Application for IEB Homes of Hope trip March 7 - 10, 2025

Thank you so much for your interest in a trip with The Project 143 Foundation!
 
Here are some instructions for you.
 1.  Fill out this short application.
 2.  Upon completion of this application, there will be a link to a .pdf with trip information.  If you are unable to access this document for any reason, we will email it to you.
 3.  Pay for your trip by going to www.Project143Foundation.org/donate.  Select IEB Homes of Hope March 2025.  The cost is $1850/person.  A breakdown of costs can be found in the info document.
 4.  A $500 deposit (per person) is due within 3 business days of submitting your application.  The full amount is due by Feb 7, 2025.
 5.  Book your flight to San Diego.  You must be in San Diego by 1pm on Friday, March 7.
 6.  Book your hotel if you wish to stay Monday March 10 (hotel info will be sent soon).  The hotel stay is optional.
 7.  Be sure to upload your logo (on this form) so we can include it on the back of our trip t-shirt.
 8.  If you have any questions, please refer them to our trip coordinator, Beverly Neal at bneal@nhwc.org.
 9.  Don't worry if you can't remember all this info - it will be repeated in your confirmation email!
10.  Get excited for a trip that will change your life!
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Each person attending must fill out a separate application!

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T-shirt Size *

Company Information

Affiliation to above named Company *
 

Health Information


Liability Release

                                                           

The Project 143 Foundation will make every reasonable effort to guard the health, safety, and welfare of the participants in all activities and/or service trips. Despite these efforts and the precautions taken, it can be anticipated that an emergency, sickness, or injury could possibly occur.

The Project 143 Foundation, nor any employee, nor any agency collaborating with the our foundation shall be responsible or liable for any injury, loss, damage, deviation, delay, curtailment, or illness which may occur during any part of our programs. We request that each participant carry appropriate medical and liability insurance to cover themselves in case of emergency.

                            

PLEASE READ CAREFULLY. THIS RELEASE AGREEMENT INCLUDES A COMPLETE RELEASE OF ALL CLAIMS OF PARTICIPANT AGAINST YWAM SDB AND ANY COMPANY RELATED TO OR SPONSORING THE PARTICIPANT ACKNOWLEDGES THAT HE/SHE HAS BEEN ADVISED TO ENGAGE LEGAL COUNSEL TO REVIEW THIS AGREEMENT.

INCLUDED IN THIS RELEASE AGREEMENT:

  • Release of Liability
  • Swimming Warning
  • Image Release
  • Consent for Medical Treatment
  • Covid-19 Release
  • Safety Guidelines

Release Agreement

The individual named below (referred to as "I" or "me") desires to participate in certain activities, including, but not limited to, home building, training, and community outreach (each, an "Activity") sponsored by Youth With A Mission San Diego/Baja Inc. (“YWAM SDB”). In consideration of being permitted by YWAM SDB to engage in the Activity and the intangible value that I will gain by participating in the Activity and in recognition of YWAM SDB’s reliance hereon, I agree to all the terms and conditions set forth in this Release of Liability and Assumption of Risk (this "Release").

Release of Liability

I have been informed of the above activity sponsored by YWAM SDB and I hereby voluntarily consent to participate in this activity. I understand all reasonable safety precautions will be taken by the leaders of this activity, and I acknowledge that the possibility of an unforeseen hazard does exist. In consideration of YWAM SDB organizing, arranging and permitting me to attend and participate in the event described above and any related activity, I hereby waive all rights which I may now have or which may accrue in the future against YWAM SDB its respective chapters, directors, officers, employees, agents and members (collectively “YWAM SDB Representatives”), and I hereby release and discharge YWAM SDB and the YWAM SDB Representatives from all liability, and agree to indemnify and hold YWAM SDB and the YWAM SDB Representatives harmless from and against all liability for any and all actions, damages, causes of action, suits, costs, losses, expenses, claims, demands, damages and judgments (collectively the “Losses and Claims”), which I, my spouse, family members, children, invitees, heirs, executors, successors, administrators and assignees, now have or hereafter may have resulting from or arising in connection with my travel to, attendance at or participation in the YWAM SDB event or any related activity. I acknowledge certain legal rights against YWAM SDB or the YWAM SDB Representatives may be available now or in the future as a result of any Losses and Claims, and that by executing this waiver and release of liability, I am forever relinquishing those rights against YWAM SDB and the YWAM SDB Representatives. I acknowledge that no promises, representations, or affirmations of fact were made to me by YWAM SDB or the YWAM SDB Representatives concerning the safety of the event or related activity, the security precautions taken in sponsoring the event, the relative safety or danger associated with traveling to the event or participating in any activity or outing related to, or connected in any way to the event. I affirm that I have read and understand the foregoing provisions of this Release of All Claims, Waiver of Liability, Assumption of Risk and Indemnification Agreement and I accept its terms as a condition to my attendance at that event.

Swimming Warning

It is recommended that you do not swim at the beaches in Mexico. Although the beaches are nice and enjoyable, there can be strong rip currents, and even good swimmers can find themselves needing help getting pulled out of the water. With strong currents and riptides, those not used to the ocean can panic and not know what to do making it harder to get them out of the water. Normally there are no lifeguards at the swimming beaches and risk is assumed by each individual entering the water. Sanitation can also be an issue as the ocean can be polluted with sewage runoff for three days or longer after any rainfall. This recommendation is the same at the beaches from Imperial Beach, California, southward. YWAM SDB’s recommendation is that if you do go to the beach you enjoy the views and ocean breezes and stay out of the water. Because of the safety concerns with swimming will not have organized and scheduled swimming times in the program schedule.

Image Release 

I hereby grant permission and consent to YWAM SDB, its members and agents, to take any photograph, video, and/or digital footage under any legal condition. This includes photos taken both on and off campus or any outreach location in the U.S. or abroad.  I hereby grant permission for any such media to be used for presentation under any legal condition including but not limited to: publicity, copyright purposes, illustration, advertising, exhibits/displays, stock photography, human-interest stories and web content. I further permit YWAM SDB San Diego/Baja to use, copy, or modify such images or recordings without restriction to copyright the same. I hereby release YWAM SDB San Diego/Baja, its members and agents, from all claims and liability related to these images and recordings.

Payment: I understand there shall be no payment for this release.

Royalties: I understand that no royalty, fee, or other compensation shall become payable to me by any reason of such use.

Revocation: I understand that with my authorization any such media as aforesaid may never be revoked.

Consent for Medical Treatment

In case of a medical emergency, I hereby give YWAM SDB permission to authorize any emergency medical treatment by a physician or nurse as he or she may deem necessary. I authorize the YWAM SDB staff to use their best judgment in managing unforeseen medical emergencies that may arise while on this mission trip. 

COVID-19 RELEASE OF LIABILITY AND ASSUMPTION OF RISK

  1. I am aware and understand that the Activity is a potentially dangerous activity and involves the risk of serious injury, disability, death, or property damage. I am also aware of the contagious nature of bacterial and viral diseases including the novel coronavirus disease COVID-19 (“COVID”) and the risk that I may be exposed to or contract COVID by engaging in the Activity, which may result in serious illness, personal injury, disability, death, or property damage. I acknowledge that these risks may result from or be compounded by the actions, omissions, or negligence of YWAM SDB employees or others, including negligent emergency response or rescue operations of YWAM SDB. I understand that while YWAM SDB has implemented measures to reduce the risk of injury from the Activity and the spread of the Disease, YWAM SDB cannot guarantee that I will not be injured or become infected with COVID or other infectious diseases due to my participation in the Activity and that engaging in the Activity may increase my risk of contracting COVID. NOTWITHSTANDING THESE RISKS, I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITY WITH KNOWLEDGE OF THE DANGERS INVOLVED. I AGREE TO ACCEPT AND ASSUME ALL RISKS OF INJURY, ILLNESS, DISABILITY, DEATH, OR PROPERTY DAMAGE ARISING FROM MY ENGAGING IN THE ACTIVITY, WHETHER CAUSED BY ORDINARY NEGLIGENCE OF YWAM SDB OR OTHERWISE. 
  2. I agree to hold YWAM SDB harmless from, and to waive and release, any and all claims, now known or hereafter known, against YWAM SDB, and its officers, directors, managers, employees, volunteers, sponsors, partners, agents, affiliates, members, successors, and assigns (collectively, "Releasees"), on account of injury, illness, disability, death, or property damage arising out of or attributable to the Activity, whether arising out of the ordinary negligence of YWAM SDB or any Releasees or otherwise. I agree not to make or bring any such claim against YWAM SDB or any Releasee, and forever release and discharge YWAM SDB and all other Releasees from liability under such claims. This Section 2 does not extend to claims for gross negligence, willful misconduct, or any other liabilities that applicable law does not permit to be released by agreement.
  3. I confirm that I am: (a) in good health, in proper physical condition, and do not have any medical or other conditions that would impair my ability to participate in the Activity; and (b) not experiencing symptoms of COVID (including, but not limited to, cough, shortness of breath, fever, or lack of senses), do not have a confirmed or suspected case of COVID, and have not come in contact in the last 14 days with a person who has been confirmed or suspected of having COVID. I will comply with all federal, state, and local laws, orders, directives, and guidelines related to the Activity and COVID while participating in the Activity, including, without limitation, requirements related to hand sanitation, social distancing, and use of face coverings and safety equipment. I will follow all instructions, recommendations, and cautions of YWAM SDB at all times during the Activity. If I believe conditions to be unsafe, that I am no longer in proper physical condition to participate, or I begin experiencing symptoms of COVID, I will immediately discontinue further participation in the Activity.
  4. I shall defend, indemnify, and hold harmless YWAM SDB and all other Releasees against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including attorney fees, fees, the costs of enforcing any right to indemnification under this Release, and the cost of pursuing any insurance providers, arising out or resulting from any claim of a third party (including, but not limited to, all heirs, executors, personal representatives, successors, administrators and assignees) related to my participation in the Activity, including any claim related to my own negligence or the ordinary negligence of YWAM SDB. 
  5. I hereby consent to receive medical treatment which may be deemed necessary if I am injured or require medical attention during my participation in the Activity. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical transportation and/or evacuation. I hereby release, forever discharge, and hold harmless YWAM SDB from any claim whatsoever in connection with such treatment or other medical services.
  6. I acknowledge certain legal rights against YWAM SDB or the Releasees may be available now or in the future as a result of the Activity, and that by executing this release, I am forever relinquishing those rights against YWAM SDB and the Releasees. I acknowledge that no promises, representations, or affirmations of fact were made to me by YWAM SDB or the Releasees concerning the safety of the Activity, the security precautions taken in sponsoring the Activity, the relative safety or danger associated with traveling to the Activity or participating in any activity or outing related to, or connected in any way to the Activity. I affirm that I have read and understand the foregoing provisions of this Release and I accept its terms as a condition to my participation in the Activity.
  7. This Release constitutes the sole and entire agreement of YWAM SDB and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, written and oral, with respect to such subject matter. If any term or provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction. This Release is binding on and shall inure to the benefit of YWAM SDB and me and our respective successors and assigns. All matters arising out of or relating to this Release shall be governed by and construed in accordance with the internal laws of the State of California without giving effect to any choice or conflict of law provision or rule (whether of the State of California or any other jurisdiction). Any claim or dispute arising from or related to this Release shall be settled by mediation and, if necessary, final and binding arbitration administered in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation (www.iccpeace.com) version 2019/January.  All conciliation meetings shall take place in San Diego County, California unless the parties agree to a video conference or other form of meeting.  The Institute for Christian Conciliation shall be the sole forum for dispute resolution for any controversy or claim arising out of this Release and any right to a jury and/or to file a lawsuit in a civil court is expressly waived, except to enforce an arbitration decision.  The award of an arbitrator may be entered and enforced in any court having jurisdiction, and any court where a party or its assets is located (to whose jurisdiction the parties consent for the purposes of enforcing the award). Judgment on the award shall be final and non-appealable.

Safety Guidelines

Below are the site safety guidelines to note prior to building houses with Homes of Hope.

PLEASE READ AND REVIEW:

  • Operate only power tools you have been specifically assigned to or trained for
  • Use safe lifting/carrying techniques
  • Lift with your knees, not your back
  • When carrying long or awkward objects, have a helper assist you and carry the object by the ends to avoid accidents

Power tool safety:

  • Never wear gloves, loose jewelry, clothing, or long, loose hair while operating power tools – they may get caught in the power tools and pull you into danger
  • Always wear safety glasses
  • Know what is on the other side of what you are cutting or drilling – if you can’t see, check and assign someone to monitor the other side
  • Use only the “Sawzall” reciprocating cutter to cut out the windows of upright walls—the circular saw poses too much danger when used to cut out windows
  • Stop using any power tool that is missing guards, is dull, or has frayed electrical parts

Chop Saw Safety:

TRAINED ADULTS ONLY

  • Never cross your hands in front of a moving blade
  • Wait until the blade comes to a stop before moving your hands or the work piece
  • Support both ends of the work piece in case it unexpectedly shifts after cutting it
  • Wear safety glasses
  • Do not wear gloves, loose jewelry, loose hair, or loose clothing

“Skill Saw” (Circular Saw) and “Sawzall” (Reciprocating Saw) safety:

  • TRAINED ADULTS ONLY
  • Never cut objects laying on the ground – saw may snag on the ground and “run away” from you
  • Use only sharp blades
  • Never cut something you cannot have monitored on the opposite side
  • Wear safety glasses
  • Do not wear gloves, loose jewelry, loose hair, or loose clothing

Safety Rules for Each Participant:

Adult 18+ years old:

  • Know all safety rules for your safety; and for your children’s safety
  • One parent is required to teach the Safety Guidelines to all your children and work alongside any child under 14
  • Set an example for all – it is expected and “ok” for you to intercede tactfully when you see others of any age working in an unsafe manner.
Young Adult 16-17 years old:
  • Know all safety rules
  • Only operate power tools when parents give approval, when you have been specifically assigned to and trained on, and ONLY when you are under adult supervision.

Youth 12-15 years old:

  • Know all safety rules
  • DO NOT OPERATE ANY POWER CUTTING TOOLS (Power drill is ok)
  • Work alongside at least one parent or assigned adult at all times.

Youth under 12 years old:

  • Know all safety rules
  • DO NOT OPERATE ANY POWER TOOLS
  • DO NOT GET ON ROOF
  • Work alongside one of your parents/guardians at all times.
 
 
I have read, understand and agree with this application and all accompanying information provided. In addition, I have also read and agree with the Agreement of Release of YWAM SDB and give The Project 143 Foundation authorization to complete any required paperwork on my behalf. *
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