Disaster Relief Training Sign Up

Disaster Relief Training Sign-Up

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Step 1 of 4

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Training Date/Location

Which training would you like to attend?*

Hannibal, MO | Sept. 5-6, 2025

Mt. View, MO | Oct. 3-4, 2025

Basic Information

Name*

First Last

Preferred Name

First

Email*

Enter Email Confirm Email

Birthdate*

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Event Date

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Age

MODR Volunteers must be at least 18 years old by the time of training.:

MODR requires volunteers to be at least 18 years old. If you have any questions about this, or are involved in a special circumstance, please contact Eric Barb via email, ebarb@mobaptist.org

Gender*

Male

Female

Liability Release and Indemnity Agreement

I acknowledge I am entering a missionary venture with others; as a volunteer I am paying my own expenses. I recognize and acknowledge potential accidents at the disaster site.

I understand that there is an ongoing pandemic of Novel Coronavirus in the areas I might be serving. I have considered the risks including, being exposed to the virus, being infected by the virus, becoming ill, and understand the symptoms and manifestations of this virus, including in some cases, death. I agree to inform those I am serving with of any conditions I have that may be affected by this virus. If in the case I feel that I have contracted the virus, I agree to inform Missouri Baptist Disaster Relief leadership, as soon as possible.

For and on behalf of myself, my heirs, administrators, executors, assigns and all other persons, firms, or corporations, I do hereby release and discharge from liability all other persons on the disaster relief team with me, those who notified, selected or assigned me to said team, the Missouri Baptist Convention, state Disaster Relief director or department, the Southern Baptist Convention, their employees and representatives, successors or assigns, from any claims, demands, damages, actions, causes of actions which I, the undersigned, have or may hereafter, and on account of, or any way growing out of injuries or damages both to persons or property resulting or that may hereafter result from the voluntary venture.

This waiver, release and indemnity agreement is fully understood by me and I enter the same willingly for the purpose herein above stated.

By checking this box I understand that I am indicating my agreement with the Missouri Baptist Disaster Relief liability release and indemnity statement above.*

I agree.

MBC Pathway Subscription

With becoming an MODR volunteer, you will also receive a subscription to the “The Pathway” published by the Missouri Baptist Convention and endeavors to cover not only the events that affect Baptists in Missouri but also the Southern Baptist Convention as a whole and evangelical Christians everywhere.

I do not wish to receive the Pathway.

Payment

Student Discount

$0.00

Total Due

Payment Selection*

I would like to pay online now.

I would like to pay when I arrive at the event.

Credit Card*

You have selected that you would like to pay when you arrive at the training. Please have a personal check or credit card available when you arrive. You will be charged the amount indicated above during the check in process.

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Project Number

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Training Location Address

Street Address Address Line 2 City State ZIP Code

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Training Location Name

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Training Start Date

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Training End Date

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Special Message 1

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Special Message 2

Disaster Relief Training Sign Up