ___/____/_______

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