The Life Youth Retreat July 24-25, 2015

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1 The Life Youth Retreat July 24-25, 2015 Unstoppable Middle & High School Youth Retreat at Great Wolf Lodge Williamsburg Itinerary: Cost $110 Per Person. Includes: Pick- up Date: 07/24/2015 Depart July 24 9AM, The Life, Darby Brook Ct, Woodbridge, VA Arrive July 24 11AM, Great Wolf Lodge, 549 E Rochambeau Dr, Williamsburg, VA Pick- up Date: 07/25/2015 Depart July 25 1PM, Great Wolf Lodge, 549 E Rochambeau Dr, Williamsburg, VA Arrive July 25 4pm, The Life, Darby Brook Ct, Woodbridge, VA Enjoy Round Trip Transporta2on on Luxury Motor Coach Luxury Lodging and Amusements at Great Wolf Lodge All Breakfast/Lunch/Dinner Meals Included Souvenir T- Shirt Materials The Life $55.00 Deposit and Completed Applica2on (All Forms) REQUIRED to Reserve Space Money Orders, Personal and Bank Checks (Payable to The Life Church VA) or pay online at * * Payment can be made online but registra4on is not complete un4l the registra4on packet with permission forms have been signed and turned into the Youth Ministry. Pay Online at For Specific Informa\on on Great Wolf Lodge Williamsburg visit h]p:// POC: Pastors Charles & Pamela Hyman

2 2 YOUTH REGISTRATION FORM General Information Last Name: First Name: ChurchName: Date of Birth Grade Gender Parent/GuardianName Address City St Zip Home Phone Cell Phone Work Phone Emergency Contact Phone: T-Shirt Size: SM MED LG XL 2XL 3XL Medical Release Check all that apply to your child: Date of last Tetanus Booster Illnesses Allergies Other: Ear Infections Hay Fever Food (Specify): Rheumatic Fever Convulsions Diabetes Insect Stings (specify insect) Ivy Poisonings Penicillin Current prescribed medication (specify) Health Concerns/Physical Activity Restrictions/Special Dietary Needs Name of Insurance Company or Government Program Identification/Policy# Family Physician s Name and Phone (a copy of medical card must be provided)

3 3 CHURCH POLICY STATEMENT: Children and/or teenagers participating in church activities that involve traveling extensively, traveling outside of the greater metropolitan area, or being away from home overnight are to be provided with Parent Permission Form that must be signed and returned to the leader of the sponsoring class or church organization before the activity. The use of the Parental Permission Form represents a good-faith effort on the part of the church to keep parents fully informed and to provide the proper care for the children/ and or teenagers. I hereby grant permission to participate in the Youth Retreat. I have read the accompanying information about the activity. In the event of an emergency I may be reached at the numbers above. I further grant permission to the Director of the activity (or authorized designee) to dispense to my child any prescribed medication he/she is currently taking. I understand that I will be notified in case of serious injury or illness. However in the event that I cannot be reached, I hereby give permission for my child named above to be medically treated by a physician or medical facility as appropriate. I also release and any other church employee whether volunteer or compensated from liability for administering medication or seeking medical assistance for my child if needed. Signature of Parent/Guardian Date PART III -STUDENT AGREEMENT and PARENTAL CONSENT I HEREBY CERTIFY that all statements made herein, and on any attachments, are true and correct to the best of my knowledge. Submission of false information may result in non-acceptance of the Youth Retreat. As a condition of my participation at the Youth Retreat, I agree to abide by the rules of conduct and the guidance/directions of the Retreat Coordinators/Counselors. I understand that serious acts of misbehavior on my part may result in my immediate dismissal from the Tour and return home at the expense of my parents/guardians. Print Student s Name (Printed) Student s Signature Date I have read the conditions. My signature below and the enclosed $55.00 deposit indicate that my child has my permission to participate in the Youth Retreat. I understand that photographs of my child may be taken during the Retreat and may be included in the various publications of. I agree to make the final payment of $55.00 on or before June 28, Print Parent s Name (Printed) Parent s Signature Date

4 RETREAT RULES 4 I will participate in the youth Retreat program as planned. This means I am required to attend all workshops, services and activities. I will not leave the Retreat grounds at any time! A youth leader must know where I am at all times. I will exercise Christian etiquette at all times! I will dress appropriately at all times. Girls - No halter-tops, spaghetti straps, low-cut, or midriff blouses! No short shorts, tight pants or bikini swimsuits! Boys No muscle shirts, no underwear showing, and no Speedos or bikini swimsuits. No girls in the guys rooms and no guys in the girls rooms. NO EXCEPTIONS!! I will not bring CD or tape players to the worship services or workshops. No cell phones allowed! I will clean up after myself and respect the property of the Great Wolf Lodge. I will retire to my room at the designated time for devotions and be in bed at Lights Out. I will cooperate in every way possible to make this youth Retreat a benefit to others and myself. Any failure on my part to comply with these and other rules that will be discussed at the Retreat site, is just and fit cause for my dismissal from the Retreat grounds! RETREAT OBJECTIVES 1. Learning to live, serve, worship, and play in ways that honor God. 2. Enlarging my personal knowledge of life, God, Christ and the Bible. 3. Applying Christian truths and virtues to my life for victorious living. 4. Discovering and developing talents in worship and service. 5. Finding God and God s plan for my personal life. I have read and understand the Retreat rules and objectives. (Name) Signature

5 NECESSITIES AND EXPECTATIONS 5 Please mark all your personal items. Bring your bible! 1. You will need appropriate pajamas, swimming suits and towels, bug spray, sunscreen, shower shoes and toiletries (i.e., deodorant, soap, powder, lotion, toothpaste, toothbrushes etc.). 2. Swimming suits are expected to be appropriate for a Christian Retreat atmosphere. No Speedos or bikini swimsuits. NO EXCEPTIONS!!! 3. Shorts must be of appropriate lengths and pants/jeans should not be tight. 4. No low-cut blouses are acceptable. 5. Please bring a pair of blue jeans to wear with your Retreat souvenir t-shirt on Saturday. 6. Electronic Devices (CD players, IPods, appropriate music, etc) are allowed on the bus and in the rooms with permission from the dorm leader, but not in the sessions at all. No cell phones or pagers. Main contact number is on The Life Permission Form. In addition, parents will receive a list of at least five numbers that they can use to reach their child if necessary. 7. No guys in the girls rooms, and no girls in the guys rooms. NO EXCEPTIONS!!! 8. If you have a medical card, please travel with it, as well as any medications that you are required to take. A medical form MUST be filled out and signed by your parent, so we can be aware of any pertinent medical conditions. 9. Bring a minimum of $20 to $30 of personal spending money. The Retreat agenda and rules for the weekend will be given to you upon arrival at Great Wolf Lodge and you will be expected to adhere to all rules set forth by Great Wolf Lodge or your parents/guardians may have to make arrangements to pick you up early from the Retreat center. Behavior that endangers others or disrupts the learning environment in anyway will not be tolerated!

6 Youth Ministry Middle and High School Retreat 6 Chaperone Registration Form GREAT WOLF LODGE Name Gender Address City State Zip Home Phone Cell Phone T-Shirt Size: SM MED LG XL 2XL 3XL Church Name Pastor Name Allergies/Special Needs Emergency Contact: home:

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