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July 28 - August 1 , 2019 Jesus doesn’t change—yesterday, today, tomorrow, He’s always totally Himself. Hebrews 13:8 MSG [paraphrased] WHAT NOT TO BRING Cell phone, CDs, walkman, IPod ® , video games, GameBoy ® or any type of electronics. WHAT TO BRING Bible, notebook, pen, clothing, bedding, toothbrush, toothpaste, towel, shampoo, soap, swim trunks/swimsuit (one-piece only), money for the canteen and a good attitude. SEND MAIL TO YOUR CAMPER Faith Haven 38360 North Eagle Lake Road Battle Lake, MN 56515 COST $150 per camper / $135 for each additional family member. [A $25.00 deposit per camper is due by July 7, 2019] Make checks payable to: Destiny Church. AGES Campers must be between ages 7 – 13 to attend. DATE AND REGISTRATION Registration for Now and Forever begins at Faith Haven on Sunday, July 28, 2019 at 5:30PM. Checkout will be at 1:00PM on Thursday, August 1, 2019. [Please pick up your camper promptly.] DESTINY CHURCH 27871 140th Avenue, Ashby, MN 56309 218-685-4026 Fax: 218-685-6712 destinychurchexit77.org FAITH HAVEN FERGUS FALLS BATTLE LAKE ASHBY ALEXANDRIA N. EAGLE LAKE RD HWY 210 HWY 78 INTERSTATE 94 N #beginning #rest #life Sponsored by Destiny Church REGISTRATION FORM OFFICE USE: AMOUNT PAID: Avoid delays by printing clearly in blue or black ink. Complete all information. [Write N/A in those areas which do not apply.] Use this form for one camper or adult sponsor only. If necessary, make copies for additional names. GENERAL INFORMATION Camper’s Name Address City State Zip Boy Girl T-Shirt Size (circle one) XS S M L XL 2XL 3XL Age Parent’s Name Home Phone Work Phone Cell Phone E-mail Church Group Name Church Phone Group Leader’s Name EMERGENCY INFORMATION In case of an emergency and a parent or legal guardian is not available, please contact: (someone not living in same household). Name Day Phone Relationship Note: If parents plan to be out of town during the camper’s stay at Faith Haven, we must have a phone number to reach them. Out of Town Phone Name of Family Physician Phone Do you carry family medical/ hospital insurance? Carrier Name Phone Group Policy Number Name of Insured I authorize designated medical professionals to dispense over-the-counter medications as needed to the camper listed above. X Signature of parent or legal guardian Date This form must be signed to register. This health history is correct as far as I know, and the person listed above has permission to attend Now and Forever Kids’ Camp at Faith Haven and to engage in all camp activities except as noted. I hereby authorize the executive staff or designated medical professionals to administer emergency medical assistance if I cannot be reached. I accept responsibility for payment of expenses incurred as a result of medical treatment.

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Page 1: REGISTRATION FORM - Amazon S3...can’t hashtag your way through this. Delay no longer! Discover the power of putting God FIRST forevermore. Don’t dawdle! Register for the time-stopping

July 28 - August 1, 2019

Jesus doesn’t change—yesterday, today,tomorrow, He’s always totally Himself.Hebrews 13:8MSG [paraphrased]

WHAT NOT TO BRING

Cell phone, CDs, walkman, IPod®, video games, GameBoy® or any type of electronics.

WHAT TO BRING

Bible, notebook, pen, clothing, bedding, toothbrush, toothpaste, towel, shampoo, soap, swim trunks/swimsuit (one-piece only), money for the canteen and a good attitude.

SEND MAIL TO YOUR CAMPER

Faith Haven38360 North Eagle Lake RoadBattle Lake, MN 56515

COST

$150 per camper / $135 for each additional family member. [A $25.00 deposit per camper is

due by July 7, 2019] Make checks payable to: Destiny Church.

AGES

Campers must be between ages 7 – 13 to attend.

DATE ANDREGISTRATION

Registration for Now and Forever begins at Faith Haven on Sunday, July 28, 2019 at 5:30PM. Checkout will be at 1:00PM on Thursday, August 1, 2019. [Please pick up

your camper promptly.]

DESTINY CHURCH27871 140th Avenue, Ashby, MN 56309218-685-4026 Fax: 218-685-6712destinychurchexit77.org

FAITHHAVEN

FERGUSFALLS

BATTLE LAKE

ASHBY

ALEXANDRIA

N. EAGLE LAKE RD

HWY 210

HW

Y 7

8

INTERSTATE 94

N

#beginning #rest #life

Sponsored byDestiny Church

REGISTRATION FORM

OFFICE USE:

AMOUNT PAID:

Avoid delays by printing clearly in blue or black ink. Complete all information. [Write N/A in those areas which do not apply.] Use this form for one camper or adult sponsor only. If necessary, make copies for additional names.

GENERAL INFORMATIONCamper’s NameAddressCity State Zip Boy Girl T-Shirt Size (circle one) XS S M L XL 2XL 3XL AgeParent’s NameHome Phone Work PhoneCell PhoneE-mailChurch Group NameChurch PhoneGroup Leader’s Name

EMERGENCY INFORMATIONIn case of an emergency and a parent or legal guardian is not available, please contact: (someone not living in same household).NameDay Phone RelationshipNote: If parents plan to be out of town during the camper’s stay at Faith Haven, we must have a phone number to reach them.Out of Town PhoneName of Family PhysicianPhone

Do you carry family medical /hospital insurance?Carrier Name PhoneGroup Policy NumberName of InsuredI authorize designated medical professionals to dispense over-the-counter medications as needed to the camper listed above.

X Signature of parent or legal guardian Date

This form must be signed to register. This health history is correct as far as I know, and the person listed above has permission to attend Now and Forever Kids’ Camp at Faith Haven and to engage in all camp activities except as noted. I hereby authorize the executive staff or designated medical professionals to administer emergency medical assistance if I cannot be reached. I accept responsibility for payment of expenses incurred as a result of medical treatment.

Page 2: REGISTRATION FORM - Amazon S3...can’t hashtag your way through this. Delay no longer! Discover the power of putting God FIRST forevermore. Don’t dawdle! Register for the time-stopping

MEDICATIONSCurrent medications (Please send with instructions)

Reason for taking above medication

DISEASESHeart defect/diseaseConvulsionsDiabetesBleeding/clotting disordersOther diseases or details

Are there any activities from which this camper should be restricted?

LIMITATIONSPhysical Limitations (please describe)

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MEDICAL INFORMATION MEDICAL INFO. CONT.MEDICATION ALLERGIESPenicillinAmoxicillinSulfaCeclorAny other medicationsIMMUNIZATIONSLast Tetanus shotChicken PoxMeaslesGerman MeaslesMumpsHepatitisALLERGIESAsthmaAllergic to red dyeLactose IntolerantAllergies (food, animals, insects, etc.)

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

MILD SEVERE

Health History

Please give approximate

dates of occurrences,

and indicate whether

mild or severe.

RYAN KARILivewire Director

[email protected]

LAUREN QUERNEMOENWorship Director

[email protected]

Ryan Kari is the director of Livewire, the children’s ministry of Destiny Church in Ashby, Minnesota. He enjoys time with Erin, the love of his life, and their two energetic children. Ryan desires to see children come face to face with the living God, and to live a high-powered life—bringing change to their generation. Ryan is committed to boldly minister the Word of God to children with lively illustrations in an enthusiastic way. His fresh and creative teaching techniques will challenge you to live passionately for Christ.

Lauren Quernemoen loves God, and she loves worship. She loves when kids experience how real God is! Lauren Quernemoen learned how to play her first piano chord when she was 12 years old. Since then, God has shaped her in His super Presence to be a voice of freedom, healing, and his mind-blowing love to Minnesota . . . and the world! She is the worship director at Destiny Church in Ashby, Minnesota.

The clock is ticking. There’s no flip-flopping around when it comes

to our never-changing God. He’s the same—ALWAYS! Quote

the I AM— I do not change [Mal. 3:6]. People used to tremble in

His Presence, but if you live in the present, you have a free pass to

the Throne. Get ready for the experience of a lifetime. Now and

Forever is a ordinary-life time out. No kidding! The Bible says, As He

is so shall we be! Join the party as we enjoy the NOW Jesus. You

can’t hashtag your way through this. Delay no longer! Discover the

power of putting God FIRST forevermore. Don’t dawdle! Register

for the time-stopping Now and Forever Kids’ Camp immediately.

Time flies on the giant mega-raft. Don’t miss a moment of this

year’s Wacky-O. The Olympic-type games go down in a three-part

mix of time-warped, funtastic play that will make you lose track of

time. The all-at-once, outlandish fun always gets you in the NOW.

I AM GOD—YES, I AM.I HAVEN’T CHANGED.Malachi 3:6

THE BEGINNING OFTHE REST OF YOUR LIFE