CONGRATULATIONS!

You have been accepted to join one of our Mission Teams! We are so excited at the possibility of working with you in the future and sharing in the work of expanding the Kingdom together.

Now that you have been accepted, there are a few more steps that you will have to take before you are officially a member of one of our teams. In this packet you will find a number of different documents that you will need to fill out. These are solely for the use of our office and will be kept confidential. In addition to these forms, there are a few other tasks that you will need to do as well.

By filling out these forms and completing these tasks, you are committing to be a member of one of our teams. However, your spot on a team is not reserved until we have received this completed form. Once we have the completed form we will place you on a team that currently has space available. Then we will enter your name as an official team member and all of the policies you have read and agreed to will go into effect.

Please remember, once you have sent in your form, you have officially committed to the trip. Therefore, as you are filling this out, take the time to prayerfully consider what you are agreeing to. This is a big commitment and should not be taken lightly.

Feel free to call our office at any time with any questions or concerns you may have. We would love to talk with you! Congratulations again and we look forward to hearing from you soon! 

Blessings,

Clayton King Ministries & Crossroads Missions

go@claytonkingministries.com

Applicant's Full Name *
Applicant's Full Name
as appears on passport
Address *
Address
Street, City, State, Zip
Birth Date *
Birth Date
Home
Home
Cell *
Cell
Parent/Legal Guardian
Parent/Legal Guardian
if under 18
Parent/Legal Guardian
Parent/Legal Guardian
Emergency Contact *
Emergency Contact
Emergency Contact *
Emergency Contact
MEDICAL INFORMATION
If yes, please explain.
If yes, please list.
If yes, please list.
dT-diphtheria, tetanus, MMR-measles, mumps, rubella, and polio
Insurance Information
Physician's Name
Physician's Name
Physician's Number
Physician's Number
Provider Number
Provider Number
Liability
I, the undersigned, desiring to visit foreign countries or stateside with Clayton King Ministries, Inc. d/b/a Crossroads Worldwide (“Crossroads”) and participating in a mission campaign orga- nized by Crossroads, do hereby release and forever discharge Crossroads and its respective members, employees, officers, participating missionaries and their agencies and representatives from any and all claims for any and all injuries, loss and damages I might incur in any way relating to such campaign, without limitation, including my stay. The Directors of Crossroads are Chris- tians and believe that the Bible commands them to make every effort to live at peace and to resolve disputes with each other in private or within the Christian Church (Matt. 18:15-20, 1 Cor. 6:1-8). I acknowledge that the trip on which I am participating is a short-term Christian mission trip. Therefore the parties agree that any claim or dispute arising from or relating to this RELEASE shall be settled by biblically based mediation and, if necessary, legally binding arbitra- tion in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation. Judgment upon an arbitration award may be entered in any court other- wise having jurisdiction. The parties understand that these methods shall be the sole remedy for any controversy or claim arising out of the RELEASE and expressly waive their right to file a lawsuit in any civil court against one another for such disputes except to enforce an arbitration decision.
Medical
I give Crossroads and its representative(s) on any such trip authority to request and authorize medical and/or hospital treatment for the individual this release form is intended to represent in the event of any injury or sickness sustained while on such trip, without limitation, while traveling to and from the trip destination. I agree to pay for all such treatment and to reimburse Cross- roads for all costs and expenses incurred by it with respect to such treatment.
Enter the name of the country of which you intend to travel to.
Enter the beginning and ending trip dates below. MM/DD/YY
Parent/Legal Guardian/Adult team member Name:
Today's Date *
Today's Date
Financial Policies & Guidelines
• Crossroads Worldwide/Clayton King Ministries is a 501C3 non-profit organization. All donations are tax deductible and donors will receive statements of giving at the end of the calendar year. • The trip costs are non-negotiable. • Individuals who do not meet the financial goals before the last assigned date will not be permitted to travel. • The trip deposit (a minimum of $20) is required via debit/credit card or e-check as ‘Donation’ before an individual will be considered a participating team member. This deposit is non-refundable. • If a participant decides to cancel their trip registration no payments or donations will be reim bursed to the participant or donor for any expenses paid on their behalf. However, if no trip expenses have occurred then the trip deposit and any other funds raised will be held in account of up to but no longer than one year for a future trip. The deposit can also be trans ferred to another individual as their deposit. • After one year, any monies held in account will be absorbed back into the ministry and used toward other missions or ministry purposes. • Crossroads reserves the right to discern how all funds exceeding trip costs are used. • Reimbursements can be issued only to the ORIGINAL DONOR per their written request. • If there is an overage in your account, reimbursements may be given for trip related expenses (i.e. passports, visas, supplies, etc.) only if Crossroads is presented with a receipt before the start date of your trip. No reimbursements will be given after the trip check in date. • Should a trip be cancelled by Crossroads or the partnering overseas ministry, all monies will be held in account until the trip is rescheduled or the individual donors request a refund.
Parent/Legal Guardian/Adult Team Member Signature
Balance Payment Agreement
By signing below you are agreeing to pay all monies owed for your upcoming Mission Trip with Crossroads & Clayton King Ministries Our policy states that your account must be paid in full before the time of your balance deadline (30 days prior to departure). If you have not provided full payment by the time of the trip dead- line, you agree to provide the balance due to Crossroads through the use of the payment method that you will use to pay your registration fee. For all paying entities: In the event that you have not paid your balance by the due date, your payment method will be charged at the end of the business day on the day of your final balance deadline (if that payment method on file is a credit/debit card, the final fee will include a 2% service charge to cover our processing fees). Unfortunately, this is the only way that we can allow you to be a participant on this trip. Thank you for being diligent in support raising. *If you are traveling in a group and your group leader is responsible to collect payment, then you are agreeing to pay such expenses to him/her by the trip deadline. *If you are traveling as an individual, then you are agreeing to pay such expenses to CKM directly by the trip deadline
Parent/Legal Guardian/Adult Team Member Signature
Financial Contract
By signing below, I am committing 100% to the Mission Trip for which I am registering. If for some reason, I must back out, I understand that I will be held financially responsible for all expenses that have already been incurred and I agree to pay such expenses to Crossroads Worldwide* by the trip deadline. I have read all training documents provided to me by Crossroads Worldwide. I agree to submit first and foremost to the authority of Christ in my life and to the principles and policies set forth by Crossroads Worldwide for this mission trip. *If you are travelling in a group and your group leader is responsible to collect payment, then you are agreeing to pay such expenses to them by the trip deadline. *If you are travelling as an individual, then you are agreeing to pay such expenses to Crossroads Worldwide directly by the trip deadline.
Parent/Legal Guardian/Adult Team Member Signature