WAD Youth Project at St. Martin Orthodox Church in Corvallis, Oregon (sponsored by the Youth Department of the Western American Diocese ROCOR)

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1 WAD Youth Project at St. Martin Orthodox Church in Corvallis, Oregon (sponsored by the Youth Department of the Western American Diocese ROCOR) St. Martin Orthodox Church in Corvallis, Oregon is in the process of constructing a new Parish Hall, which will provide facilities for social, educational, and cultural activities that currently take place in the homes of members or at third-party sites. The project has benefited from the efforts of many volunteers, both professional contractors and plain willing workers. This June, there will be a WAD Youth Project where youth will have an opportunity to contribute to the growth of our Church in the Northwest by helping to construct this hall. Where: St. Martin Orthodox Church, Corvallis, Oregon When: June 17-19, 2014 What: Construction 1) setting pavers in the Church courtyard and walkway 2) painting 3) setting landscaping water lines Recreational and social activities Who: Orthodox youth ages Clergy volunteers: Archimandrite Irenei (Steenberg), Archpriest David Moser, Priest Jesse Philo A local paving contractor will be present to provide instruction and to help oversee the paving project. This will be a great opportunity to learn from a professional and acquire skills that may be useful in future home or parish life. Monday, June 16 - Travel day. Registration upon arrival. Tuesday, June 17 - Work day. Evening recreation at the Osborne Aquatic Center. We will have the 50 meter pool, with diving tank, zip line, water b- ball, and more followed by socializing & snacks. Wednesday, June 18 - Work day. Planned evening activity will be a short talk by Fr. Irenei, followed by an informal clergy Q&A session and bonfire. Thursday, June 19 Recreation day. Outing to the Oregon Coast, with trips to the Oregon Coast Aquarium, Hatfield Marine Science Center, and beach time (optional day, for those needing to return home sooner). Friday, June 20 - Travel day. With respect to accommodations, young men will be housed in a tent village on the Church grounds, and the young women dormitory-style in the Rectory. (Youth who live in the Corvallis area may reside at home during the project, if they prefer.) Meals will be served in the Rectory and on the Church grounds. We plan to have a good mix of work, recreation, spiritual profit, socializing, and just plain fun. Registration materials, and a what-to-bring list follows. Updates and further information will be posted at and Questions? Contact Priest James Baglien at

2 The 2014 WAD Youth Project St. Martin the Merciful Orthodox Church Corvallis, Oregon June 16-20, 2014 REGISTRATION FORM Name Street Address City State Zip Code Cell Phone Home Phone Home Parish Arrival: Departure: Date Time Automobile/Air/Train Flight # (if applicable) Date Time Automobile/Air/Train Flight # (if applicable) (The parish will attempt to provide transportation to and from the Portland & Eugene airports, and from the Albany AMTRAK station, upon arrival and at departure) Two Ways to Register 1. By mail fill out and mail to: St. Martin Orthodox Church 928 NW Camellia Drive Corvallis, OR By fill out the registration forms, scan as a PDF, JPG, BMP, or TIF, and attach to an (or simply note all the required information in the body of the message, if over 18), and send to:

3 HEALTH FORM I will be over 18 on June 16, 2014: YES NO If No, please provide parent/guardian information below: Name Street Address City State Zip Code Cell Phone Home Phone Emergency contact information (if parents cannot be reached): Name Relationship Cell Phone Home Phone Health Insurance Information (required for all participants): Health Insurance Company Named Insured Group Number Subscriber Number Insurance Phone Number

4 HEALTH HISTORY (required form for all participants under 18 parents complete) Does your child suffer or has your child suffered from any of the following: Asthma YES NO Diabetes YES NO Seizures YES NO Ear Infections YES NO Food Allergy YES NO (list below) Drug Allergy YES NO (list below) Asthma YES NO List food or drug allergies List any and all medications (including dosage) your child will be required to take while participating in the Project. Please label all medications with your child s name. Prescription medications should be in the original labeled bottle. If your child has any other medical problems, please include details: Should my child require minor medical treatment (for headache, scrapes, coughs, burns, etc.), I give permission to the nursing staff to administer over-the-counter medicine and/or herbal products. Signature (full name) of Parent or Legal Guardian: Date

5 HOLD HARMLESS AGREEMENT AND MEDICAL RELEASE (required form for all participants under 18) We, the undersigned parent, parents, guardian, guardians are desirous of having our child or children participate at the WAD Youth Project at St. Martin Orthodox Church sponsored by the Western American Diocese Youth Committee, and whereas the Western American Diocese Youth Committee is willing to accept them as participants on the condition of this instrument. Therefore, in consideration of the Western American Diocese Youth Committee's authorization, the undersigned parents or guardians and children agree that the children participating in the WAD Youth Project at St. Martin Orthodox Church do so at their own risk. Neither the Western American Diocese Youth Committee, project administrators, any volunteer, the Russian Orthodox Church Abroad, St. Martin Orthodox Christian Church, Inc., or associates shall be liable for any damages arising from personal injuries sustained by the child in participation of any activity or aspect of the project. The parents or guardians and child assume full responsibility for any injuries which may occur to the child in said participation and they do hereby fully and forever release and discharge and agree to indemnify and hold forever harmless the Western American Diocese Youth Committee, project administrators, any volunteer, the Russian Orthodox Church Abroad, St. Martin Orthodox Christian Church, Inc., and associates, individually and jointly, and all employees and agents of them from any and all claims, demands, damages, rights of action or causes of action present or future including claims for contribution and indemnification whether the same be known anticipated or unanticipated resulting from or arising from the above mentioned activity. The undersigned do acknowledge that they have made inquiry into the nature of the activity and have no further questions concerning the nature or conduct of the activity and with such full understanding do hereby cause this instrument of release indemnity to be executed. In the event my child should become ill, or sustain an injury while traveling to or participating in the WAD Youth Project, I, the undersigned parent or guardian, grant authority to the project administrator, nurse, or official to act on my behalf in obtaining any medical treatment that may be necessary. This consent is in effect from June 16, 2014 through June 20, I will be responsible for all medical expenses. Signature (full name) of Parent or Legal Guardian: Date

6 CODE OF CONDUCT (required form for all participants) As a participant in the WAD Youth Project, I realize that I represent the Russian Orthodox Church in all activities held at on the grounds of St. Martin Orthodox Church, on the vehicles provided for transportation, in restaurants, and anywhere else the Project may take the participants. My personal behavior will reflect the way people perceive the Russian Orthodox Church as a whole. I therefore will: 1. Attend ALL scheduled activities; 2. Respect all clergy, project coordinators, and project volunteers; 3. Treat all that I come into contact with respect and love; 4. Dress appropriately for work activities; Females: no shorts, spaghetti strap shirts, open midriffs, or the like; Males: No shorts, bare midriffs, or the like. T- shirts that are worn must be appropriate for a church activity. (No designs/prints of bands, political slogans, etc.); 5. Attire for church (opening & closing molebens): Females: modest skirts/dresses and head coverings; Males: long pants/slacks and collared shirts; 6. Listen to music appropriate to a Church sponsored event and use appropriate language at all times; 7. I will abide by the curfew set by the WAD Youth Project Committee and respect the quiet time (11 pm to 7 am) set forth by the project administrators. 8. I will abide by all the rules and regulations set forth by the Western American Diocese Youth Committee, St. Martin Orthodox Church, and the institutions that we visit. 9. I will only use transportation provided by the WAD Youth Project. (Exceptions may be made only with the permission of the clergy present). I realize that there are certain things that will not be tolerated at the WAD Youth Project and I promise not to partake in any of the following activities: 10. I will not acquire, distribute or consume alcoholic beverages. 11. I will not acquire, distribute or consume narcotics of any kind or any illegal drugs. 12. I will not verbally, physically or emotionally assault/abuse others 13. I will not engage in public displays of affection, and will act appropriately at ALL times.

7 The members of the WAD Youth Project Committee reserve the right to inspect any facilities where project attendees reside and any of their personal belongings for the safety and well being of all project participants. Any criminal actions will be brought to the attention of the local authorities. As a participant at the WAD Youth Project, I promise to abide by this Code of Conduct. Signature (full name) of Participant: Date And for participants under 18: As a parent of a minor child attending the WAD Youth Project, I am aware of, and agree to the Code of Conduct as stated above and whatever disciplinary action is decided upon by the Executive Committee of the WAD Youth Project, will be abided by. If my child is expelled from the Project, I agree to pay any transportation costs associated with him/her being transported home. Signature (full name) of Parent or Legal Guardian: Date

8 WHAT TO BRING! First, if you didn t notice the fine print on the first page: Men will be in big tents on the Church grounds, and use the Church restrooms. Shower facilities will be available at the Osborne Aquatic Center (don t worry about logistics, we ll get you there!). Women will have bunks in the Rectory, in their own room with private shower and toilet (sorry, guys!). Bring the following: Sleeping bag and pillow. If you don t have your own sleeping bag, let us know IN ADVANCE and we will have a clean one available for you to use. Guys, bring a foam pad or air mattress if you have one, to use in the tents. Again, we will have some foam pads available to borrow, if you don t have one. Casual clothes. Women should have a skirt or dress that they can wear in Church for the opening and closing molebens. Daytime temperatures will be mild to warm, evenings will be cooler, so bring a sweater, sweatshirt, jacket, etc.. Work clothes. Jeans or khakis are probably the most practical, but bring what you have just no shorts! (sorry, we ll be on Church grounds). Shoes or boots that cover the foot. It should be common sense that flip-flops or sandals are not a great choice for a construction site but we thought we d mention it, just in case. Athletic shoes are fine. Bring work gloves, if you have them we will also have gloves available on site. Since it s western Oregon in June, showers are possible, so if you have a rain jacket, bring it. Sun hat, sun screen, and sunglasses. Swimming suit and beach wear (for Tuesday evening at the pool, and for Thursday at the beach). Personal items, toiletries, Prayer Book, etc..

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