Winter Retreat Jan. 17

January 17-18

Key Thought: Just OK is Not OK!

What: A weekend retreat away with other youth! There will be food, chapels sessions, glow-in-the-dark gold rush, the traditional torch hike, Frisbee and possible broom ball tournament
When: We will be leaving First Baptist Church of Coldwater at 5:30pm January 17th and arrive home Sunday January 19th at noon.
Where: Camp Selah in Reading, Michigan (3600 Long Lake Rd Reading, MI 49274). Click here for directions.

Cost: The cost is $15 per student. This covers lodging and food for the weekend. The church will cover the balance.

What to Bring: Coat, hat, gloves, snow pants (for appropriate weather), boots, extra socks, toiletries, sleeping bag, pillow, pajamas, extra change of clothes for 2 days, good shoes for being in snow, a Bible, notepad and pencil (optional), and any medications you may need. Please leave anything that will distract you at home!
Parent: ALL STUDENTS must have a completed liability release form on file. Parents may complete this form at at church or by click here.

Winter Retreat Registration/Emergency Care

BGCC Waiver and Release of Liability Form:
In consideration of the opportunity to participate in Bethel Gilead Community Church youth activities, the undersigned youth and the undersigned parent or legal guardian waive(s), release(s), and agree(s) to hold harmless Bethel Gilead Community Church and their respective members, personnel, officers, board members, representatives, employees and volunteers from any liability to the undersigned and the personal representatives, heirs, assigns, and family of the undersigned, for all loss or damages on account of injury to the person or property of the undersigned participant relating to attendance at any church activity or transportation to or from any church activity, whether caused by the negligence, gross negligence or recklessness of the Releases or otherwise. The undersigned have read the Waiver and Release and voluntarily sign.

* Indicates required field

Youth's Name *

First

Last

Grade Level/Adult *

Gender *

Student's Address *

Line 1

Line 2

City

State

Zip Code

Country

Qualified Person Giving Permission *

Parent/Guardian *

First

Last

Medical Emergency Care Authorization *

Agree

Health Insurance Co. *

Policy No. *

Emergency Contact Person *

First

Last

Select One *

Phone Number *

Emergency Contact Person *

First

Last

Select One *

Phone Number *

Please List Allergies (food and medication) *

Please list Medication Child Currently Taking *

Submit

January 17-18

Winter Retreat Registration/Emergency Care

Events and Announcements