CAMP SOUTH SOUL SURVIVOR TEAM CHALLENGE! Covington, Georgia * July 28 th August 1 st, 2014 You Are Invited! Camp South is a WELS Bible camp where youth Share Our Unity Through Him. At Camp South, children enjoy God s beautiful creation, develop Christian friends, and grow in their relationship with God. Camp South is an experience you re child will never forget! Camp South is for youth entering 4 th -8 th grades. Camp South will be July 28 th August 1 st, 2014. All registrations are due by April 30 th. Camp South is held at the Georgia FFA Camp, located just outside Covington, Georgia. Visit www.georgiaffacamp.org to learn more about the high quality amenities the youth experience at the Georgia FFA Camp. Camp South costs $275/person. Speak with your pastor and youth leaders about fund raising opportunities and available support from your congregation. One check please per congregation! Camp activities include: energetic Bible lessons, Survivor themed team-building challenges, campfires, swimming, engaging Bible studies, cosmic bowling tournament with prizes, low ropes course, lake blob, water zip-lining, fishing, mudder course and much more! Ask your pastor or youth leader for registration information. Remember, the deadline send in your registration forms is April 30 th! If you have any questions, contact the South Atlantic Youth Discipleship Coordinator at: Pastor Jon Enter info@hopelutheranwpb.com Office: (561) 684-0691
Come Check Out The Location/Facilities! Sprawling Campus with Historic Charm But With All The Modern Amenities Buffet Style Dining With Food Kids Actually Enjoy One Section of the Low Ropes Course For Team Building Exercises Refreshing Outdoor Pool With Diving Board Brand New Rooming Facilities (Pillow And Sleeping Bag Needed) Large Game Room With Canteen For Snacks And Drinks
Come Check Out The Location/Facilities! Basketball, Tennis & Volleyball Courts (Camp Fire Ring Overlooking The Lake) Cosmic Bowling Tournament With Drinks, Snacks & Prizes Georgia Red Clay Mudder Course! Balance Beam Section Cargo Net Crawl And Rope Tower Sections Slip n Slide And Over Under Sections Lake Blob And Launching Tower With Zip-line From Tower Into Lake
Camp South Georgia FFA Camp * Covington, Georgia July 28 th August 1 st, 2014 Mountaintop Marvels! (Examining 11 different mountaintop experiences in the Bible.) Let the people sing for joy, let them shout from the mountaintops. (Isaiah 42:11) ----------------------------------------------------------------------------------------------------------------- MONDAY, JULY 28 th ACTIVITY LOCATION 2:30-5:30 PM Check-in Mobley Hall 6:00-7:00 PM Dinner Sheffer Dining Hall 7:00-7:45 PM Devotion, Music & Announcements Mobley Hall 7:45-8:45 PM Group Mixers & Survivor Challenge Mobley Hall 8:45-9:30 PM Games & Activities Mobley Game Room 9:30-10:00 PM Snacks & Room Time Lobby/Your Room 10:00-10:30 PM Reflection Time with Counselors Your Room 10:30-11:00 PM Quiet Time Your Room 11:00 PM Lights Out! TUESDAY, JULY 29 th ACTIVITY LOCATION 7:30 AM Rise and Shine! 8:00-9:00 AM Breakfast Sheffer Dining Hall 9:00-9:45 AM Devotion, Music & Announcements Mobley Hall 9:45-10:00 AM Walk to Survivor Challenge Location 10:00-11:45 AM Water Wars: Punctured Drum Upper Field Drip-Drip-Splash Water Balloon 500 11:45 AM-12:00 PM Walk to Dining Hall 12:00-1:00 PM Lunch Sheffer Dining Hall 1:00-2:15 PM Bible Study Elijah on Mt. Carmel Mobley Hall 2:15-2:30 PM Walk to Survivor Challenge Location 2:30-5:30 PM Low Ropes Course Challenge Upper Field 300ft Slip n Slide & Pool Time Fun Pool 5:30-5:45 PM Youth vs. Counselors Low Ropes Course Upper Field 5:45-6:15 PM Room Time Your Room 6:15-7:15 PM Dinner Sheffer Dining Hall 7:15-7:45 PM Devotion, Music & Announcements Mobley Hall 7:45-8:45 PM Survivor Challenge: Lilly Pond Leap Mobley Hall You Can t Win Trivia 8:45-9:30 PM Games & Activities Mobley Game Room 9:30-10:00 PM Snacks & Room Time Lobby/Your Room 10:00-10:30 PM Reflection Time with Counselors Your Room 10:30-11:00 PM Quiet Time Your Room 11:00 PM Lights Out!
WEDNESDAY, JULY 30 th ACTIVITY LOCATION 7:30 AM Rise and Shine! 8:00-9:00 AM Breakfast Sheffer Dining Hall 9:00-9:45 AM Devotion, Music & Announcements Mobley Hall 9:45-10:00 AM Walk to Sand Volleyball Courts 10:00-11:45 AM Survivor Challenge: Ping Pong Zigzag Sand Volleyball Courts Ship, Shore Field Games 11:45 AM-12:00 PM Walk to Dining Hall 12:00-1:00 PM Lunch Sheffer Dining Hall 1:00-1:15 PM Room Time Your Room 1:00-2:15 PM Bible Study Abraham on Mt. Moriah Mobley Hall 2:15-2:45 PM Travel to AMF Bowling Lanes 2:45-5:30 PM Cosmic Bowling Tournament Conyers, GA 5:30-6:00 PM Travel to Georgia FFA Camp 6:00-7:00 PM Dinner Sheffer Dining Hall 7:00-7:30 PM Devotion, Music & Announcements Mobley Hall 7:30-7:45 PM Walk to Campfire Pit 7:45-9:15 PM Survivor Campfire Challenge & S mores Campfire Pit 9:15-9:30 PM Walk to Rooms 9:30-10:00 PM Snacks & Room Time Lobby/Your Room 10:00-10:30 PM Reflection Time with Counselors Your Room 10:30-11:00 PM Quiet Time Your Room 11:00 PM Lights Out! THURSDAY, JULY 31 st ACTIVITY LOCATION 7:30 AM Rise and Shine! 8:00-9:00 AM Breakfast Sheffer Dining Hall 9:00-9:45 AM Devotion, Music & Announcements Mobley Hall 9:45-10:15 AM Survivor Bible Challenge Mobley Hall 10:15-11:45 AM Bible Study Moses on Mt. Sinai Mobley Hall 11:45 AM-12:00 PM Get dressed for mudder challenge Your Room 12:00-1:00 PM Lunch Sheffer Dining Hall 1:00-1:15 PM Group Picture Mobley Hall 1:15-5:00 PM Survivor Mudder Challenge Jackson Lake After the Mudder: Lake Blob, Lake Zip-lining Fishing & Inflatables 5:00-6:00 PM Room Time Your Room 6:00-7:00 PM Dinner Sheffer Dining Hall 7:00-7:30 PM Devotion, Music & Announcements Mobley Hall 7:30-8:45 PM 4-in-1 Survivor Challenge Mobley Hall 8:45-9:30 PM Friendship Cards Mobley Hall 9:30-10:00 PM Games & Activities Mobley Game Room 10:00-10:30 PM Snacks & Room Time Lobby/Your Room 10:30-11:00 PM Reflection Time with Counselors Your Room 11:00-11:30 PM Quiet Time Your Room 11:30 PM Lights Out! FRIDAY, AUGUST 1 st ACTIVITY LOCATION 7:30 AM Rise and Shine! 8:00-9:00 AM Breakfast/clean room Sheffer Dining Hall 9:00-9:30 AM Pack vehicles to prepare for departure Your Room/Vehicle 9:30-10:30 AM Devotion, Music, Group Picture & Departure Mobley Hall
Camp South-Soul Survivor Registration Form--YOUTH Student s Last Name Student s First Name M or F Age Grade in Fall Mailing Address Parent s E-mail Address City State Zip Code ( ) - Primary Phone Home Congregation Circle one adult t-shirt size: S M L XL ( ) - Secondary Phone Pastor Roommate Request: Health Insurance Company Name on the Policy Policy Number Please tell us about any special health conditions your child may have (medications, dietary restrictions, allergies, etc). Please attach additional papers if necessary. In the event of an emergency, I understand that every effort will be made to contact me. I give permission for my child to be treated by the camp counselors or at the nearest hospital or medical facility at the discretion of the camp staff. I agree to pay any costs that are incurred and will not hold the camp sponsor or camp staff liable for the cost of any health care provided to my child. Signature of Parent or Guardian Date The cost of the rally is $275/person. Please make your church check out to: South Atlantic District Youth Fund One check per church group! For questions, please email: info@hopelutheranwpb.com Mail your registration and payment to: Camp South-Soul Survivor c/o Hope Lutheran Church 7430 Belvedere Road West Palm Beach, FL 33411 Please mail forms and payment by APRIL 30 th.
Camp South-Soul Survivor Registration Form Adult Chaperones Must Be 21 Or Older. Last Name First Name M or F Age Mailing Address E-mail Address City State Zip Code ( ) - Primary Phone Home Congregation Circle one adult t-shirt size: S M L XL ( ) - Secondary Phone Pastor Health Insurance Company Name on the Policy Policy Number Please tell us about any special health conditions you may have (medications, dietary restrictions, allergies, etc). In the event of an emergency, I understand every effort will be made to give me medial aid. I give permission to my fellow Camp South counselors to call for an ambulance on my behalf to be transported to the nearest hospital or medical facility if I am unable to communicate at the time of an accident. I agree to pay any costs that are incurred and will not hold the camp sponsor or camp staff liable for the cost of any health care provided on my behalf. Emergency Contact Name and Phone Number: Signature Date The cost of the rally is $275/person. Please make your church check out to: South Atlantic District Youth Fund One check per church group! For questions, please email: info@hopelutheranwpb.com Mail your registration and payment to: Camp South-Soul Survivor c/o Hope Lutheran Church 7430 Belvedere Road West Palm Beach, FL 33411 Please mail forms and payment by APRIL 30 th.
Camp South Sharing Our Unity Through Him Covington, GA Authorization, Release and Waiver of Liability Form YOUTH Child s Name: Please initial the following: I authorize my child to participate in all activities of Camp South. This authorization includes bus/car trips, meals, swimming, mudder course, physical Survivor Challenges and other activities away from the Georgia FFA Camp. I also understand that volunteer chaperones will accompany my child during activities. I authorize Camp South to photograph or videotape, and permit others persons to photograph or videotape my child while attending Camp South. I also authorize photographs to be used for any other camp advertising. In exchange for my child named above being allowed to participate in Camp South, I as a parent or guardian waive and release and discharge Camp South (a ministry of the WELS South Atlantic District), its coordinator and all its volunteers, The Wisconsin Evangelical Lutheran Synod (WELS), from any and all claims, damages or expenses arising from or related to my child s participation in Camp South. I also agree to indemnify, hold harmless and defend Camp South and each of the other parties listed above with regard to such claims, losses or expenses, including without limitation any claims made by or on behalf of my child. Parent Signature: Date: Print Your Name:
Camp South Sharing Our Unity Through Him Covington, GA Authorization, Release and Waiver of Liability Form ADULT Chaperones Must Be 21 Or Older. Your Name: Please initial the following: I authorize Camp South to photograph or videotape, and permit others persons to photograph or videotape me while attending Camp South. I also authorize photographs to be used for any other camp advertising. In my voluntary participation in events and activities at Camp South, I waive and release and discharge Camp South (a ministry of the WELS South Atlantic District), its coordinator and all its volunteers, The Wisconsin Evangelical Lutheran Synod (WELS), from any and all claims, damages or expenses arising from or related to my participation in Camp South. I also agree to indemnify, hold harmless and defend Camp South and each of the other parties listed above with regard to such claims, losses or expenses, including without limitation any claims made on my behalf. Your Signature: Date: Print Your Name:
Georgia FFA-FCCLA Center Ropes Course Assumption of Risk / Informed Consent / Voluntary Release (This must be mailed in with your registration form.) ALL YOUTH & ALL CHAPERONES MUST FILL OUT THIS FORM. I, (print name), fully understand that my participation in challenge/ropes course activities facilitated by the Georgia FFA-FCCLA Center and all of their employees and instructors could result in injury or death. Also, my participation requires that I am of good physical condition and I do hereby accept all responsibility for my own physical well-being. Being fully aware of the degree of risk and injury to myself, I hereby release and hold harmless the Georgia FFA-FCCLA Center and all of their employees and instructors from any claim, action, damage, liability, and expenses of any kind resulting from accident or injury incurred by myself while participating in these activities. By signing this release form I agree to release and hold harmless the Georgia FFAFCCLA Center and all employees and instructors for any claim, action, liability, damage or injuries, physical or mental which I might incur as a result of my voluntary decision to participate in the team building activities held on (event date). If I do voluntarily choose to participate in the team building activities, I recognize that there can be an element of risk associated with any sport, challenge, or outdoor activities. Knowing the inherent risks, dangers, and rigors of such activities, I certify that I am fully capable of participating in these activities. I assume full responsibility for myself for bodily injury, death, loss of personal property, and expenses thereof, as a result of my negligence, or other risks, included but not limited to those caused by the obstacle course, the terrain, the weather, my athletic and physical condition, and other participants. By signing this release form, I agree to indemnify and hold harmless the Georgia FFAFCCLA Center and all employees and instructors from any and all claims, actions, damages, liabilities, and expenses of any kind or nature resulting in loss of life, personal or bodily injury, and/or damage to property arising from or out of any occurrence associated with the aforementioned team building activities. I acknowledge that I have been given the opportunity to ask questions regarding any aspect of this release form and by signing in the space below I do acknowledge that I have read completely and fully understand all aspects of this release form and agree to its terms in its entirety. Participant Name (print) Participant Signature Parent/Guardian Signature (Parent or guardian must sign if participant is under 18 years of age.) Date Instructor or witness Address of Participant Telephone Number