Dominican Republic  Commitment Form 2022
Send completed form with $100 fee registration fee which will be credited towards your balance. No  refunds after June 15, 2022. Mail completed application with a money order or check to Turning Point  FWC, 4501 N. Post Road, Indianapolis, IN 46226. We do not accept applications without deposits. If  you have questions or concerns, contact Taquoya Porter by calling 317.946.6188 or 898.4423 (fax) or  emailing at taquoya@hotmail.com. Criminal History checks may be required for staff.

In order for this application to be processed, it must be submitted with a $100 deposit. If it is not accepted, your deposit will be returned. Please send your deposit via Paypal to tmprograms@hotmail.com or CashApp $TaquoyaPorter (Credit cards & Paypal accepted.)

More trip details are available here: https://drive.google.com/file/d/1AFOBEZbR79F6MFRY9Ko75V2f6p5CLdoG/view?usp=sharing

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Name *
Date of Birth *
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Address *
Email *
Phone Number (that accepts text) *
Have you been baptized in Jesus name? *
Have you received the Holy Ghost with the evidence of speaking in tongues? *
What church do you attend? (Please give the church name, city, state and Pastor's name.) *
Please provide your Pastor's contact information. It is important you have pastoral approval before pursuing a mission trip. (Provide email or phone. Pastors will be contacted.) *
Emergency Contact's Name *
Emergency Contact's Phone # *
Emergency Contact's Relationship to Applicant *
Do you speak Spanish?
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We, the Sponsors, (TM Youth Camp, Turning Point Family Worship Center, IMD of the P.A.W.) nor any  affiliates of TM Camp Dominican Republic co-sponsored by IMD of the P.A.W., will be liable for any injuries or accidents or  stolen property; the undersigned hereby expressly agrees to protect the above mentioned against compensation  and claim for damages on the part of said participant of TM Camp Dominican Republic co-sponsored by IMD of the P.A.W..  There will be no liability for statements made that disagree with your personal convictions. We strive to teach the  Word of God and believe in Salvation according to Acts 2:38. Our focus is building up the inner man. Understand,  in the event of sickness or injury the Camp Staff has permission to grant medical attention by Physicians, but  sponsors will make every effort to notify emergency contacts immediately. You must also acknowledge that you  have not been diagnosed with any mental, physical or emotional or learning disabilities that prevent them from  functioning independently as staff members. TM Camp Dominican Republic is a religious organization that is staffed with  volunteers. We cannot guarantee professional staffing needed to create the safe environment or attention special  needs may cause. We reserve the right to deny admittance based on medical conditions or emotional conditions, if we don’t have adequate professional help present. Do you understand and submit to the terms of this agreement? *
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