I am applying for (please select one):* I understand that I will be charged a $50 application fee at the conclusion of this application.* After clicking "Submit," you will be redirected to PayPal for payment. Please allow the page a moment to load before closing your browser. Applications submitted without payment will NOT be processed.
The $50 application fee serves as a deposit toward your total balance. Churches will receive an invoice for the remaining amount. However, if you are not attending as part of a DOVE church, you will be invoiced individually. (For example, if you are attending both Phase 1 and Phase 2, your remaining balance will be $345.)
Please note that the $50 application fee is non-refundable if you are accepted to EMT but choose not to attend. However, if you are not accepted, we will fully reimburse the fee.
Does applicant have a sibling applying to EMT?* Sibling's Name
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Sibling's Name
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Sibling's Name
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Personal Information Name*
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Address*
Gender* Would you like to receive a monthly e-newsletter from DOVE International? The DOVE Feed is a monthly newsletter with encouragement and news from DOVE family around the world.
Parent Name 1:*
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Parent Name 2:
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Has the applicant ever attended EMT before?*
Medical/Insurance Information Is the student covered by personal/family medical insurance or a medical sharing program*?* Examples of medical sharing program are Christian Healthcare Ministries, Medishare, etc.
Does the applicant have any medical or physical limitation we should be aware of that may affect participating in any activity? (This information will be kept confidential)
Does the applicant have any dietary restrictions? (Confidential)
Do you currently take any medications? If yes, please list the medications and condition being treated. (Confidential)
Consent to Attend* My child has my permission to attend EMT in Reading, PA at Rosedale Camp in the summer of 2025.
Medical Consent* I consent to emergency medical treatment deemed necessary in the unlikely event of an accident. I will pay for any and all expenses incurred should insurance not cover them. I also release DOVE USA, the host ministry, and staff from any liability resulting from any accident or illness. I will take full financial responsibility for costs incurred if my child needs to be sent home due to an emergency or misbehavior.
I agree to the medical consent statement.
Parental Release and Indemnification Agreement* DOVE USA, a Pennsylvania non-profit organization with offices at 11 Toll Gate Road, Lititz, PA 17543, runs its Evangelism Missions Training (EMT) in accordance with policies and values of DOVE USA. EMT occurs at Rosedale Grove, 1616 Vine Street, Laureldale, PA 19605.
We, the undersigned parent(s) or legal guardian(s) execute this Parental Release and Indemnification Agreement (Agreement) for and on behalf of the application-identified Child. We affirm that we hold legal status of parent or legal guardian of the Child. We understand that for the Child to participate in the EMT and outreach programs, all parents and legal guardians of the Child shall execute the Agreement.
We do hereby authorize drivers and personnel to transport the Child to and from EMT and outreach activities, as DOVE USA may elect to provide such transportation from time to time, although DOVE has no obligation whatsoever to provide such transportation. We agree that the Child will abide by the policies established by DOVE USA, and as enforced by DOVE USA in its sole discretion. We understand that activities such as those conducted at EMT and vehicular transportation to or from those activities are inherently risky, and pose the specific risks of serious bodily injury for participants, drivers and passengers.
Both for ourselves and on behalf of the Child, we hereby assume the risk of activities that we or the Child engages in with EMT including risks encountered in sports activities and transportation for such activities. We hereby release, discharge, and/or otherwise indemnify DOVE USA and affiliated sponsors and organizations, their employees, volunteers and associated personnel (including the owners of property and facilities utilized for the program), from and against any claim, loss or damages by or on behalf of us or the Child arising from the negligence of any DOVE personnel (including volunteers) or from our or the child’s participation in EMT activities or transportation.
We agree that to the extent we or the Child’s other parent(s) or legal guardian(s) is liable for any claim involving DOVE USA that we shall be held jointly and severally liable, together with the Child’s other parent(s) and legal guardian(s), for any liability arising from the Child’s participation in EMT activities or transportation.
We agree to assume full responsibility for any medical bills incurred, in the event any health insurance we have or do not have would fail to cover the full cost of treatment, transport, or other emergency service incurred for the Child. Should DOVE USA in its sole discretion determine that the Child must return home before the group for medical or disciplinary reasons, we hereby agree to assume any costs for such travel, including costs for meals and accommodations.
I agree to the parental release statement.
Student Consent for Dismissal or Disciplinary Action* Doing any of the following is grounds for dismissal from EMT and outreaches:
1. Using alcoholic beverages, illegal drugs, or tobacco of any kind
2. Stealing or gambling
3. Pornography
4. Displaying any level of romantic or dating relationships - this includes holding hands, kissing, etc.
5. Leaving the camp premises without permission.
Doing any of the following is grounds for disciplinary action and possible dismissal from EMT:
1. Fighting, disorderly conduct, or excessive noise
2. Using profanity or temperamental outbursts
3. Inappropriate use of phones
4. Not keeping your bed and items neat and clean
5. Disobedience to team leaders
6. Not keeping curfew
I understand and agree with the consent for dismissal statement.
Personal Testimony* Please share your testimony. Include how you gave your life to Christ, how long you have been a Christian, how God is working in your life, your experience with the baptism of the Holy Spirit, etc.
Why do you want to be involved in EMT this year?*
If you have attended EMT before, in what ways have you grown since your last experience? (If you have not attended EMT before, please put 'N/A')*
Please read the following:* Phase 2 is designed to help you discover the unique gifts God has given you to build the Kingdom of God. With unique outreaches, you will have the opportunity to apply the talents God has given you to reach the world for Jesus.
During Phase 2 of EMT, there may be opportunities for various outreach initiatives. In the past, these have included sports and creative arts evangelism, though this may or may not be available this year. We are actively praying, strategizing, and collaborating with other ministries to develop a plan that aligns with what God is doing during this time. While we work to finalize these details, please understand that outreach opportunities may vary based on availability and ministry partnerships.
I understand how Phase 2 functions
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Which of these outreach teams is your FIRST choice for EMT? Why is this your first choice?*
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If you selected the creative arts team, do you have any background in dance, music, acting, worship? Please list as many helpful details as possible to help our team leaders plan outreaches. (ex. I have 4 years experience on guitar and I can sing a little.)
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