TRIP INFO. CIY Mix- MS Camp. HS Camp. WHO: For incoming 6th through 8th graders. WHERE: Marion, IN Indiana Wesleyan University

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TRIP INFO CIY Mix- MS Camp WHO: For incoming 6th through 8th graders WHERE: Marion, IN Indiana Wesleyan University WHEN: Monday, July 10 - Friday, July 14 COST: Registration Deposit: $50

3 TRIP INFO CIY Mix- MS Camp WHO: For incoming 6th through 8th graders WHERE: Marion, IN Indiana Wesleyan University WHEN: Monday, July 10 - Friday, July 14 COST: Registration Deposit: $50 (non-refundable) Early Bird Rate: $370 (February 5-March 5) Regular Rate: $420 (March 6-May 21) Final Balance is due Sunday, May 21 CONSENT FORM: CIY Mix Consent Forms are electronic, you will receive a link to sign up after turning in the registration and deposit HS Camp WHO: For incoming 9th through current 12th graders WHERE: Sevierville, TN Wilderness at the Smokies Resort WHEN: Monday, July 10 - Friday, July 14 COST: Registration Deposit: $50 (non-refundable) Early Bird Rate: $450 (February 5-March 5) Regular Rate: $500 (March 6-May 21) Final Balance is due Sunday, May 21 CONSENT FORM: Not available at this time. We will notify you when it becomes available.

TRIP INFO/ IMPORTANT DATES Ft Wayne Mission Trip w/uncharted WHO: For incoming 6th graders through college students WHEN: Saturday, June 24 - Thursday, June 29 COST: Registration Deposit: $75

4 TRIP INFO/ IMPORTANT DATES Ft Wayne Mission Trip w/uncharted WHO: For incoming 6th graders through college students WHEN: Saturday, June 24 - Thursday, June 29 COST: Registration Deposit: $75 (non-refundable) Price: $300 SPECIAL NOTE: Must attend training meetings on April 2, May 7, and June 4 CONSENT FORM: Made available upon sign up. Important Dates Thursday, February 23: Orange Event Fundraiser Sunday, March 5: Spaghetti Dinner/Pie Auction Fundraiser Saturday, March 18: Project Serve Fundraiser Sunday, May 21: All trip money is due Questions? Contact Angela Chaudoin angelachaudoin@bethelevv.com

5 BETHEL STUDENT LIFE RELEASE FORM Sign Up: Student Information Student Name: Date of Birth: Grade (entering fall 2017): Address: City: State: Zip: Home Phone: Cell Phone: List any medical conditions, allergies, medications, etc. Waiver: parent/legal guardian I give permission for my son/daughter to participate in Middle School CIY Mix Trip (Marion, Indiana), High School Camp Trip (Sevierville, Tennessee), and/or the Ft. Wayne Mission Trip (Ft. Wayne, Indiana) on the dates: July and June 24-29, If injury does occur on this/these trips, I have sufficient insurance to cover all medical expenses. I assume the risk and financial responsibility for any injury or liability resulting from the registrant s participation. I hereby give permission to a doctor/hospital with proper credentials to give emergency medical treatment to the above named student and release Bethel Church and staff from any and all liability. Parent/Legal Guardian Name Emergency Contact Number Signature Date Insurance Company Policy Number

Dear: On Saturday March 18, 2017 Bethel Student Life will participate at an event called Project Serve. Student volunteers will connect with and serve at different locations throughout the community.

Project Serve accomplishes several purposes: First, it gives students the opportunity to work together and lend a helping hand in the community.

Finally, Project Serve provides financial support to assist student volunteers in participating in his/her summer camp and/or mission trip experiences.

7 Dear: On Saturday March 18, 2017 Bethel Student Life will participate at an event called Project Serve. Student volunteers will connect with and serve at different locations throughout the community. Students will be serving to make our community a better place in which to live. Project Serve accomplishes several purposes: First, it gives students the opportunity to work together and lend a helping hand in the community. Second, through Project Serve, students are able to assist individuals and the community as a whole with projects that might never be accomplished without a volunteer work force. Finally, Project Serve provides financial support to assist student volunteers in participating in his/her summer camp and/or mission trip experiences. Students from Bethel Student Life are currently seeking pledges based on the serve workday. All of the money raised will be directed toward his/her summer camp and/or mission trip experiences. On the workday, the Evansville area will be cleaner, much needed community work will be completed at no cost to the area resident, and you will have invested in the lives of students. By helping to send a high school or middle school student to his/her camp, you are supporting the work God Himself is doing. Please prayerfully consider sponsoring a student for his/her participation in Project Serve. Thank you!

8 Project Serve Pledge Form Student s Name: Sponsor s Name: Address: City: State: Zip: Phone: Yes, I want to sponsor you in the Project Serve workday in the community. Signature: Please make checks payable to Bethel Church To comply with Tax Deduction status, please do NOT write the student s name on your check. A flat amount of: $ or a per hour amount of: $ /hr (Total of 5 hours)

The College of Science, Engineering, and Technology

The College of Science, Engineering, and Technology Health and Science Summer Academy APPLICATION JUNE 25TH JULY 20TH 2018 * MONDAY FRIDAY * 9:00AM 4:00PM I. APPLICANT INFORMATION (PLEASE PRINT CLEARLY OR TYPE) Name [Last] [First] [MI] Birth Date / / Mailing