Departure: Students should arrive at CCC at 4:30PM on Friday, September 18. Return: We will return to CCC at 2:30PM on Sunday, September 20.

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1 The Fall Retreat is an amazing weekend at Sandy Hill Camp in North East, MD. It includes multiple large group sessions with teaching, worship through music (with Carrollton), games, and more. Students will also spend focused time in their small groups and have a blast with various activities that include a giant swing, zip line, kayaking, sports, and more. Our hope is that all CCC students will attend the Fall Retreat and invite their friends. The Fall Retreat is a great opportunity to invite friends because they get a glimpse into CCC Student Ministry while getting to hang out with you all weekend. Plus, it saves you some money! (see What is the cost? section). This year s theme is All In. We hope students will come away from the retreat ready to quit playing it safe and go All In in their relationship with Jesus. When is it? The Fall Retreat is September 18-20, 2015 (Friday-Sunday). Departure: Students should arrive at CCC at 4:30PM on Friday, September 18. Return: We will return to CCC at 2:30PM on Sunday, September 20. What should I expect? The Fall Retreat is a weekend event. The weekend includes four main sessions along with specific time allotted for small groups to meet (by grade and gender). Our weekend also includes space for extended free time on Saturday for a bunch of fun things we have planned. We ll have great food, homey accommodations, amazing guest speakers, and lots and lots of fun. Where is the Fall Retreat? The Fall Retreat is held at Sandy Hill Camp in North East, MD. The camp is fully staffed and has safe and clean facilities for us to use. Students can do some kayaking, go down the zip line, and even try out the giant swing. Check out more details about the location at

2 What should I bring? Clothes to play in and sleep in (including a sweatshirt or jacket and long pants) Appropriate bathing suit no midriff showing (if you choose to swim Saturday) Bible & Pen Sleeping bag, pillow, and/or twin sheets for bunks Towel Personal toiletries (toothbrush/toothpaste/deodorant/shampoo/soap/etc.) Insect repellent (optional) Sunscreen (optional) Will I have contact with my student? You will not hear from us while we are away unless something important comes up requiring us to contact you. If you already know you ll need to contact your student over the weekend, please let us know in advance. Students will be able to contact you at any time by way of a leader. If something comes up over the weekend and you need to contact your student, please call the camp and ask for us: Camp Sandy Hill What is the cost? The Registration fee covers transportation to and from the retreat, food, lodging, and a pretty sweet t-shirt (and I know we all like t-shirts). Register by Sep 6 Register after Sep 6 Single registration $120 $140 With a friend who is not part of CCC you both pay $100 $120 Two or more siblings all pay $100 $120 Please bring your payment and enclosed forms (signed) to CCC and turn them in at the Welcome Center in the lobby, to the office during the week, or mail them to: 8007 Corporate Drive, Suite C Nottingham, MD If you have any questions, please ryan.arnold@communitycc.net or call the office at We will be accepting registrations through Sunday, September 13. Ryan Arnold Student Minister Community Christian Church Helping People Find Their Way Back to God :. ryan.arnold@communitycc.net Twitter: Facebook: Instagram: twitter.com/cccstudents facebook.com/cccstudents instagram.com/cccstudents

3 Fall Retreat 2015 Registration & Release Name: Address: Phone (home): (cell): Birthday: Age: Gender: M / F School: Grade: Emergency Contact: Emergency Phone: Insurance Company: Policy #: Any Known Allergies: I agree to the following: I give permission for medical attention to be given to my son/daughter in case of injury, including major surgery. I understand that I will be contacted as soon as possible in case of an incident. I release Community Christian Church and any other parties acting for the church from liability in case of an accident. I request that the student ministry staff carry out any discipline; if necessary, I will pay the expense to have my son/daughter sent home. Photo & Video Release: By registering for this event I agree that as a participant of this event, my child may be photographed and/or videotaped during normal activities and that the photographs or video may be used in promotional material for Community Christian Church. Signature of Student Signature of Parent/Guardian Date

4 COMMUNITY CHRISTIAN CHURCH MEDICAL CONSENT FORM SCHOOL YEAR Medical Consent Forms are required to attend student activities. These forms are kept on file for one school year. A new Medical Consent Form is required at the beginning of each school year OR when a student s address, emergency contact, health and/or insurance information changes within the year. Please Print Name Sex Birth date / / Age Last First M.I Address Phone ( ) Grade City State Zip Visitor Yes No Emergency Information Father's Name or Legal Guardian Home Phone ( ) Work Phone ( ) Cell Phone ( ) Mother's Name or Legal Guardian Home Phone ( ) Work Phone ( ) Cell Phone ( ) If Parents or Guardians are unavailable, call: Alternate contact/relationship: Phone ( ) HEALTH & INSURANCE INFORMATION Do you carry family medical/hospital insurance? Yes No If so, indicate Insurance Carrier Policy # Name of Family Physician Phone ( ) Name of Family Dentist/Orthodontist Phone ( ) MAJOR MEDICAL PROBLEMS: Allergies: Asthma Drug Allergies Hay Fever Insect Stings Other: Asthma (chronic) Bleeding/Clotting Disorder Cardiac Diabetes Epilepsy Emotional Disorder Nervous Disorder Physical Handicap Other: If you have checked any of the above, please give details: Activities restrictions? Lost operations or serious injuries with dates: List any chronic recurring illness or medical condition: Current medication: (send with instructions) Date of last tetanus shot: (month/day/year) / / IMPORTANT: Please notify Community Christian Church (CCC) if your child has been exposed to a communicable disease within the last three weeks prior to the outing or event. This health information is correct so far as I know, and my son/daughter has permission to engage in all prescribed activities except as noted. I agree to update the above medical information regarding my son/daughter as is appropriate. Authorization for treatment: I hereby give permission to the medical personnel selected by CCC to provide medical care in the best interest of my son/daughter in case of a medical emergency. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by CCC to treat my son/daughter, including hospitalization, if necessary. This form, when complete, may be photocopied for trips away from CCC. Signature of Parent or Legal Guardian: Date:

5 SANDY HILL LLC INFORMED CONSENT AGREEMENT FOR MINORS Carefully read the following sections and provide the information below in the indicated spaces. I (AS THE PARENT/GUARDIAN OF THE CHILD NAMED BELOW) UNDERSTAND THAT: The program that my child is attending will include both indoor and outdoor physical activities. Some of the activities may be similar to rock climbing and involve the use of harnesses, while others may include some lifting, stretching, and jumping. All activities are designed to be safe and engaging for a wide range of abilities. Each activity will be explained by program staff. My child may choose to limit his/her participation as he/she feels appropriate, and that choice will always be respected. Parts of this program can be physically demanding The potential for injury exists even though safety systems are provided It is always my or my child s responsibility to limit his/her participation in any way I or he/she deems appropriate It is important to disclose all medical conditions and all physical activity concerns on the back of this form My child cannot be under the influence of drugs or alcohol during the program, except for medication I have disclosed on the back of this paper LIABILITY RELEASE I understand that Sandy Hill takes reasonable precautions to insure that programs and activities at Sandy Hill are conducted by qualified personnel in a safe and responsible manner. However, I further understand that these activities involve certain risks and dangers and include, but are not limited to ropes course, zip line, climbing, water sports, land sports, weather conditions, plants, insects, falling trees and rugged terrain (collectively Camp Activities ). I, the undersigned, recognize these risks and agree to assume these risks by allowing my child to attend and participate in these Camp Activities at Sandy Hill. I hereby release, indemnify and hold harmless Sandy Hill, LLC, Sandy Hill Holdings, LLC, their directors, officers, owners, agents, guests, and employees (collectively Sandy Hill ) from all liability for damage, injury, death or illness to my child or his/her property relating to or deriving from his/her presence at Sandy Hill or participation in Sandy Hill sponsored Camp Activities whether arising from an act or omission, negligent or otherwise, by Sandy Hill or otherwise to the fullest extent permitted by law. PUBLICITY RELEASE I give permission to Sandy Hill, without limitation or obligation, to make photographs, film footage, or tape recordings which may include my child s image, voice, or written comments for purposes of promoting Sandy Hill programs. This includes but is not limited to posting my child s image on an internet site. Sandy Hill will not post personally identifiable information such as my child s name with these photos. I release Sandy Hill from any claim or liability to these uses. PERMISSION TO TREAT The organization sponsoring the event ( the Group ) is responsible for providing all necessary medical supplies, care, trained personnel and transportation for my child. In the event that my child is ill or injured, the emergency contact below is unavailable, and the Group is unable to provide the necessary care, I hereby give permission to the medical personnel selected by Sandy Hill to order X-rays, routine tests, or treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary transportation for my child. I hereby give permission to the physician selected by Sandy Hill to secure and administer treatment, including hospitalization, for my child. Student Name (print legibly) Signature of Parent/Guardian Date Street Address In the event of an emergency, please contact: City, State, Zip Code Emergency Contact Name Relationship Phone IMPORTANT: PLEASE NOTE ANY MEDICATIONS OR MEDICAL OR PHYSICAL CONCERNS ON THE REVERSE SIDE OF THIS SHEET.

6 Fall Retreat 2015 Guidelines 1. I understand no Public Display of Affection (PDA) is appropriate if I m not married. (Holding hands, kissing, etc.) 2. I understand I have no business in someone of the opposite sex s room. I will honor the separated sleeping arrangements. 3. I understand the need to respect other people s property, including other s backpacks, bags, hats, quiet times, the vehicles, any restaurant, gas station, etc. (pretty much everything that is not yours & everywhere we go). This means I ll do everything possible to leave something in better shape than how I found it. 4. I understand that I will not use the Sandy Hill phones for any reason unless a leader asks me to make a call. 5. I understand I represent much more than just myself, including the other people in the group, Community Christian Church, other Christians, and even God Himself. Therefore, I will conduct myself in a manner that is worthy of the Gospel of Jesus Christ. 6. I understand the Adult Volunteer Leaders on this trip have my best interests in mind. Therefore, I will do whatever they ask of me. 7. I understand I am part of a group these next three days, so I will never go anywhere alone, always letting a leader know where I am. 8. I understand there is a BIG PLAN for the retreat. Therefore, I will participate in every aspect that is a part of the plan. Student Signature Date