Register for your account - Eastside Christian Church (powered by ServiceReef)

Create Your Account

Fill out your information to create your account.

01Enter your personal information

First Name*

Last Name*

Email*

Birth date*

You must be at least 15 years old to register. If you are under 15 and going on a trip, please have your parent create an account first.
Learn about family accounts and how to register children under 15.

Parent/Guardian Email*

This email will be copied on communications.

Phone *

02Login

Upload a JPG or PNG picture of yourself for your profile.

Upload picture

Username*

Please choose a username with no spaces or special characters.
You will use your username and password to log into your account in the future.

Password*

Confirm password*

03Address

Address*

City*

State*

Zip*

04Member information

Liability/Medical/Media Release, Consent and Acknowledgement

LIABILITY RELEASE
In consideration of being allowed to participate in the aforementioned Eastside missions trip, I hereby agree to accept all risk to my health and of my injury or death that may result from such participation and I hereby release, waive, indemnify and hold harmless, to the fullest extent permitted by law, Eastside Christian Church (ECC) and its directors, employees, volunteers, and representatives from any and all liability to me, my heirs, estate, personal representatives, assigns and successors for any and all claims and causes of action for loss of or damage to my property and for any and all illness or injury to my person, both known or unknown, including my death, that may result from or occur during my participation in the missions trip, whether caused by negligence of ECC and/or its directors, employees, and representatives or otherwise, other than intentional acts, gross negligence, or willful or wanton conduct. I further agree to indemnify and hold harmless, to the fullest extent permitted by law, ECC and its directors, employees, volunteers, and representatives from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in the described work projects.
I acknowledge that by participating I am voluntarily subjecting myself to certain risks, including but not limited to such things as health hazards due to poor food and water, diseases, pests, and poor sanitation; potential danger from lack of control over local population; potential injury while working; and inadequate medical facilities.
MEDICAL CONSENT AND ACKNOWLEDGMENT
In the event that I am injured, I authorize and consent for ECC to administer general first aid treatment for any minor injuries or illnesses I may experience. If injury or illness is life-threatening or requires emergency treatment, I authorize ECC to summon professional emergency personnel to attend to me and I authorize ECC to issue consent, if I am unable to, for any medical treatment deemed advisable or rendered under the supervision of licensed medical professionals. I understand that efforts shall be made to obtain my consent prior to rendering treatment, but that treatment will not be withheld if I am incapacitated or otherwise unable to provide consent. I acknowledge that ECC provides emergency health insurance coverage for all participants in international missions trips, which includes repatriation of remains, but does not provide disability insurance. I understand that if I want to have other insurance coverage than what is provided by ECC, I will be expected to purchase said insurance on my own at my own expense.
I further acknowledge and agree that other than the cost of the insurance provided, ECC will not be held responsible for any costs incurred for medical treatment or transportation resulting from any illness or injury associated with this trip.

I fully support the above Team Member Agreement *

I agree to the ServiceReef terms and conditions