2025 TSM HS Summer Service Trip

Student Name

Student Cell Phone

Student Email

Name of parent(s)/guardian(s)

Primary Parent/Guardian Email

This address will receive a confirmation email

Secondary Parent/Guardian Email

Primary Parent/Guardian Cell Phone

Secondary Parent/Guardian Cell Phone

T-shirt size

S M L XL XXL XXXL

Dietary restrictions

Does Student/Adult participant take any prescription medications? If yes, please list each medication, the reason for the medication, and the prescribed dosage (e.g. amount & times per day)

Are any of your student's prescriptions controlled medications?

Yes No

Would you like your child to self-administer during the trip?

Yes (my student will store safely and self-administer) (Thornapple staff will store and administer my student's controlled prescriptions)

Have there been any changes in your students physical, mental, emotional, social, and/or spiritual health?

What would make this a successful trip for your student?

Who is your student's closest friend in TSM?

Is there anything else we need to know?

TSM Waiver Acknowledgment

To participate in activities with Thornapple Student Ministry for the upcoming year, we ask that you fill out the 2024-25 TSM General Permission/Medical/Contact Form.

For Students UNDER 18yo, use the form found HERE (right-click link to open new window and fill out form).
For Students 18yo OR OLDER, use the form found HERE (right-click link to open new window and fill out form).

Thank you!

I have filled out a TSM waiver for this student:

Yes No Not sure

CSM (City Service Mission) Waiver & Code of Conduct Acknowledgment

To attend this trip and participate with CSM (City Service Mission), each participant needs to fill out the CSM Waiver & Code of Conduct form (form will open in new window).

I have filled out a CSM Waiver & Code of Conduct form for this student:

Yes No Not sure

Gorge Underground Kayak Tour Waiver

To attend this trip and partake in the Gorge Underground Kayak Tour, each participant needs to fill out the Gorge Underground Kayak Tour Waiver (form will open in new window).

I have filled out a Gorge Underground Kayak Tour Waiver form for this student:

Yes No Not sure

Payment Details

A minimum down payment of $100 is required at this time to hold your student's spot.
Total cost for the trip is as follows:

Early bird pricing = $795 (Register by April 3 - before you leave for Spring Break)

Regular pricing = $845 (Register after April 3)

Registration deadline - May 1

We never want cost to be a factor in participation in TSM events! Scholarships are available through Thornapple Covenant Church - please contact Lynne McLaughlin to make a scholarship request.

Feeling blessed and want to help pay extra towards someone else's trip?? Utilize the next section before the deposit or contact Peter Ek and Angel Baum directly!

Feeling blessed and want to help pay extra towards someone else's trip?

Payment - $100 deposit required

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

July 20-27, 2025

Please fill out this form (one for each student) to register your student for the 2025 TSM HS Summer Service Trip.

*REQUIRED* Be sure to follow the links in the form to complete:
(1) TSM waiver for each student (if you have not already for the 24-25 year)...AND...
(2) CSM Waiver & Code of Conduct (City Service Mission)...AND...
(3) Gorge Underground Kayak Tour Waiver

**Additional waivers MAY BE REQUIRED by our different destinations. Email instructions will be sent to you at a later date if so.

WHEN: July 20-27, 2025

WHO: Incoming 9th graders through graduating 12th graders (Friends who have or haven't attended TSM events are welcome! No statement of faith required or forced later - all are welcome!). Plus your friendly, neighborhood, all-star adult volunteers!

WHERE: One mega-trip…two locations!
– July 20-25: Serving with CSM (City Service Mission) in Nashville, TN
– July 25-27: Camping at Natural Bridge State Resort Park Whittleton Campground in Slade, KY

WHAT: Our week-long summer trip with Thornapple Student Ministry High School students, their friends, and our adult volunteers! Serving, learning, playing, worshipping, reflecting, and bonding - you won't want to miss out!

2025 TSM HS Summer Service Trip

Description

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