Dear Pathfinder Directors: In this document, you will find some of the forms you will need for Pathfinder Camporee. You can register online. If you need the regular form from the office, call me I will send it to you. The Campsite form is customized for each club and therefore is not included. If you need any additional forms or any additional assistance, please e-mail me at youth@gnyc.org or text me at 347-461-7702. Thank you for your cooperation, remember in order to participate for camporee, you must register your club with the Conference and everybody who participate in camporee must be register. * PLEASE PAY ATTENTION ON THE STAFF & SUPPORT STAFF MEDICAL FORM * See, you soon!!

Your friend!!! Veronica Chaug Assistant Youth Ministries Dept.

Parental / Guardian Permission 2019

Name of Son/Daughter: _____________________________________________________ Event: PATHFINDER Camporee Date: May 31-June 2, 2019 My Son/daughter has my permission to attend the Pathfinder & Master Guide Camporee in Wingdale, NY. I understand the arrangements done by the Greater New York Conference Seventh-day Adventist Church and I give my son/daughter permission to go. I will not sue the Greater New York Conference Seventh-day Adventist Church and its representatives for any accident or lesion that can occur during this event. This form does not eliminate insurance coverage (within the limits of the Insurance Policy for Accidents) offered for events sponsored by the local Seventh-day Adventist Church or the Greater New York Conference. ___________________________________ _________________________________ Signature of Parent/Guardian Date

Medical Treatment in case of Emergency

In case of an emergency (sickness or accident) that requires medical attention, My son/daughter ____________________________________________ has permission to receive medical treatment. During the event of ____________________________________________________, From: (Date) __________________ to __________________ (Year) _____________ I can be contacted at the following phone numbers: Home: _______________________ Work: ______________________ Cell: ____________________ Indicated are all medical conditions that my son/daughter has (including any allergies or any medication that my son/daughter may be taking): ______________________________________________________________________________ _________________________________ ________________________________ Signature of Parent/Guardian Date

WAIVER / RELEASE

In consideration of your accepting this entry I, the above signed, intending to be legally bound hereby, for myself, my heirs, executors, and the administrators, waive and release any and all rights and claims for damages I may have against the Greater New York Conference Pathfinder & Master Guide Camporee and any other sponsors, their representatives, successors and assigns, for any and all claims or liabilities of any kind arising out of my participation in this event. I assume all risk associated with my participation, including, but not limited to, weather, course conditions and the behavior of participants, course workers and observers. Further, I hereby grant full permission to any all of the aforementioned parties to use my name, likeness, and voice in any and all multimedia form. Accordingly, the registrant agrees to hold Greater New York Conference and its agents harmless from any liability or injury resulting from the Greater New York Conference Pathfinder & Master Guide Camporee and associated events. Furthermore, the registrant agrees that it shall have no claim against gnycyouth.com for any injury that may occur during the Pathfinder & Master Guide Camporee and associated events. The individual event operators and sponsors have provided information included in the www.GNYCYouth.com and does not verify the accuracy or completeness thereof. All confirmed orders are final once payment is submitted. Greater New York Conference does not issue refunds. ___________________________________________ _______________________________________ Signature Date

Greater New York Conference of the Seventh Day Adventist Church

Adventist Youth Ministries Department 2019

Staff & Support Staff Medical Treatment in case of Emergency

In case of an emergency (sickness or accident) that requires medical attention, I, _________________________________, give permission for myself to receive medical treatment. During the event of PATHFINDER CAMPOREE From: (Date) May 31-June 2, 2019 My emergency contact person can be reached at the following phone numbers: Name: ______________________________ Relationship: _____________________ Email: _____________________ Home:____________________ Work:___________________ Cell:_____________________ Below are listed all my medical conditions (including any allergies) and any medication that I am currently taking: _______________________________________________________________________________________________ _______________________________________________________________________________________________

WAIVER / RELEASE In consideration of your accepting this entry I, the above signed, intending to be legally bound hereby, for myself, my heirs, executors, and the administrators, waive and release any and all rights and claims for damages I may have against the Greater New York Conference Pathfinder & Master Guide Camporee and any other sponsors, their representatives, successors and assigns, for any and all claims or liabilities of any kind arising out of my participation in this event. I assume all risk associated with my participation, including, but not limited to, weather, course conditions and the behavior of participants, course workers and observers. Further, I hereby grant full permission to any all of the aforementioned parties to use my name, likeness, and voice in any and all multimedia form. Accordingly, the registrant agrees to hold Greater New York Conference and its agents harmless from any liability or injury resulting from the Greater New York Conference Pathfinder & Master Guide Camporee and associated events. Furthermore, the registrant agrees that it shall have no claim against gnycyouth.com for any injury that may occur during the Pathfinder & Master Guide Camporee and associated events. The individual event operators and sponsors have provided information included in the www.GNYCYouth.com and does not verify the accuracy or completeness thereof. All confirmed orders are final once payment is submitted. Greater New York Conference does not issue refunds. ___________________________________________ _______________________________________ Signature Date

Greater New York Conference Headquarters Adventist Youth Ministries

PO Box 5029 7 Shelter Rock Road Manhasset, NY 11030-9878 Telephone: (616) 627-9350 Fax: (516) 627-9272 Email: youth@gnyc.org Website: www.gnycyouth.com

April 11, 2019 Dear Educator: _____________________________________________, is a member of a Pathfinder Club in the Greater New York Conference of the Seventh Day Adventist Church. Pathfinders are a youth organization within our Church for boys and girls. The purpose of the Pathfinder Ministry is to promote healthy living, good community citizenship, outdoor living skills, and appreciation of nature, practical living skills, and a strong spiritual life. From May 31-June 2, 2019 the Greater New York Conference of the Seventh Day Adventist Church will be conducting a Pathfinder Camporee for all clubs. The Camporee will be held at Camp Berkshire, Wingdale, New York. During the Camporee the Pathfinder will participate in various skill events such as: Crafts and hiking, which are part of the Pathfinder program. They will listen to an inspirational speaker that will challenge them to be good students, citizens and Christians. They will meet other Pathfinders and will be expanding their network of friends. This truly would be an educational experience. The Youth Ministries Department of the Greater New York Conference is requesting that you as an educator give consideration and realize the benefits of this type of event by excusing the student from classes missed and allowing them to turn in assignments on their return. Thank you for your consideration and honoring this request. Blessings,

Pastor Ariel M. Manzueta Director Adventist Youth Ministries

CONSENT, RELEASE, AND ASSUMPTION OF RISK AGREEMENT For

ROPE COURSE

Group Name: ____________________________________________ We have endeavored to take reasonable steps to assure that our Rope Course program has been made as safe as possible; however, we wish to inform you that the rope course is not without risk. As in any strenuous activity, the rope course has inherent risks and may result in serious injury or death. High rope and cable-combined elements have been designed for team-spirited problem solving, communication, trust, and challenge. High elements take you from ground level to over 24 ft. Participation in high rope activities is encouraged, but not a required activity. If you have any questions, please feel free to contact the programming director at 845-832-6681before participating or giving consent at 845-832-6681.

CONTRACT OF RELEASE AND ASSUMPTION OF RISK AGREEMENT

I realize that Rope Course has inherent risks. I knowingly accept and assume those risks, and agree to release Camp Berkshire and the Greater New York Conference of Seventh-day Adventists, and their related organizations from any and all liability and responsibility. Further, I agree to indemnify and hold harmless the organizations noted above from any and all claims, damages, injuries, and expenses arising out of or resulting from my participation in Rope Course activities. I further agree to release, acquit, and covenant not to sue the organizations noted above for any and all actions, causes of action, claims or damages, damages in law, or remedies in equity of whatever kind, including the negligence of the organizations noted above. Print Name________________________________________________ Signature___________________________________ Date________________ PARENT/S OR GUARDIAN/S CONSENT, RELEASE, AND ASSUMPTION OF RISK AGREEMENT FOR PARTICIPANTS UNDER 18 YEARS OF AGE I, parent/guardian, hereby give my consent for all participants under 18 years of age for whom I am responsible, and whose names and ages are listed below. I have read the above release and assumption of risk agreement and agree to be bound by it. Signature__________________________________________________Date________________ Parent Guardian (Circle One) Signature__________________________________________________Date________________ Parent Guardian (Circle One) NAME (S) OF CHILD (CHILDREN) Name_____________________________________________________ Age________________ Name________________________________________________________________________Age_____________________

CONSENT, RELEASE, AND ASSUMPTION OF RISK AGREEMENT For

HORSEMANSHIP

Group Name: ____________________________________________ We have endeavored to take reasonable steps to assure that our horsemanship program has been made as safe as possible; however, we wish to inform you that horseback riding is not without risk. As in any strenuous activity, horseback riding has inherent risks and may result in serious injury or death. You should only participate, or consent for participation after you have read the description of the horsemanship program in the camp brochure. Please note, horsemanship is not a required activity. If you have any questions, you should contact the programming director at 845-832-6681 before participating or giving consent.

CONTRACT OF RELEASE AND ASSUMPTION OF RISK AGREEMENT

I realize that horseback riding has inherent risks. I knowingly accept and assume this risk, and agree to release Camp Berkshire and the Greater New York Conference of Seventh-day Adventists, and their related organizations from any and all liability and responsibility. Further, I agree to indemnify and hold harmless the organizations noted above from any and all claims, damages, injuries, and expenses arising out of or resulting from my participation in horsemanship activities. I further agree to release, acquit, and covenant not to sue the organizations noted above for any and all actions, causes of action, claims or damages, damages in law, or remedies in equity of whatever kind, including the negligence of the organizations noted above. Print Name________________________________________________ Signature___________________________________ Date________________ Date of Birth___________________________________ PARENT/S OR GUARDIAN/S CONSENT, RELEASE, AND ASSUMPTION OF RISK AGREEMENT FOR PARTICIPANTS UNDER 18 YEARS OF AGE I, parent/guardian, hereby give my consent for all participants under 18 years of age for whom I am responsible, and whose names and ages are listed below. I have read the above release and assumption of risk agreement and agree to be bound by it. Signature__________________________________________________Date________________ Parent Guardian (Circle One) Signature__________________________________________________Date________________ Parent Guardian (Circle One) NAME (S) OF CHILD (CHILDREN) Name_____________________________________________________ Age________________

Name____________________________________________________ Age________________

Greater New York Conference of Seventh Day Adventist Youth Ministries Department

680-1 Berkshire Road- Wingdale, NY 12594 Telephone 845-832-6681

Pathfinder & Master Guide Camporee Parking Agreement & Deposit

In order to enhance safety and order during the Pathfinder Camporee, Greater New York Conference Pathfinder Ministry has instituted the following procedures:

1. Vehicles will be allowed into the camping area for unloading only. 2. After unloading all vehicles, with the exception of a storage trailer, must be moved to the parking area. 3. There will be no driving in the camporee area during the camporee. 4. There will be a deposit of $25 for each vehicle entering the camporee area. That deposit will be returned if the vehicle is not in the camporee area at any time during the camporee weekend. 5. The Pathfinder club will receive no points for attendance or any activity at the camporee if any vehicles from the club are parked in an unauthorized area. 6. In addition to the above, Camp Berkshire reserves the right to tow any vehicle that is parked creating an unsafe condition. I acknowledge receipt of these regulations:

________________________ _________________________ ___________________ Name Church Date ------------------------------------------------------------------------------------------------------------------- I ______________________________ have given $25.00 (Twenty-five and 00/100 Dollars) as a parking Deposit I will make sure this car parked only in authorized areas or I am liable to lose my deposit and have my car towed

______________________________ ________________________ ___________________ Name Church Name Club # ________________________ ________________ _________________________ Plate Number State Signature

________________________ ________________ _________________________ Plate Number State Signature

RECEIVED FROM: _______________________________ ___________________________ (Office Staff) Name Signature ___ Cash ____ Check I acknowledge return of my $25 deposit. Name: __________________________________ Date_______________________

PHOTO/MEDIA RELEASE AUTHORIZATION FORM

2019 To: GREATER NEW YORK CONFERENCE OF SEVENTH-DAY ADVENTISTS Name of Child: ___________________________________ D.O.B.: ___________________________________ I _______________________________________, hereby grant the Greater New York Conference of Seventh-day Adventists (Greater New York Conference/GNYC) and its employees and volunteers, the right to photograph my child, to use my child’s name and to reproduce and use pictures, images and other portrayals of my child’s likeness as may appear in still camera photographs, digital recordings, videos, websites and/or any other medium of communication produced in connection with GNYC sponsored events, camporees, exhibitions, fundraising activities, athletic programs, marketing materials, and/or other GNYC related events and projects. I further give the Greater New York Conference the right to reproduce and use any written materials submitted by my child and/or any recordings of my child’s voice and/or any instrumental, musical or other sound effects produced by my child in connection with GNYC sponsored events, camporees, exhibitions, fundraising activities, athletic programs, marketing materials, and/or other GNYC related events and projects. This Release only authorizes the use of my child’s name, voice, likeness or other identifying work or characteristics as the same may appear in furtherance of the activities set forth in this Release. I hereby release any claim or action that I might have arising from the reproduction or use of my child’s name, image, voice, or other identifying work or characteristics. I understand that no compensation will be paid to me for use of my child’s name, image, voice, or other identifying work or characteristics. I have read the above and fully understand the purpose and effects of this authorization, which will be valid for a calendar year or until I expressly, revoke it in writing. ____________________________________________________________________________________ Name of Parent/Guardian (please print clearly) Date ________________________________________________________________ Signature of Parent/Guardian ____________________________________________________________________________________ Address ________________________________________________________________ Telephone Number

AUTORIZACIÓN DEL USO DE IMÁGENES Y GRABACIONES 2019

A: GREATER NEW YORK CONFERENCE OF SEVENTH-DAY ADVENTISTS Nombre del niño: ___________________________________ Fecha de nacimiento: ___________________________________ Porlapresente,yo,_________________________________________________,otorgoaGreaterNewYorkConferenceysusempleadoselderechodefotografiaramihijoyutilizarsunombre,asícomodereproduciryusarlasfotos,retratosyotrasrepresentacionesdesuimagenquepudierenaparecerenfotografíasfijas,grabacionesdigitales,videos,paginasweby/ocualquierotromediodecomunicaciónelaboradoenrelaciónconexposiciones,materialespublicitarios,actividadesderecaudacióndefondosyprogramasdeportivosorganizadosporlaConferencia,asícomootroseventosoproyectosrelacionadoscondichaentidad.Asimismo,otorgoaGreaterNewYorkConferenceelderechodereproduciryutilizarcualquiermaterialescrito,grabacióndevozy/oproduccióninstrumental,musicalosonorarealizadapormihijoenrelaciónconexposiciones,materialespublicitarios,actividadesderecaudacióndefondosyprogramasdeportivosorganizadosporGreaterNewYorkConference,asícomootroeventosoproyectosrelacionadoscondichaentidad.Lapresenteautorizaciónselimitaalusodelnombre,lavozylaimagendemihijo/hija,asícomocualquierotrotrabajoocaracterísticapersonaldelmismoquesepubliquealrealizarlasactividadesmencionadasanteriormente,Loseximodecualquierreclamooacciónquepudierepresentarcomoconsecuenciadelareproducciónoelusodelnombre,lavozylaimagendemihijo,asícomocualquierotrotrabajoocaracterísticapersonaldelmismo.Entiendoquenosemepagaracompensaciónalgunaporelusodelnombre,lavozolaimagendemihijo/hija,nidecualquierotrotrabajoocaracterísticapersonaldelmismo.Heleídoloanterioryentiendocompletamenteelpropósitoulosefectosdelapresenteautorización,lacualtendrávigenciaporunañohastaqueyolarevoqueexpresamenteporescrito.Nombredeunodelospadresodeltutor(escribirenletradeimprentalegible) FechaFirmadeunodelospadresodeltutorDirección____________________________________________________________________________________NumerodeTeléfono

PathfinderCamporee2019

Pre-orderofMilk,iceandpropane

Church:________________________________________Director:_______________________________________Milk$3.00pergallon:

$3X_____________$__________Ice$1.50perbag:

$1.50X______________$_________PropaneDepositforTankandPropane$50.00Propaneonly$30.00:

$30X_______________$__________ $50X_______________$__________TotalPayment:_______________________________________Ifyoudonotmakeanypre-order,wearenogoingtohaveanythingextraavailable.ThescheduleforpickupyouritemswillbeannouncedontheDirectorsMeeting.Forpickupyouritems,gonexttotheregistrationcamporeeoffice.PleasesendorderandpaymenttoGreaterNewYorkConferenceoffice;Attn:YouthMinistriesDepartment.Thankyou!ImustreceivethisordernolaterthanTuesdayMay14

MEMORANDUM TO: Pastors AdventurerDirectors PathfinderDirectorsFROM:Lloyd Scharffenberg,RiskManagement ArielManzueta,YouthDirector AngelReyes,AssistantYouthDirector DATE: April11,2019RE: RiskManagementandCamporees

PleaseberemindedofseveralRiskManagementitemsasyouprepareforcamporee. 1.VerifiedVolunteers

Eachclubisrequiredtohaveatleasttwoindividualswhohavecompletedthebackgroundscreening.Theseindividualsmustbeatthecamporeetheentiretime.Onlythreeorfourclubshavesubmittedthenamesofthoseindividualsasofthisdate.IfyouneedmoreinformationorassistanceonthispleasecontactKelvinat516467-5209.

2.Transportation Vans-Wearepleasedtoannouncethatnoneofourchurcheshavesinglerear wheelfifteenpassengervans.Rememberthatthepolicystatesnotonlythatwe cannotown,butthatwecannotuse.Donotrentorborrowafifteen passengerwithsinglerearwheels.

Drivers-WearerequiredtodoaDMVcheckondriversofchurchvans.We needtheirnameanddriver'slicensenumberinordertodothis.Westrongly recommendthatyourequestthisscreeningbedoneonallthosewhoare drivingforyourclub.

Bus-Ifyouarerentingabuspleasesendusacopyofthecontractforreview. Ourmainconcernsareproperinsuranceanddrivers. Itisalwaysbestifparentsknowspecificallyhoweachchildistravelingto camp--hiredbus,vandrivenby(name),cardrivenby(name),etc. 3.SabbathVisitors TheYouthMinistriesDepartmentmustbenotifiedinadvanceofall Sabbathvisitors.Thosewhohavenotbeenpre-approvedwillhavetowaitat theentranceuntiltheyarecleared.Sincethoseapprovingmaynotbereadily availablethismaytakesometime.PleasehelpyourSabbathvisitorstohavea smoothentrybysubmittingthenamesinadvance.

ADVENTISTBOOKCENTERIfyouneedsomethingfromABCcallnowandorderto:Toll Free: (800) 517-3190 Telephone:(212)944-2788ManhassetStore(516)627-9350Ext149

FIRST AID SUPPLY LIST

Club Name_______________________________________ Director_________________________________ #

Items

<10 MEMBERS

10-20 MEMBERS

>20 MEMBERS

1 CPR shield 2 2 2 2 Antipyretics

caps/gel 1 bottle 1 bottle 1 bottle

3 Gloves 3 5 10 4 Sterile roll gauze 2 2 3 5 Antibiotic ointment

(both) Tube, Individual swab

1 tube 5 swabs

1 tube 5 swabs

2 tubes 10 swabs

6 Butterfly bandages 3 5 7 7 Saline solution 1 bottle 1 bottle 1 bottle 8 Soap, Hand

Sanitizer 1 bar 1 bottle

1 bar 1 bottle

2 bars 2 bottles

9 Hydrogen peroxide 1 1 1 10 Roll gauze (4”X5

yds.) 4 6 8

11 Adhesive Bandages 20 30 50 12 Sunscreen 1 1 1 13 Medical Tape 1” cloth tape 1”cloth tape 1”cloth tape 14 Thermometer 2 2 2 15 Charcoal Powder

(8-10 oz.) or capsules

1 1 1

16 Laxative 1 1 1 17 Ice pack 3 5 7 18 Sling 4 4 8 19 Basic splint 4 4 8 20 Stretch roller gauze 2 4 6 21 Potassium Iodine 1 1 1 22 Ace bandage 4 6 8 23 Antacid 1pkg 1pkg 1pkg 24 Gatorade 1pkg 1pkg 1pkg 25 Eye wash Solution 1 1 1 26 Burn Ointment 1 1 2 27 Scissors 1 1 1 28 Tweeters 1 1 1 29 Caladryl 1 1 1 30 Benadryl

Caps/liquid 1 1 1

31 Anti-itch cream/ ointment

1 1 1

32 Moleskin 1pkg 1pkg 1pkg 33 Rubbing alcohol

Alcohol cleansing pads

1 bottle 10 pads

1 bottle 10 pads

2 bottles 15-20 pads

34 Anti-diarrhea 1 1 1 35 Petroleum

jelly/lubricant 1 1 1