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Crash,
As you know, our Winter Retreat is just around the corner (February 17-19). I wanted to take a moment and fill you in on our theme for this year, to ask you to prepare your heart and also pray for God to move mightily on our trip.
This year we are heading back to Awanita where we will be having a great weekend of recreation, worship & Bible study.
The theme is OUTCAST: Finding Our Place In God’s Kingdom. Outsiders are welcome. We see outcasts everyday—people who fit under a different stereotype, don’t look like us, like what we like, or believe the same things. It’s easy to walk away from the outcast, leaving them forever in that category, but Jesus never did. Instead, he walked into the difficulty of their lives to bring them the ultimate insider experience—belonging in his family. At a quick stop at a well on a hot day, Jesus shows us how it’s done. And now we are called to go to the outcasts and bring them in. After all, we’ve all been outcasts at some point.
This packet includes: information about our trip schedule, packing list and forms that you need to fill out and return at our trip meeting on Sunday, January 7th at 6:00pm in the Youth Building. You will need to fill out the Church Forms, Paintball Form and the Awanita Form. The church forms are a code of conduct and medical release. This will serve as your child’s release for for the entire 2018 year. We ask parents to fill a new one out each calendar year, so now is a great time to do it. We’ll have a notary available at the meeting on the 7th.
All forms and money are due no later than January 7th. Remember the total cost of the trip is $165.
In Christ,
Nathan Neighbors Associate Pastor to Students Ebenezer Baptist Church
Retreat Schedule:
Saturday, February 17 7:30am - Meet at the Church (Eat before you arrive) 8:00am - Depart Ebenezer 11:00am - Lunch & Small Group 1 - (On The Outside) 1:00pm - Paintball at Red Fox 5:00pm - Leave for Awanita 6:00pm - Check in at Camp 7:00pm - Dinner 8:00pm - Worship & Message 9:00pm - Small Group 2 - (Invite Them In) 11:00pm - In Rooms
Sunday, February 18 8:00am - Breakfast 9:00am - Devotion & Small Group 3 - (In Our Shoes) 10:30am - Low Ropes 12:00pm - Lunch 1:00pm - Afternoon Recreation & Free Time * Horseback Riding * Hummer Rides * Hikes * Free Time 5:00pm - Clean Up/Shower 6:00pm - Dinner 7:30pm - Worship & Message 8:30pm - Small Group 4 - (The Great Invitation) 9:30pm - Camp Fire 11:00pm - In Rooms
Monday, February 19 8:00am - Breakfast 9:00am - Devotion Time 10:00am - Clean Up 11:00am - Leave Camp 12:00pm - Lunch in Spartanburg (bring $) 4:00pm-5:00pm - Arrive Home depending on traffic.
Packing List:
___ Bible & Pen
___ Clothing for three days
___ Winter coat, gloves, hat/toboggan
___ Comfortable walking shoes
___ Bedding (sheets, pillow & blankets for a twin size bed - or a sleeping bag)
___ Towels and Toiletries
___ Money for lunch on Monday
___ Please leave your electronics & phones at home. Remember there is no cell service at Awanita.
___ You are welcome to bring board games or unamped guitars to use/play around the camp. …Especially if it rains.
DRESS CODE: Please read carefully the Ebenezer Crash Code of Conduct for dress code items.
Medical Release Form
Ebenezer Baptist Church * 524 S. Ebenezer Rd * Florence, SC 29501 * (843) 669-1802
Student Name _____________________________________________________ Birth Date ____________________
Address ___________________________________________________________________________________________
City _______________________________________________________ State _______________ Zip ________________
Father’s Name ______________________________________________________________________________________
Mother’s Name ______________________________________________________________________________________
Legal Guardian’s Name (if different from above) _____________________________________________________________
Home Phone __________________________________ Email: ________________________________________
Father’s Contact Info Mother’s Contact Info
Employer _____________________________________ Employer ___________________________________
Work Phone ___________________________________ Work Phone _________________________________
Cell Phone ____________________________________ Cell Phone __________________________________
Additional Contact Name __________________________ Relationship ____________ Phone ____________________
Physician Name ________________________________ Physician Phone _____________________________
Orthodontist/Dentist ____________________________ Dentist Phone _______________________________
Allergies (e.g. medications, food, insect / bites) Date of Last Tetanus Immunization ______________
_____________________________________________ Insurance Carrier ____________________________
_____________________________________________ Primary Policy Holder _________________________
Special Medications _____________________________ Policy Number _______________________________
_____________________________________________ Carrier Phone Number ________________________
Other Important Medical Information _______________ Please attach a copy of both sides of your insurance card
_____________________________________________ _____________________________________________ Please complete the reverse side.
· I (we) hereby give permission for my (our) child to attend and participate in activities sponsored by Ebenezer Baptist Church.
· I (we) hereby authorize Ebenezer Baptist Church and its acting leaders to teach and lead my (our) child in religious lessons and services which include prayer and Bible teaching.
· I (we) hereby authorize leaders and authorized adult chaperones of Ebenezer Baptist Church to transport my (our) child to and from church related events.
· I (we) hereby authorize leaders and adult chaperones of Ebenezer Baptist Church to take my (our) child to receive any necessary medical treatment in the event of an emergency and in which neither parent can be reached.
· I (we) hereby authorize leaders and adult chaperones from Ebenezer Baptist Church to dispense to my (our) child necessary over-the-counter medications (according to proper dosage instructions) when deemed necessary.
· The undersigned adult shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.
· Should it become necessary for my (our) child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs.
· I (we) herby, forever discharge and agree to hold harmless Ebenezer Baptist Church and the director thereof from any and all liability, claims or demand for personal injury, sickness or death, as well as property damages and expenses, of any nature whatsoever which may be incurred by the undersigned adult and the child-participant that occur while said child is participating in any trip or activity with Ebenezer Baptist Church.
· The medical consent and liability waiver provisions hereof shall remain in full force throughout 2018 and in effect until written notice of revocation or withdrawal is received by Ebenezer Baptist Church at its office. It is the responsibility of the parent or guardian to notify the church of any changes in medical condition, guardianship, address or phone change in writing to the address listed at the beginning of this form.
Father’s Name _________________________________________________
Father’s Signature ______________________________________________ Date:_______________
Mother’s Name: _________________________________________________
Mother’s Signature: ______________________________________________ Date: _______________
(If different from above) Legal Guardian’s Name: ___________________________________________
Legal Guardian’s Signature: ________________________________________ Date:________________
Notary Information The Notary Seal is required
Taken, subscribed and sworn to before me, a Notary Public, in and for the County of Florence, SC on this:
_______________ day of _________________, 2018.
___________________________________________, Notary Public for the State of South Carolina.
My Commission Expires:_______________________
Code of Conduct Covenant
I, _________________________________________ (student’s name) will abide by the following code of conduct while on trips with Ebenezer Baptist Church:
I will wear modest clothing that reflects Christ and is sensitive to others. Girls, no tube tops, spaghetti straps, crop tops, short skirts and shorts. Guys, please don’t have your boxers showing. Basically, don’t show everything God gave you.
I will not wear t-shirts or other clothing with questionable messages.
When swimming or water sports are an option I will wear a modest swim suit. One-piece or modest tankinis for girls. No speedos guys.
I will not bring or use alcohol, cigarettes, or illegal drugs of any kind.
I will not bring or use weapons, fireworks, matches or anything of the kind.
I will respect other people’s property (no stealing or messing with anyone’s stuff).
I will not use foul or inappropriate language.
I will show respect for everyone - especially the adult volunteers.
I will not go in the room of someone of the opposite gender.
I will not be alone with someone of the opposite gender at any time.
No PDA (public display of affection) – Limit to handholding.
I will participate and be on time to all scheduled meals, activities, services and meetings.
No cell phones or other electronic devices unless otherwise noted. All chaperones will have their phones. Parents are welcome to call or text Nathan: (843) 687-4667. I understand that following these guidelines will help me focus my attention more closely on the Lord, help everyone else have a better trip experiences, and help to reflect Christ in my actions. I also understand that if I do not abide by this code of conduct I may have to return home and/or be unable to attend further trips sponsored by Ebenezer Baptist Church.
Student’s Signature ____________________________________________ Date _______________
I have read and understand the code on conduct that my teenager is being asked to follow. I also understand that if my teenager does not follow these guidelines, I may be asked to retrieve my teenager at our expense.
Parent(s) Signature ____________________________________________ Date ________________
Parent(s) Signature ____________________________________________ Date ________________
RED FOX GAMES - THIS IS A CONTRACT Assumption of Risk and Release Agreement
I, the undersigned, hereby acknowledge that there are certain elements of danger inherent in PAINTBALL AND AIRSOFT GAMES which are beyond the control of the officers of Red Fox Games Incorporated. I further understand and acknowledge that participating in PAINTBALL AND AIRSOFT GAMES entails unavoidable risks such as loss of life, personal injury, and loss of or damage to property. In consideration of Red Fox Games, allowing me to play paintball, airsoft, and or any other games on their property, I hereby assume all risks of injury or loss of life to myself and loss of or damage of property arising out of my participation in this sport, including hazards associated with natural terrain or with any defect or misuse of any manufacturer’s product. I specifically release Red Fox Games, from any and all liability, including negligence (active or passive) as to any right of action or claim for relief that may accrue either to me or to my heirs, or personal representatives, for any such injury, loss of life or loss of, or damage of property which I may suffer while participating in any event including activities preliminary or subsequent thereto. I further hold Red Fox Games, harmless from any and all liability, action, causes of actions, debt claims and demands of every kind and nature whatsoever which I may have or which may arise from or in connection with any event or any other activity related thereto. I further understand that Red Fox Games carries no medical insurance for the protection of participants. Any insurance coverage existing with respect to Red Fox Games, shall not alter the terms of this waiver nor impose any liability on Red Fox Games, its owners or operators. Any and all disputes legal or otherwise shall be resolved by arbitration.
I AGREE TO ABIDE BY THE RULES AND FOLLOW ALL SAFETY PRECAUTIONS INCLUDING (BUT NOT LIMITED TO) WEARING GOGGLES AT ALL TIMES.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND I SIGN IT OF MY OWN FREE WILL.
NAME:______________________________ ADDRESS:______________________________________
CITY, STATE, ZIP:_____________________________________ PHONE:__________________________
DATE OF BIRTH:________________________
PLAYERS SIGNATURE:_____________________________________________________________________
DATE:____________________
LEGAL GUARDIAN SIGNATURE: __________________________________________________________
IMPORTANT NOTE: LEGAL GUARDIANS OR THEIR SURROGATE ARE RESPONSIBLE FOR EXPLAINING THE TERMS, CONDITIONS, AND SERIOUSNESS OF THE LEGAL DOCUMENT DEFINED ABOVE TO PLAYERS UNDER THE AGE OF EIGHTEEN! FAILURE TO DO SO MAY RESULT IN INJURY TO YOURS OR OTHER CHILDREN!
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