minookabible.org/students/360retreats

Transcription

1 MUST REGISTER & PAY ONLINE! minookabible.org/students/360retreats DEPART 4:00 PM FEB 2-4 RETURN 5:30 PM YOUR WINTER ADVENTURE IS WAITING Winter is coming. You might not fell it yet, though the weather seems to have been changing lately. In the rhythm of family life, there are usually some great family times: Thanksgiving, Christmas, and New Year's. After New Year's, though, it's only a matter of time till you get back to the grind of school. But then, yes. Oh yes. SUMMIT. Summit is like that bonus 4th holiday that you spend with your 360 family, it's chock full of good times and great memories. A chance to grow closer to our Creator through worship and teaching, time with great friends, an amazing camp Expeditions Unlimited in Baraboo, WI, broom ball, tube hills, choice between Devil's head skiing or snowboarding or Kalahari Water Park Resort, great food, and hang out time in higher grounds. Don't miss this incredible experience! Summit Expeditions Unlimited + Baraboo, WI + Indoor Waterpark + Devil s Head Ski Resort + Broomball + Worship + Seeking God s Presence + Devil s Lake + Food + Awesomeness + Winter Delight

2 SUMMIT 360 HIGH SCHOOL WINTER RETREAT FEB 2-4, 2018 DEPARTURE FROM MINOOKA BIBLE CHURCH ON FRIDAY 2/2: 4:00 PM ARRIVAL BACK TO MINOOKA BIBLE CHURCH ON SUNDAY 2/4: 5:30 PM Winter Retreat is back! This here letter will fill you in on the details you need to know for camp. We really hope you ll consider joining us for a weekend of fun, friends, snow, and growing in our faith. A note on the location...i ll give you the address, but the best way to find out any more info you need about our camp is to visit Let them know you re with Minooka Bible Church if you contact them. The Saturday trips (snowboarding and water park option) are within a short driving distance of the camp. Contact the camp directly for any emergencies. Expeditions Unlimited E11844 County Rd. DL Baraboo, WI phone Transportation...how are we getting there? We re taking 15-Passenger vans to get up to camp, driven by our adult leaders who are attending the trip. Food...what am I gonna eat? All the meals are provided by Expeditions Unlimited, except for dinner on the way up to camp. You ll need about $10 total for that meal. Also, feel free to bring money for the Expeditions store and for snacks/hot chocolate at the ski lodge or the water park resort. Schedule...what is it? Here s our schedule for the week: FRIDAY - Leave for 4:00 PM. Stop for dinner on the way. Arrive at camp and get cabin assignments. Have Friday Night Session. SATURDAY - Wake up. Breakfast. Ski/Snowboard OR Water Park all day with sack lunch. Back for dinner. Saturday evening session. Late night hang out/fun. (Broomball, Games, Higher Ground, Etc) SUNDAY - Wake up. Breakfast. Sunday morning session. Free time (Hike, broomball, sled). Lunch at camp. Clean up. Pack up. Head Home! More Questions? Pastor (jasondomingo@minookabible.org)

3 PACKING LIST: Bible, Notebook and 2 pens Sleeping bag Pillow Toiletries (Travel Toilet Paper, Soap, brush,shampoo, toothbrush, deodorant, etc) 2 Towels (Shower and swim) Flashlight Warm clothes Waterproof coat Swimsuit (Everyone pack one, just in case there are very poor skiing conditions) (ONE-PIECE/MODEST TANKINI FOR GIRLS) PJ s Long underwear Gloves/Hats/Scarf/Ski Goggles (These are pretty nice to have) Sunscreen (You d be surprised at how you can get burned skiing!) Snow boots/tennis Shoes *IMPORTANT NOTE: Just remember that this is just a weekend! Please do not pack your whole wardrobe.

4 SUMMIT CHECKLIST REGISTRATION DEADLINE: JAN. 19th COMPLETE ONLINE REGISTRATION (Click registration minookabible.org/students/360retreats) PAY DEPOSIT OR FULL AMOUNT Waterpark $155 // Ski $155 + $15 Rental - Pay online with registration link TURN IN EXPEDITION FORMS Two double sided pages TURN IN DEVIL S HEAD FORM - If you re skiing or snowboarding REVIEW INFORMATION SHEET REVIEW PACKING LIST PASTOR JASON WITH QUESTIONS jasondomingo@minookabible.org *If you have your own skis/snowboard the camp fee is $155

5 CAMP HEALTH EXAMINATION FORM Developed by the American Camping Association in consultation with The American Medical Association and the American Academy of Pediatrics Name: Birth date: Gender: M: F: Age: Last First M. Init. Name of Parents/Guardians (or spouse): Phone:( ) Home Address: Street City State Zip Address: If not available in an emergency please notify: 1. Phone: ( ) Name Relationship 2. Phone: ( ) Name Relationship Check all that apply, giving approximate dates Health History Date Allergies Date Diseases Date Frequent Ear Infections Hay Fever Chicken Pox Heart Defect/Disease Poison Ivy, etc. Measles Convulsions Insect Stings German Measles Diabetes Penicillin Mumps Bleeding/Clotting Disorders Other Drugs Asthma Allergies (describe reactions/treatment): Operations or serious injuries and dates: Chronic or recurring illnesses: Dentist/Orthodontist: Phone: ( ) Family Doctor: Phone: ( ) Medical/Health Insurance Company: Policy or Group #: IMPORTANT: Please notify us if this individual is exposed to any communicable disease during the three weeks prior to attending. Medications: All medications must be in original pill bottles! Administer at: breakfast lunch Medication 1: Dosage: (Check all that apply) dinner bed other Reactions: Physician: RX#: Route of Administration: Date: Administer at: breakfast lunch Medication 2: Dosage: (Check all that apply) dinner bed other Reactions: Physician: RX#: Route of Administration: Date: (If more medications are necessary please use the back of this form) IMPORTANT: MUST BE COMPLETED FOR ATTENDANCE Parental Authorization. This health history is correct so far as I know, and the person described herein has permission to engage in all prescribed activities. In the event of an emergency, I hereby give permission to the physician selected by the Expeditions Unlimited staff to order X-rays, routine tests and treatment for the health of my child. In the event that I cannot be reached in an emergency, I also give permission to the physician selected by the Expeditions Unlimited staff to hospitalize, secure proper treatment for, to order injection and/or anesthesia and/or surgery for my child as named above. Parental Signature: Date:

6 Release of Claims and Waiver of Liability The undersigned applicant acknowledges, understands and agrees that as to the contemplated trip with Expeditions Unlimited: 1. There are unique physical demands and risks involved; 2. The activity can be of a dangerous nature which can result in serious and potentially fatal injury; 3. That instructions given must be followed for ongoing participation and safety of the applicant; and 4. That Expeditions Unlimited, Ltd. retains the right of final approval of all participants and the right to terminate a participant's involvement in a trip at its discretion. In consideration of conducting the trip and based on the above, Expeditions Unlimited, Ltd., it's officers, directors, shareholders, employees, agents and their heirs, executors and assigns are released as to any and all claims for damages, including but not limited to injuries, whether to person or property, known or unknown that the undersigned has or may have in the future arising out of and in connection with the contemplated trip. Release as to Photographic, Movie and Video Images The undersigned irrevocably consents to and authorizes the use and reproduction of any and all photographic and video images taken during the contemplated trip. The use and reproduction of images is at the discretion of Expeditions Unlimited whether for advertising, promotional or other legal purposes without additional consideration or compensation to the undersigned. Originals and copies or images are and will remain the sole property of Expeditions Unlimited, Ltd. Applicant Information Complete the following information for each member of your household participating in the trip with Expeditions Unlimited. Name(s) Address City State Zip Parent or Guardian Signature *Required if applicant is under 18 years of age Date / /

7 E11844 County Road DL Telephone (608) Baraboo, WI Fax (608) Name: Food Allergy Action Plan Completion of this form is necessary only if participant has a food allergy Allergy To: Dairy Wheat Eggs Peanuts Tree Nuts Other: (Please list) Physician: Phone #: Emergency Numbers Name: Phone #: Name: Phone #: PLEASE TELL US WHAT TO DO IN CASE OF AN ALLERGIC REACTION CHECK ALL THAT APPLY This Occurs: My Child s allergic reaction includes: Swelling, itching raised skin rash Generalized body flush, swelling or itching Nausea, abdominal cramps, vomiting and/or diarrhea Itching and swelling of lips, throat, or tongue causing hoarseness, swallowing difficulty, coughing, wheezing or shortness of breath. Thready pulse, passing out These signs may occur Within a few minutes Within 30 minutes to 2 hours The severity of symptoms can quickly change. All above symptoms can potentially progress to a lifethreatening situation. General First Aid Observe for 30 minutes Notify Parents Administer oral medication Name Dosage Administer adrenaline (Epi Pen) Immediately If symptoms occur (describe) And Student can self-administer Epi Pen? Yes No If Epi pen is administered, an ambulance, then parents will be notified ** Please Note: Expeditions Unlimited cannot provide specialized meals for participants but we can provide a couple of additional options, as well as inform students of the ingredients found in prepared food. Please return this form 2 weeks prior to scheduled arrival date. If returned later than 2 weeks additional options may not be available. Comments regarding other accommodations: Parental Signature: Date:

8 Minor Rental Release Form I hereby release Ski Enterprises of Wisconsin, Inc. and its employees from any liability for damage to any persons or property resulting from the use of any equipment rented during the ski season. I understand the bindings furnished are the release type designed to reduce the risk of injuries from falling, and these bindings will not release under all circumstances and that there are no guarantees for my safety. I understand that the ski binding is pre-adjusted to a specific weight and that I must give Devil s Head my correct weight and ability so that the proper binding selection can be made. I WILL NOT adjust the binding on my own. If difficulty occurs, I will return to the rental building for assistance. I agree to reimburse the ski shop for loss of any equipment and for breakage. Signed Date I consent for to ski and agree, as Guardian, to the above conditions for said minor. Guardian **Parent or legal guardian must sign for any child under 18 years of age. Group Name Please Note: For any individual who will be skiing more than once during the season, this form will need to be signed only once and will be kept on file at Devil s Head. S6630 Bluff Road Merrimac, WI Fax