KFBC UTH Winter Retreat 2016 January 15-18, 2016 Riverbend Retreat Center. Info Packet Instructions. 1. Read All Information Completely

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KFBC UTH Winter Retreat 2016 January 15-18, 2016 Riverbend Retreat Center Info Packet Instructions 1. Read All Information Completely 2. Fill Out All Appropriate Forms 3.

1 KFBC UTH Winter Retreat 2016 January 15-18, 2016 Riverbend Retreat Center Info Packet Instructions 1. Read All Information Completely 2. Fill Out All Appropriate Forms 3. Turn in All forms to Sharon Wood at the KFBC Office NO LATER than Friday January 8. We have Notaries available in the church office. 4. NO LUGGAGE DROP OFF! Bring Luggage with you Friday!!!! 6. Any questions please ask Brian s Cell kcain@kingwoodfirst.org swood@kingwoodfirst.org Sharon s Cell Call, Text or

2 January 15-18, 2016 Riverbend Retreat Center Glen Rose, TX Friday January 15 - Meet at Bring Your Luggage at This Time! (Just arrive at the church as soon as possible once you are out of school, we will leave when everyone has arrived) Monday January 18 - Return to 3:00

3 Important Brian s Cell Paula s Cell Kristen s Cell Riverbend Retreat Center C County Road 411B - Glen Rose, TX Kingwood FBC Reminder... We will check your bags for any inappropriate items. What To Bring Yourself Bible Sack lunch for dinner on the way there/drink with a cap Money for gift shop and vending machines (optional) 2 Permission Slips (KFBC and Riverbend) Sleeping bag or sheets and blanket for twin bed Pillow Toiletries (soap, shampoo, deodorant, etc.) Towels Appropriate Clothing Retreat T Shirt Color Team Spirit Items Clothing for Recreation, night games and activities (could be cold / will be outside) Tennis shoes for Recreation and Activities Flashlight Cell Phones are allowed. What Not To Bring -Ear buds or headphones -Any portable electronic device not a cell phone -Weapons of any kind (guns, knives, slingshots, etc.) -Fireworks -Airsoft guns -Tobacco Products or Illegal Drugs -Anything used for pranks

4 SCHEDULE Friday (Flexible) 8-9:30 - Arrive at Riverbend 9:30 - Welcome Activity and Worship (Chapel - CH) 10:30 - In Rooms 11:00 - Lights Out Saturday 8:00 - Breakfast (Dining Hall - DH) 8:45 - Hang Out With God (CH) 9:30 - Morning Worship (Chapel - CH) 11:00 - E-Team time (Meeting Rooms - MR) 12:00 - Lunch (DH) 1:00 - Recreation (CH) 3:00 - Free Time 5:00 - Dinner (DH) 6:15 - Worship (CH) E-Team time (MR) 9:00 - Night Activity (CH) 10:30 - In Cabins 11:00 -Lights Out Sunday 8:00 - Breakfast (DH) 8:45 - Hang Out With God (CH) 9:30 - Morning Worship (CH) 11:00 - E-Team time ( MR) 12:00 - Lunch (DH) 1:00 - Recreation (CH) 3:00 - Free Time 5:00 - Dinner (DH) 6:15 - Worship (CH) E-Team time (MR) 9:00 - Night Activity (CH) 10:30 - In Cabins 11:00 - Lights Out Monday 8:00 - Pack up Clean Up 8:45 - Hang out with God 9:00 - Donuts and Closing Worship in Chapel 10:00 - Get on Bus and Go Home 3:00 - Arrive at KFBC

5 RULES 1. Obey all Leaders 2. No Public or Private Display of Affection 3. No guys in girls rooms or girls in guys rooms 4. BE ON TIME 5. No headphones or earbuds 6. No ipods or electronics of any kind 7. Do not go anywhere alone 8. All Clothing should be modest by Brian s standards 9. No drugs, alcohol or tobacco products. 10. No profanity 11. Be respectful of all property 12. Go to sleep at lights out 13. No fireworks or weapons 14. Do not leave Riverbend Property 15. No pranks

6 MEDICAL RELEASE Kingwood First Baptist Church Student Ministry Effective dates: January January 1, 1, December December 31, 31, Please print in ink. Attach a front/back copy of the medical insurance card for this student. Name: LAST FIRST MIDDLE Age Birth date Address City State Zip Phone Medical Insurance Company Policy # Primary Insured Date of Birth Mother s name Phone: Home Work Cell Father s name Phone: Home Work Cell Emergency contact Phone: Home Work Cell Physician Office phone Dentist Office phone Medical History If necessary, describe in detail the nature and severity of any physical and/or psychological ailment, illness, propensity, weakness, limitation, handicap, disability, or condition to which your child is subject and of which the staff should be aware, and what, if any action of protection is required on account thereof. Submit this notification in writing and attach it to this form. Include names of medications and dosages that must be taken. Check the following areas of concern for this student. If necessary, add another page with details: 1. Does this student have allergies to:! pollens! medications! food! insect bites Explain: 2. Does this student suffer from, or has ever experienced, or is being treated currently for any of the following:! asthma! epilepsy / seizure disorder! heart trouble! diabetes! frequently upset stomach! physical handicap 3. Date of last tetanus shot: 4. Does this student wear:! glasses! contact lenses 5. For this student s safety and our knowledge, is your student a:! good swimmer! fair swimmer! non-swimmer -OVER- 6. Please list and explain any major illnesses this student experienced during the last year:

7 Additional comments: Should this student s activities be restricted for any reason? Please explain: For your information, we expect each student to conform to these rules of conduct: No possession or use of alcohol, drugs, or tobacco. No students can drive. No fighting, weapons, fireworks, lighters, or explosives. No offensive or immodest clothing. No boys in girls sleeping quarters and no girls in boys sleeping quarters. Participation with the group is expected. Respect property. Respect one another, staff, and adult leaders. Respect and comply with event schedules./9+ Students who fail to comply with these expectations may be sent home at their parents expense. I, the student, have read the rules of conduct, the above evaluation of my health, and permission to participate in youth group activities. I agree to abide by the stated personal limitations and code of conduct. Student signature: Date: Activities may include, but are not limited to: cookouts, boating, water skiing, swimming, basketball, roller skating, rollerblading, games in the park, soccer, broomball, ice skating, volleyball, softball, baseball, camping, downhill skiing, snowboarding, hiking, biking, concerts, Bible studies, golfing, miniature golf, hayrides. NOTE: If you desire to limit your child s participation in any event, please submit your wishes in writing to the church youth pastor prior to that event. has my permission to attend all youth activities sponsored by NAME OF STUDENT Kingwood First Baptist Church, Kingwood, Texas. This consent form gives permission to seek whatever medical attention is deemed necessary, and releases the Church and its staff of any liability against personal losses of named child. **I also give consent and permission for the use of photographs of myself, my family and/or my child taken while at church activities to be used for the promotion of KFBC on their web page, videos, or printed materials. I/We the undersigned have legal custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by the Church. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the Church, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/we also agree to bring my/our child home at my/our expense should they become ill or if deemed necessary by the student ministries staff member. Parent/guardian signature: Date: Note: Please attach a front and back copy of your medical insurance card. NOTARY PUBLIC The above, personally appeared before me and in my presence executed the permission and release form. Witness my hand and official seal this day of, 20. Notary Public

8 Jan 2010 Guest Registration / Consent and Release Form (under 18 years of age) I promise to obey the rules and regulations of Riverbend and will cooperate with the leaders and campers Check if you do NOT want to be added to Riverbend s newsletter mail-outs. I am attending with Church/Group, City Camper s Name Address: Address City ST Zip Birthdate / / Grade Completed Gender: Male Female Parent's/Legal Guardian s Name: Home Phone ( ) Work Phone ( ) Health History-List any recent illnesses, injuries and/or hospitalizations relevant to a physician in case of an emergency (attach extra sheet if necessary) Age Height Weight Allergies: Insurance Information Insurance in Name of: Company Insurance Policy # Phone # Address City ST Zip If parent cannot be reached in an emergency, please contact: Name Phone # Relationship Name Phone # Relationship I, the undersigned parent or guardian, hereby consent to my child/youth participating a retreat at Riverbend Retreat Center, an event sponsored by Church/Group on 201. I certify that my child/youth is able to participate in all activities including but not limited to: Swimming pool activities including slides and diving board, waterfront activities including blobbing, iceberg, space mountain, water zip line, aqua swings, and Wet Willie slide, Skeet Shooting, archery, BMX bike track, challenge (ropes) course, zip line, fishing, hiking, paintball, all field sports including, but not limited to softball, baseball, soccer and volleyball. If there are any activities I do not want my child to be involved in, I have listed them here:. I understand that medical care is provided by the group my child/youth is attending with and not by Riverbend Retreat Center. I hereby authorize the Riverbend Retreat Center staff, Camp Health Officer or Group Leadership to make emergency medical decisions for my child/youth and I understand that my insurance coverage will be primary coverage. I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby indemnify and hold harmless Tarrant Baptist Association and Riverbend Retreat Center, and their officers, directors, agents, employees, volunteers and representatives (the Indemnified Parties ) from and against any and all liability, damages, actions, cause of action, claims, losses and/or expenses, including but not limited to attorneys fees, court costs and expenses, arising in connection with or based on injury to or death of any persons or property, including the loss of use thereof, caused in whole or in

9 part by any member of the Group or the Group Leadership, regardless of whether or not caused in whole or in part by the negligence of the indemnified parties, or any one or more of them. However, this indemnification shall not apply to willful misconduct committed by the Indemnified Parties. I understand that part of the camping experience involves activities and group living arrangements and interactions that may be new to my child, and that they come with certain risks and uncertainties beyond what my child may be used to dealing with at home. I am aware of these risks, and I am assuming them on behalf of my child. I realize that no environment is risk free, and so I have instructed my child on the importance of abiding by the camp s rules, and my child and I both agree that he or she is familiar with these rules and will obey them. I further give permission and consent to Riverbend Retreat Center for any photographs, videotapes and interviews to be taken during the camping session to be published and used to illustrate, report, promote and advertise the camp including on Internet Web Sites promoting or reporting on the camp. I hereby assign full copyright of these photographs to Riverbend Retreat Center with the reproduction either wholly or in part. I agree that they can be used separately or together, either wholly or in part, in any way and in any medium. Provided my name is not mentioned in connection with any other statement or wording which may be attributed to me personally, I undertake not to prosecute or to institute proceedings, claims or demands against Riverbend Retreat Center or any of their employees related to any actions of Riverbend Retreat Center taken in accordance with this paragraph. I agree that venue for any dispute or cause of action arising between the parties, whether out of this agreement or otherwise, can only be brought in a court of competent jurisdiction located in Somervell County, Texas, and such dispute or cause of action shall be governed by and construed in accordance with the laws of the State of Texas, exclusive of any provisions relating to conflict of laws. I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Texas and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I agree that in any event that I take any legal action against Riverbend Retreat Center, which is decided in favor of Riverbend Retreat Center, I will be responsible for all legal fees, court costs and out-of-pocket expenses of Riverbend Retreat Center, its owners and employees. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement, which I have read, understood, and accept. Signature of parent or legal guardian: Date: Guest's Signature: Date: Jan 2010

There are a few things we need from you to make sure we are able to create the best camping environment possible:

There are a few things we need from you to make sure we are able to create the best camping environment possible: Dear Counselor Applicant: The WAPAC Kid s Camp Team would like to thank you for offering your time to make a difference in the lives of children during the week of camp. Being a counselor is an awesome