2019 Mission Taiwan Glory CBC / Mission Harmony Kid s Place - USA Village 少年樂園美語村 for Taiwan Elementary Students

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1 Registration Airfare 2019 Mission Taiwan Glory CBC / Mission Harmony Kid s Place - USA Village 少年樂園美語村 for Taiwan Elementary Students 7/1-6 (Mon-Sat) 7/8-12 (Mon-Fri) Ping-Zhen camp (open) Miao-Li camp (full) Ping-Tung camp (Main / open) Fees: $250 for one camp for Adult Yi-Lan camp (full) Tai-Tung camp (open) $200 for Student (4 th G ~ College, seminary), $150 for 3 rd G and under $50 for Tai-Tung camp The registration/ camp fee should be paid by participant when registered. But may be refund when return form mission trip. Estimate round trip DFW-TPE is around $1600. Please book by participant. (MH free connect bus at TPE airport on Jun 30, 12:00 pm, or at Zuo-Ying 左營 HS railroad station on July 1, 12:00 pm) Traveling Document US passport, 90 days stay without visa of Taiwan; 6 days (144 hr) stay without visa for Beijing or Shanghai or Guangzhou. (Departure at the same airport of Arrival.) China passport, apply Taiwan entry permit for 15 days touring (Not Extendable) Lodging, Meal and Living Expense Funding Camp days (7/1-6 or 7/8-12) covered by registration fee. Taiwan local transportation fees and lodging, meal of other days will be out of participant s pocket. After Mission trip, registered team member may apply/ reimburse for a Tax deductible receipt up to $2000 with church short term mission reimbursement form and related receipts, which is regard to your contribution. (airfare registration/ camp fee three days living in Taiwan 300) Release Forms Every participant is requested to submit an Emergency Medical Release Form, a Short- Term Release of Liability, and a Short-Term Mission Trip Release of Liability for Minors if under 18.

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3 2019 Mission Taiwan Registration Form Participant personal information Name: (English) First Middle Last (Chinese) (Both name should be same as passport) Gender: M / F Date of Birth: (mm/dd/yyyy) School: Grade: Passport: issued country Number Contact (US): phone Address: Mission Taiwan Camp Option: (select one or two section) July 1-6, Pingtung Camp ( 屏東 ) Pingzhen Camp ( 桃園平鎮 ) July 8-12, Taitung Camp ( 台東 ) Registration Fee: July 1-6, USD / / July 8-12, USD Flight: (itinerary) Date of Depart from US Flight Date of Arrive Taiwan Flight Date of Depart from Taiwan Flight Contact info in Taiwan: Contact person name: Relationship Contact Cellphone Number: WeChat ID: LINE ID: Participant Signature: Date: Parent Signature: Date; (if participant under 18 years of age)

4 Emergency Medical Release Form Participants Name: Glory Chinese Baptist Church Short-Term Mission Teams and their appointed team leaders have my permission to authorize any medical treatment deemed necessary for me or my child by the aforementioned and the attending physician, including administration of medication, anesthesia, emergency surgery, or hospitalization. I agree to assume complete financial responsibility for all medical bills incurred by me or my child. I agree to assume total financial responsibility to travel home immediately if it is necessary for medical or any other emergency reasons. Signed: Parent s Signature (if under 18 years of age): And dated this day of, 20.

5 Short-Term Release of Liability In signing this form, I,, agree not to hold Glory Chinese Baptist Church, its officers, employees, or other agents liable for any injury, loss, damage, or accident that I might sustain while on a short-term missions event/effort. I realize and acknowledge that my participation on a mission trip to a foreign country includes risk and possible dangers. I am well aware that my travel to such a foreign country exposes me to such risks as accidents, disease, war, political unrest, injury from construction projects, and other calamities. I hereby assume any such risks that might result from my participation in any such missions project, and I unconditionally agree to hold Glory Chinese Baptist Church, its officers, employees, or other agents harmless for any liability concerning my personal health and wellbeing, or any liability for my personal property that might be lost, damaged, or stolen while on a short-term missions trip. I hereby expressly forever release and discharge Glory Chinese Baptist Church, its officers, employees, or agents from all such claims, demands, injuries, damages, or causes of action arising from any conduct on the part of Glory Chinese Baptist Church, its officers, agents, or employees. Signed: Parent s Signature (if under 18 years of age): And dated this day of, 20.

6 Short-Term Missions Trip Release of Liability for Minors In signing this form, I, the parent and/or legal guardian of (Team Member's Name), agree not to hold Glory Chinese Baptist Church, its officers, employees, or other agents liable for injury, loss, damage, or accident arising out of the church's negligence or that negligence of its officers, employees or other agents that I (and my minor children participating with me listed below) might sustain while on one of its mission trips to (Location of Trip) from (date) to (date). I realize and acknowledge that my (and my minor child's/children's) participation on a mission trip to a foreign country includes many risks and possible dangers. I am well aware that my travel to a foreign country exposes me to such risks as accidents, disease, war, political unrest, injury from construction projects, and other calamities. I hereby assume risks that might result from my travel to a foreign country, and I agree to hold Glory Chinese Baptist Church, its officers, employees, or other agents harmless for liability concerning my personal health and well-being arising out of Glory Chinese Baptist Church's negligence, and liability for my personal property that might be lost, damaged, or stolen while on a mission trip arising out of Glory Chinese Baptist Church's negligence. I also give permission for my child to travel with an assigned staff member from Glory Chinese Baptist Church outside the United States of America, and give that person permission to administer medical care in the case of an emergency. I have carefully read the foregoing and I understand that my signature herein holds Glory Chinese Baptist Church, its officers, employees, or other agents harmless for liability for injury, damage, loss, accident, delay, or irregularity in schedule arising out of the church's negligence or the negligence of its officers, employees, or other agent. Parent or Guardian's Signature: Date Minor Child/ Children Participating (under 18 years of age): Name Date of Birth