Preparation Packet for Thailand by lminaker

BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURT-

THAILAND MISSION ADVENTURE PREPARATION PACKET DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAK-

ING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING ING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKGlobalMAKING Gateway Network P.O. Box 1207 ING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETRichland, WA 99352 TER. 509.430.1378 HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING

GLOBAL GATEWAY NETWORK

THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING.

MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. LIFE BETTER. GMAKING LOBAL GATEWAY NETWORK HELPING THE HURTING. FULFILLING DREAMS. WELCOME!

MAKING LIFE BETTER. HELPING THE HURTING. Welcome Letter [1]

FULFILLING DREAMS. About Us [2]

MAKING LIFE BETTER. General Information [3]

HELPING THE HURTING. Thailand Info [4] FULFILLING DREAMS.

WELCOME TO GGN’S 2008 THAILAND MISSION ADVENTURE TEAM!

MAKING LIFE Passport andBETTER. Visa [5] HELPING THE HURTING. Dates and Payments [6] FULFILLING DREAMS.

Congratulations!

MAKING LIFE BETTER.

You are officially a member of the 2008 Thailand mission team. This summer you will have an amazing opportunity to travel to a third-world country and use your talents and abilities to make life better for hundreds of hurting people. Your sacrifice of time and finances is appreciated.

Fundraising Ideas [7]

Fundraising Letter [8]

HELPING THE HURTING. Liability Waiver [9] FULFILLING DREAMS. Physical [10] MAKING LIFE Form BETTER.

HELPING Agreement THE HURTING. [11] FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING.

What’s Next? This packet contains helpful, important information that will guide you in preparation for this exciting journey. Please read through the following pages thoroughly and begin raising finances and making arrangements for your adventure. I am excited that you will be joining us this summer. This will be an experience that you will remember for the rest of your life.

FULFILLING DREAMS.

Feel free to contact me with any questions you might have.

MAKING LIFE BETTER.

Sincerely,

HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER.

Micah Smith GGN Founder & President 509.430.1378 micahs68@gmail.com

MAKING LIFE BETTER. HELPING THE HURTING. Welcome Letter [1]

FULFILLING DREAMS. About Us [2]

MAKING LIFE BETTER. General Information [3]

HELPING THE HURTING. Thailand Info [4] FULFILLING DREAMS.

MAKING LIFE Passport andBETTER. Visa [5] HELPING THE HURTING. Dates and Payments [6]

ABOUT GLOBAL GATEWAY NETWORK Purpose

FULFILLING DREAMS.

Global Gateway Network (GGN) exists to make life better for those who are suffering around the world.

MAKING LIFE BETTER.

Mission

Fundraising Ideas [7]

Fundraising Letter [8]

HELPING THE HURTING. Liability Waiver [9] FULFILLING DREAMS. Physical [10] MAKING LIFE Form BETTER.

HELPING Agreement THE HURTING. [11] FULFILLING DREAMS. MAKING LIFE BETTER.

One of the unique ways GGN effectively fulfills its purpose is by expanding and enhancing people’s God-given dreams through challenging adventures in a crosscultural setting. We do this by building specialized teams with the right experience, resources, and skills for each project. As we encourage a pioneering spirit and network with other organizations of similar vision, our mutual goals are achieved. At the heart of everything we do is our continued passion to help the hurting. Projects

FULFILLING DREAMS.

Our mandate is forged by building orphanages, medical facilities, providing clean drinking water, shelter, offering education, and meeting basic needs of disadvantaged people around the world. Our specific focus is on the most remote and least-reached people groups on the planet—those who live in the 10/40 Window.

MAKING LIFE BETTER.

Non-profit Organization

HELPING THE HURTING.

HELPING THE HURTING. FULFILLING DREAMS.

GGN is a non-profit 501(c)(3) organization headquartered in the United States with international offices. We are governed by a board of directors comprised of professionals in their respective fields.

MAKING LIFE BETTER.

Making Life Better

HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER.

GGN is an inter-denominational Christian organization. Father God has a dream for every human being, and we want to see those dreams fulfilled. We invite others to join us as we share the love of Jesus Christ across the globe.

MAKING LIFE BETTER. HELPING THE HURTING. Welcome Letter [1]

FULFILLING DREAMS. About Us [2]

MAKING LIFE BETTER. General Information [3]

HELPING THE HURTING. Thailand Info [4] FULFILLING DREAMS.

MAKING LIFE Passport andBETTER. Visa [5] HELPING THE HURTING. Dates and Payments [6]

GENERAL INFORMATION Dates

FULFILLING DREAMS.

This mission adventure will take place August 1-10, 2008.

MAKING LIFE BETTER.

Twofold Purpose

Fundraising Ideas [7]

Fundraising Letter [8]

HELPING THE HURTING. Liability Waiver [9] FULFILLING DREAMS. Physical [10] MAKING LIFE Form BETTER.

HELPING Agreement THE HURTING. [11] FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER.

In keeping with GGN’s mission of “making life better” for those around the world, this mission adventure will have a twofold purpose: GGN has been working with a family in southern Thailand for the past several years to establish an orphanage in the Ranot area. One of the exciting things this team will participate in on this trip is the dedication of this new orphanage called Center of Hope, Koowa, as well as launch a good relationship with the community for the ongoing development of the orphanage. The other purpose of this mission adventure is to provide medical care for the impoverished people of Ranot, Thailand. As part of this effort, medical personnel will see and attend to many patients each day, while other team members will serve in various support roles. This practical expression of love will demonstrate God’s love in a new, pioneering area. Important Travel Information It is important to inform us of your travel plans by June 1, so we can prepare for your arrival in Bangkok. You can submit your travel plans by emailing us at micahs68@gmail.com. Please include airline information, flight numbers, and arrival times. Also, let us know when you will be departing to return home. Currently we are planning to meet at the airport in Bangkok, Thailand on August 1. The team will then connect to Hat Yai and drive north to Ranot. NOTE: If you are having trouble finding airfare, please let us know. You can e-mail Micah Smith at micahs68@gmail.com or call at (509) 430-1378.

MAKING LIFE BETTER. Welcome Letter [1] HELPING THE HURTING. Us [2] FULFILLINGAbout DREAMS.

MAKING BETTER. General LIFE Information [3] HELPING THE HURTING. Thailand Info [4]

FULFILLING DREAMS. Passport and Visa [5]

MAKING LIFE BETTER. Dates and Payments [6]

HELPING THE HURTING. Fundraising Ideas [7] FULFILLING DREAMS. Fundraising Letter [8] MAKING LIFE BETTER.

HELPING THE Waiver HURTING. Liability [9] FULFILLING DREAMS. Physical Form [10]

MAKING LIFE BETTER. Agreement [11]

THAILAND INFORMATION A unified Thai kingdom was established in the mid-14th century. Known as Siam until 1939, Thailand is the only Southeast Asian country never to have been taken over by a European power. A bloodless revolution in 1932 led to a constitutional monarchy. In alliance with Japan during World War II, Thailand became a US ally following the conflict. Thailand is currently facing separatist violence in its southern ethnic Malay-Muslim provinces.

HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER.

General Information Capital City: Government Type: Population: Comparative Land Area: Climate: Median Age: Life Expectancy: Main Religions: Major Languages:

Bangkok Constitutional monarchy 65,068,149 Slightly more than twice the size of Wyoming Tropical; rainy, warm, cloudy southwestern monsoon 32.4 years 72.55 years Buddhist: 94.6%, Muslim: 4.6%, Christian: 0.7% Thai, English (secondary language of the elite)

MAKING LIFE BETTER. PASSPORTS HELPING THE HURTING. WelcomeDREAMS. Letter [1] FULFILLING

MAKING LIFE BETTER. About Us [2] HELPING THE HURTING. General Information [3]

FULFILLING DREAMS. Thailand Info [4]

MAKING LIFE BETTER. Passport and Visa [5]

HELPING THE HURTING. Dates and Payments [6] FULFILLING DREAMS. Fundraising Ideas [7] MAKING LIFE BETTER.

HELPING THE HURTING. Fundraising Letter [8] FULFILLING DREAMS. Liability Waiver [9]

MAKING LIFE BETTER. Physical Form [10]

HELPING THE HURTING. Agreement [11]

PASSPORT, VISA, AND TRAVEL INSURANCE INFORMATION GGN is not responsible for obtaining passports, visas, and other travel documentation for travelers, unless otherwise indicated. Passports Passports are required for travel outside of the United States. The standard time for processing new passports or renewals is six to eight weeks. If you do not already have a passport, begin the process immediately. If you do already have a passport, check that it is accurate and valid up to six months after the date you plan to return from your trip. Answers to passport questions and necessary forms can be found at the US State Department website: www.travel.state.gov. Two copies of your passport must be sent to GGN at least two weeks prior to your trip.

FULFILLING DREAMS.

Visas

MAKING LIFE BETTER.

Some countries require additional documentation for entry. Obtaining a visa is the responsibility of the participant. To find out if the country you are visiting requires a visa, please visit www.travisa.com.

HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER.

Immunizations As a traveler it is wise to be aware of any health risks that may be encountered on your trip. You can find details about required and recommended immunizations for the destination to which you will be traveling at the Center for Disease Control website: www.cdc.gov. During your required physical exam, ask your family doctor for additional information. Travel Insurance Travel insurance is not provided by GGN. Travel insurance is optional, but recommended. Most travel insurance policies are secondary to your primary health insurance. These policies typically cover trip cancellation, emergency evacuation, and limited medical emergencies.

MAKING LIFE BETTER. HELPING THE HURTING. Welcome Letter [1]

FULFILLING DREAMS. About Us [2]

MAKING LIFE BETTER. General Information [3]

HELPING THE HURTING. Thailand Info [4] FULFILLING DREAMS.

IMPORTANT DATES AND PAYMENT INFORMATION Payment Deadlines May 1

Payment due ($600.00) Agreement due (pg. 11)

June 1

E-mail airfare info to GGN at micahs68@gmail.com (see pg. 3)

July 18

Notarized Liability Waiver due (pg. 9) Physical Pre-Participation Form due (pg. 10) Proof of medical insurance due (copy of insurance card) Copies (2) of passport due

MAKING LIFE Passport andBETTER. Visa [5] HELPING THE HURTING. Dates and Payments [6] FULFILLING DREAMS. Fundraising Ideas [7]

MAKING LIFE BETTER. Fundraising Letter [8]

HELPING THE HURTING. Liability Waiver [9]

FULFILLING DREAMS. Physical [10] MAKING LIFE Form BETTER.

August 1 August 10

Arrive in Bangkok Depart for home

Payment Information It is GGN’s desire to make it as logistically and financially easy as possible for people to experience a short-term mission adventure that will deeply impact their global vision. With that in mind, prices could vary due to currency exchange rates, airline ticket prices, etc. Make checks payable to Global Gateway Network, make sure to attach a note with your name (don’t put it in the memo line on the check), and indicate your trip. Mail it to the following address: Global Gateway Network, P.O. Box 1207, Richland, WA 99352 To ensure that participants do not fall behind in their trip payments, it is expected that each participant follow the payment schedule. If any payment is missed, you will be offered to pay the difference on that date; otherwise, your spot may be rescinded and offered to a member of our wait list. If you think that you will not be able to make a payment on time, please inform us prior to the payment due date so a resolution can be made. Tax Information and Refunds GGN is a 501(c)(3) non-profit corporation. Donations to GGN-sponsored mission trips would be considered charitable contributions in accordance with the IRS guidelines. Should you find it necessary to cancel your trip, please note that GGN will issue a refund only to the extent of the recoverable costs.

MAKING LIFE BETTER. HELPING THE HURTING.

FUNDRAISING TIPS AND IDEAS

FULFILLING DREAMS.

If you have never raised money before (or even if you have), it’s probably a little intimidating. Listed below are some tips and ideas on how to raise funds.

MAKING LIFE BETTER.

Fundraising Tips

HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER.

GLOBAL GATEWAY NETWORK HELPING THE HURTING. FULFILLING DREAMS. FUNDRAISING

MAKING LIFE BETTER. IDEAS HELPING THE HURTING. WelcomeDREAMS. Letter [1] FULFILLING

MAKING LIFE BETTER. About Us [2] HELPING THE HURTING. General Information [3]

FULFILLING DREAMS. Thailand Info [4]

MAKING LIFE BETTER. Passport and Visa [5]

HELPING THE HURTING. Dates and Payments [6] FULFILLING DREAMS. Fundraising Ideas [7] MAKING LIFE BETTER.

HELPING THE HURTING. Fundraising Letter [8] FULFILLING DREAMS. Liability Waiver [9]

MAKING LIFE BETTER. Physical Form [10]

HELPING THE HURTING. Agreement [11]

FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER.

Keep In Mind...It Isn’t For You | You are going for our friends in Thailand. Learn about GGN and become familiar with the needs of the people you will be serving. Be Prepared | Carry flyers and information about the cause you have adopted. Many times you will find yourself in conversation about your trip. A donation could come from anyone, anywhere, anytime. Talk, Talk, Talk | Tell everyone you know, and everyone you don’t know, that you are raising money. Be courteous. Say please when asking for donations and never forget to thank your sponsors. Send a note or a photo of you. Make your donors a part of your experience because they are. Fundraising Ideas and Practices Write About It | A personal letter usually works the best. Tell your friends and family about your trip and why you are participating. Explain that you are going and giving to inspire others to give. Include some facts about GGN and the people you will be serving. Send your letter to everyone you know. In the envelope include a flyer, information on how to give, and a self-addressed stamped envelope. Get The Word Out Locally | Every day you visit many local businesses: the coffee shop, the gym, the car wash, the supermarket, the dry cleaner, the video store, the doctor’s office, the deli, the bike shop, the pizza place. These are great places to promote what you are doing. How?  Just ask for money – businesses, too, can be donors...it’s tax deductible.  Put a poster in the window, explaining what you’re doing and how to help.  Display a donation box and/or letters and donation forms on the counter.  Ask the business to donate a portion of their proceeds on a given day. Community Fundraising | Interacting with as many people as possible will be key to your fundraising. Plan some social events to bring people together for a cause.  Plan a dinner. Set a price, proceeds will benefit your adopted cause.  Theme party. Hold a theme party for 10 (or more) of your friends. Donation: $50.00 per person. Spend no more than $20.00 per person on the food and you’ll have $300.00 (or more) in donations by the end of the night. The Office | Your place of employment is a great place to get the word out.  Your company might be happy to donate to your fundraising goal, maybe do a matching program.  Send an email with donation information attached.  Set up a small display – maybe hand a poster in a prominent place.  Approach clients, vendors, anyone else your company does business with (make sure it’s okay with the boss).  Host a lunchtime meeting and do a presentation. Go Paperless | The Internet and email have significantly affected the fundraising world. Use them to your advantage.  Let people know through email that they can make donations on your behalf.  Use Facebook, Myspace, or other social networking sites to post information.  Auction old items of significance on eBay and donate the profits. Use Your Creativity and Strengths | Everyone has the ability to do something well. Sell your product or skill to raise funds. Some ideas: cookies, lapel pins, chili, knit caps, tax preparation, photographs, babysitting, car washing, tutoring, personal training, t-shirts, dog walking, errand running, gardening, yard sales, bake sales.

MAKING LIFE BETTER. LETTER HELPING THE HURTING. WelcomeDREAMS. Letter [1] FULFILLING

MAKING LIFE BETTER. About Us [2] HELPING THE HURTING. General Information [3]

FULFILLING DREAMS. Thailand Info [4]

MAKING LIFE BETTER. Passport and Visa [5]

HELPING THE HURTING. Dates and Payments [6] FULFILLING DREAMS. Fundraising Ideas [7] MAKING LIFE BETTER.

HELPING THE HURTING. Fundraising Letter [8] FULFILLING DREAMS. Liability Waiver [9]

MAKING LIFE BETTER. Physical Form [10]

HELPING THE HURTING.

SAMPLE SUPPORT LETTER Here is an example of a fundraising letter. Feel free to add a greeting paragraph and customize it with pictures. It is important that you keep the donation information and be sure to include a self-addressed, stamped envelope. Dear Family and Friends, I have a once-in-a-lifetime opportunity to travel to Ranot, Thailand, and provide medical care to the impoverished people who live there. I will be traveling with Global Gateway Network (GGN), an inter-denominational Christian organization that exists to make life better for suffering people around the world. My trip is scheduled for August 1-10, 2008. More information about GGN and this mission adventure may be found online at www.globalgatewaynetwork.org. Would you please consider giving financially for this cause? I need to raise $_____ prior to May 1. I will meet my goal, if ## of my friends and/or family donate $_____ each.

FULFILLING DREAMS.

Thank you for taking time to read about this amazing opportunity. Feel free to contact me with any questions.

MAKING LIFE BETTER.

Sincerely,

Agreement [11]

HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER.

Name Contact Information GGN is a 501(c)(3) non-profit corporation. Donations to GGN-sponsored mission trips would be considered charitable contributions in accordance with the IRS guidelines. ---------------------------------------------------------------------------------————------------------Please tear off this portion and return with your donation.

I wish to help __________________________ accomplish his/her fundraising goals. _______________________________________________ Full Name  $250 donation

 $100 donation

 $50 donation

___________________ Date  Other $ ___________

Please make checks payable to Global Gateway Network and mail along with this slip to: Global Gateway Network, P.O. Box 1207, Richland, WA 99352

MAKING LIFE BETTER.

WAIVER/RELEASE OF LIABILITY AND CONDUCT STATEMENT

HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. LIFE BETTER. GMAKING LOBAL GATEWAY NETWORK HELPING THE HURTING. FULFILLING DREAMS. LIABILITY WAIVER

MAKING LIFE BETTER. HELPING THE HURTING. Welcome Letter [1]

FULFILLING DREAMS. About Us [2]

MAKING LIFE BETTER. General Information [3]

HELPING THE HURTING. Thailand Info [4] FULFILLING DREAMS.

MAKING LIFE Passport andBETTER. Visa [5] HELPING THE HURTING. Dates and Payments [6] FULFILLING DREAMS. Fundraising Ideas [7]

MAKING LIFE BETTER. Fundraising Letter [8]

HELPING THE HURTING. Liability Waiver [9]

FULFILLING DREAMS. Physical [10] MAKING LIFE Form BETTER.

I understand that there are risks and dangers inherent in participating in the activities of Global Gateway Network (GGN), its partners, sponsors and beneficiaries. I acknowledge that such risks and dangers include, but are not limited to death, illness, serious bodily injury, and property loss. I also understand that in consideration for being permitted to participate in a GGN mission trip, I hereby take the following actions for myself as well as for my heirs, assigns, next of kin, successors, executors, administrators, and legal representatives: I herby release GGN, its sponsors, its partners and beneficiaries, its leaders, its employees, and volunteer staff from liability whatsoever arising out of injury, sickness, or damage, which may be sustained by me during the course of activities sponsored by GGN, partners and beneficiaries. I do further give my consent for the director or properly appointed leader of GGN, its partners and beneficiaries to secure the administration of medical treatment or medication for myself in case of an emergency. I do further agree to the performance of treatment, anesthetics, and operations deemed necessary for me in the opinion of the attending physician deemed necessary. I understand that my insurance coverage will be used as a primary coverage in the event medical intervention is needed. I hereby indemnify and hold harmless GGN, its sponsors, its partners and beneficiaries from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during a GGN trip, including any litigation, expenses, attorney's fees, loss, liability, damage or cost which may occur as a result of any such claims. I understand that while I participate in any activities organized, administered or sponsored by GGN, its partners and beneficiaries, I am responsible to abide by the rules set forth by the sponsoring organization, its leaders, and supervisory personnel. Any serious infraction of the rules and/or conduct by myself can result in dismissal from the event. I, the undersigned, agree to assume the cost of such actions. I also agree to forfeit any possible refund. I understand that GGN, its partners and beneficiaries are non-profit organizations and contributions are taxdeductible with the exception of cash. GGN, its partners and beneficiaries have complete discretion and control over the use of all donated funds. All donations and payments are non-refundable and nontransferable. I, the undersigned, hereby consent to the use of any video recordings, photographs, slides, audio recordings, or any other visual or audio reproduction in which I may appear by GGN, its partners and beneficiaries. I understand that these materials may be used for promotion of GGN, its partners and beneficiaries, which includes fundraising efforts. I release GGN, its partners and beneficiaries from any liability connected with the use of my picture or voice recordings as part of any promotional or fundraising program. The information that I have given during registration to GGN, its partners and beneficiaries is accurate and true to the best of my knowledge. I certify that I am at least 18 years of age on the date hereof. I have carefully read this Waiver and Release of Liability and fully understand its contents. I am aware that this is a waiver and release of liability and I sign of my own free will. As a team member on a GGN sponsored trip, I will make every effort to maintain a positive and flexible attitude at all times. I will strive to work in unity with my team, my leaders, and the host and/or national workers. I will approach the culture and customs of the country I am visiting with respect and without complaint. I will submit to the leadership of GGN and work in whatever way is required and needed of me and will stay with the group at all times. I understand in advance that I may be asked to alter my dress to conform to local standards of modesty or to refrain from certain behaviors considered offensive in the local culture. I also understand that as a part of GGN I am required to refrain completely from the use of alcohol, tobacco in any form, any addictive drugs not given strictly for medical reasons, and any other addictive substances. I will do my best to be rightly related to everyone. I understand that appropriate action will be taken if I disregard these matters of conduct. I have read the overview and expectations and I understand that my attendance at team meetings are mandatory and that I may jeopardize my opportunity to participate in this trip if I do not comply. The information that I have given to GGN is accurate and true to the best of my knowledge. My signature below signifies my approval of all limitations listed above. (Make sure to sign in the presence of the Notary Public). _________________________________________________________ Signature

__________________________ Date

_________________________________________________________ Print Name TO BE COMPLETED BY A NOTARY PUBLIC

SEAL & SIGNATURE

State of: _________________ County of:____________________ Subscribed and sworn to before me this _______ day of ______________, _________ My commission expires ____________________ GLOBAL GATEWAY NETWORK

| P.O. Box 1207 | Richland, WA 99352

MAKING LIFE BETTER.

PRE-PARTICIPATION PHYSICAL EVALUATION FORM

HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING.

Complete this form and mail with proof of medical insurance to Global Gateway Network, P.O. Box 1207, Richland, WA 99352. This form must be submitted at least two weeks prior to departure. If this form is not completed, it may result in dismissal from your trip. Health History Questionnaire ——————————————————————————————————————————————Circle questions you don’t know the answers to. Explain “yes” answers below.

FULFILLING DREAMS. LIFE BETTER. GMAKING LOBAL GATEWAY NETWORK HELPING THE HURTING.

1. Have you had a medical illness or injury since your last checkup or sports physical? 2. Are you currently taking any prescription or nonprescription (over-thecounter) medications or pills or using an inhaler? 3. Do you have any allergies (for example, to pollen, medicine, food or stinging insects)? Have you ever had a rash or hives develop during or after exercise? 4. Have you ever passed out during or after exercise? Have you had high blood pressure or high cholesterol?

Yes No  

Yes No 9. Have you ever been treated for emotional   instability? 10. Have you ever been treated for emotional   trauma?   11. Have you ever been treated for mental illness? 12. List any other illnesses ___________________________________________



___________________________________________



13. List any major health problems ___________________________________________



___________________________________________

Have you ever been told you have a heart murmur? Have you had a severe viral infection (for example, myocarditis or mononucleosis) within the past month? 5. Have you ever had a head injury or concussion? Have you ever had a seizure? Do you have frequent or severe headaches? 6. Have you ever become ill from exercising in the heat?



 

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Physical [10] MAKING LIFE Form BETTER.

7. Do you cough, wheeze or have trouble breathing during or after activity? Do you have asthma? Do you have seasonal allergies that require medical treatment?

 

HELPING Agreement THE HURTING. [11]

8. Have you had any problems with your eyes or vision?



FULFILLING DREAMS. PHYSICAL FORM

MAKING LIFE BETTER. HELPING THE HURTING. Welcome Letter [1]

FULFILLING DREAMS. About Us [2]

MAKING LIFE BETTER. General Information [3]

HELPING THE HURTING. Thailand Info [4] FULFILLING DREAMS.

MAKING LIFE Passport andBETTER. Visa [5] HELPING THE HURTING. Dates and Payments [6] FULFILLING DREAMS. Fundraising Ideas [7]

MAKING LIFE BETTER. Fundraising Letter [8]

HELPING THE HURTING. Liability Waiver [9] FULFILLING DREAMS.

___________________________________________

___________________________________________ 14. 15. 16. 17.

  Do you have a physical handicap?   Are you in good health?   Do you have any dietary needs? Record the dates of your most recent immunizations (shots) for: Tetanus ________________________________ Measles ________________________________ Hepatitis B ______________________________ Chickenpox _____________________________

Explain “yes” answers here: ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________

FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER.

I hereby state that to the best of my knowledge my answers to the above questions are complete and correct. Signature of participant or parent ___________________________________________

Date ______________

To be completed by a physician  Cleared without restriction

 Cleared with recommendations for further evaluation or treatment

 Not cleared for participation in the following activities: ________________________________________

HELPING THE HURTING.

Reason: _________________________________________________________________________________

FULFILLING DREAMS.

Recommendations: ________________________________________________________________________

MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER.

________________________________________________________________________________________

Name of physician (print/type) __________________________________________________ Date ________ Address _____________________________________________________________________ Phone _______ Signature of physician _______________________________________________________________, MD or DO

GLOBAL GATEWAY NETWORK

| P.O. Box 1207 | Richland, WA 99352

MAKING LIFE BETTER.

GGN MISSION ADVENTURE PARTICIPANT AGREEMENT

HELPING THE HURTING. FULFILLING DREAMS. MAKING LIFE BETTER. HELPING THE HURTING. FULFILLING DREAMS. LIFE BETTER. GMAKING LOBAL GATEWAY NETWORK HELPING THE HURTING. FULFILLING DREAMS. AGREEMENT

MAKING LIFE BETTER. HELPING THE HURTING. Welcome Letter [1]

FULFILLING DREAMS. About Us [2]

MAKING LIFE BETTER. General Information [3]

HELPING THE HURTING. Thailand Info [4] FULFILLING DREAMS.

MAKING LIFE Passport andBETTER. Visa [5] HELPING THE HURTING. Dates and Payments [6] FULFILLING DREAMS. Fundraising Ideas [7]

MAKING LIFE BETTER. Fundraising Letter [8]

HELPING THE HURTING. Liability Waiver [9] FULFILLING DREAMS. Physical [10] MAKING LIFE Form BETTER.

Carefully read through the following requirements and expectations. Sign at the bottom of the page and send to Global Gateway Network, P.O. Box 1207, Richland, WA 99352. Fundraising and Payment Requirements To ensure that participants do not fall behind in their trip payments, it is expected that each participant follows the payment schedule. If any payment or fundraising deadline is missed, you will be offered to pay the difference on that date; otherwise, your spot may be rescinded and offered to a member of our wait list. Each team member MUST pay the entirety of the trip cost by the deadline. If you fail to meet this deadline, you will be unable to participate in a GGN mission adventure, trip, or event. There are absolutely no exceptions to this policy. Upon your acceptance, you will be furnished with materials to help you raise funds. It is your responsibility to review these materials and ask your team leader to clarify anything that you do not understand. In the case of your withdrawal, restriction from participation, or failure to meet the payment requirements in a GGN adventure, trip, or event, your fundraising balance w ill be considered a donation, and will not be refunded. GGN withholds the right to not carry over your payment balance for future events. It is GGN’s desire to make it as logistically and financially easy as possible for people to experience a short-term mission adventure that will deeply impact their global vision. With that in mind, prices could vary due to currency exchange rates, airline ticket prices, etc. General Requirements Each team member must participate in every scheduled phone conference/team meeting scheduled by the team leader unless prior arrangements are made. Team members may be asked to sign a statement prior to the trip stating that they are physically able to participate. Team members must submit all required paperwork at least two weeks prior to departure, otherwise they w ill be dismissed from the trip. Participants must provide proof of medical insurance and two copies of their passport at least two weeks prior to departure, otherwise they will be dismissed from the trip. Agreement I have read, understand, and agree to the above requirements and expectations. I understand that if I do not comply to the above requirements and expectations I cannot participate in GGN’s mission adventure, trip, or event, and that there is a possibility that my spot will be offered to someone else. ________________________________________________ Signature

______________________ Date

________________________________________________ Print Name

FULFILLING DREAMS. MAKING LIFE BETTER.

GLOBAL GATEWAY NETWORK

| P.O. Box 1207 | Richland, WA 99352