Epic fall retreat 11
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Transcript of Epic fall retreat 11
Paintball* Polar Bear DipNight GamesLow Ropes Climbing TowerChapel
FootballHigh Ropes Challenge CourseHorseback Riding*Zipline
Bring All Your Adventure Seeking Buddies
* Additional permission signature and $10 fee required.
FallRetreat
OCTOBER 20-23 2011
Junior & Senior High
Berean Baptist Church309 E Co Rd 42, Burnsville, MN 55306Youth Offi ce 952.223.1847www.epicSM.com
Emergency Camp Phone Number 320.732.3218
ITEMS TO PACK Bring money for dinner on the way to camp
� Warm bedding (and pillow)
� Warm clothes and jacket
� Old clothes
� Long pants
� Two pairs of shoes (one old pair)
� Flashlight
� No electronics allowed
� Toiletries
� Bible
� Notebook
� Pen
� Swimsuit
� Towel
Fall Retreat 2011Permission Release
NAME ___________________________________________________
ADDRESS ________________________________________________
CITY _____________________ STATE ________ ZIP ______________
PHONE (__________) ____________-______________ GRADE ______
VISITOR? � YES � NO IF YES, BROUGHT BY ___________________
T-SHIRT SIZE � S � M � L � XL
I give permission for my child to join Epic Student Ministries of Berean Baptist Church on the EPIC FALL RETREAT `11 Weekend at Lake Beauty Bible Camp from Oct. 20- 23. I understand that the group will be traveling by buses and 15-passenger vans. I also understand the cost includes food, transportation, and all programming.
I agree that the staff member or adult in charge is authorized to solicit medical care in the best interest of my child in case of an emergency arising during the course of said minor’s attendance at the aforesaid function. I further understand and agree that my medical insurance coverage or other applicable insurance coverage, if any, are primary coverage for the protection of the child and that any insurance coverage provided by Berean Baptist Church are secondary coverage.
All participants must also have a “Berean Baptist Medical Consent” form on fi le at the church offi ce. They can be found on-line at www.epicsm.com. If you are unsure as to how to answer any of the questions, please contact us at 952.223.1847.
1. The church has a completed copy of the Berean Baptist Church Medical Consent form, signed by me (parent/legal guardian), on fi le for this current school year.
2. All health and insurance information (regarding question #1) is accurate and up-to-date.
3. All emergency phone numbers and medical information (regarding question #1) are up-to-date.
4. I give my consent to use pictures or video of my student on the Berean website or for event promotion.
Signature _________________________________________________ (PARENT OR LEGAL GUARDIAN)DATE ________/________/________
EMERGENCY PHONE NO. (__________) ____________-______________
PAID: � CASH � CHECK* (# ____________ AMT. _______________)
� CREDIT VOUCHER (AMT. ___________________)
*MAKE CHECKS PAYABLE TO BEREAN BAPTIST CHURCH———————————————————————————————Lake Beauty Bible Camp Horse Trail Ride Permission/Release Form
Camper Name (please print):_________________________________________
Horseback Trail Rides: I hereby give permission, as indicated by my signature below, for my child (the camper named above) to participate in Lake Beauty’s trail rides. I understand that signing below does not register my child for trail rides; rather, it gives permission for them to participate. I also understand that campers participating in horseback riding activities will be given introductory safety instructions before going on trail rides and that all riders will be required to wear protective head gear which the camp provides. It is my understanding that camp personnel seek to ensure a safe, educational, and fun program.
Signature _________________________________________________ (PARENT OR LEGAL GUARDIAN)DATE ________/________/________
� YES � NO
� YES � NO
� YES � NO
� YES � NO
Cost: $180, plus $5-10 cash for dinner on the ride up to camp. Includes transportation, program & meals at camp.
Registration Deadline: Oct 12, 2011
Scholarship forms available online at www.bereanbaptist.com/events
Speaker Cesar
Castillejos
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Thursda
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Adventure Destination:Lake Beauty Bible CampLong Prairie, MN 56347-9734Phone 320.732.3218www.lbbc.com
Drop Off: At Berean ~ Thursday, Oct. 20 at 2:30 Pick Up: At Berean ~ Sunday, Oct. 23 at 2:30Both at Berean’s Main Entrance
Cost:
the best interest of my child in case of an emergency arising during the course of said minor’s attendance at the aforesaid function. I further understand and agree that my medical insurance coverage or other applicable insurance coverage, if any, are primary coverage for the protection of the child and that any insurance coverage provided by Berean Baptist Church are secondary coverage.
All participants must also have a “Berean Baptist Medical Consent” form on fi le at the church offi ce. They can be found on-line at www.epicsm.com. If you are unsure as to how to answer any of the questions, please contact us at 952.223.1847.
Signature _________________________________________________
DATE ________/________/________
EMERGENCY PHONE NO. (__________) ____________-______________
PAID:
� YES
� YES
� YES
� YES
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