Important Dates February 28: Deposits due ($70) March 19: Spring Fundraiser April 1: Payment 1 Due ($134.50)
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1 YMCA OF THE ROCKIES REC CAMP Surrounded on three sides by Rocky Mountain National Park, which was recently recognized as the #1 Outdoor & Adventure Destination in the United States, Estes Park is a unique mountain community offering more recreational and programming activities than any other YMCA area property. Everywhere you turn, you are surrounded by a breathtaking view of God's creation. While spending a week at camp for a retreat away from the "hustle and bustle" of life, there is no better place to be than YMCA of the Rockies in Estes Park. It's hard to ignore God's creativity and power with the Rocky Mountains as a backdrop! EVENT CAPACITY The campus is secluded from the town. Camp usually runs anywhere from 800-1,300 participants. ADDRESS 2515 Tunnel Road Estes Park, CO TRAVEL We will carpool from Corona Church to YMCA of the Rockies. SLEEP Deer Ridge and Eagle Cliff Lodges offer close walking distance to the Worship Center and recreation fields. Alpen Inn and Wind River Lodge offer close proximity to the cafeteria and are set up hotel style. PLAY Free Time Options Basketball, pool, fishing, hiking, volleyball, miniature golf, tennis **, horseshoes**, climbing wall*, challenge courses*, game room*, Lula Dorsey Museum, Jackson Stables (horseback riding)* *Requires additional fee. Please contact YMCA for more information. **Requires a deposit. Please contact YMCA for more information. Cost Total: $339 Per Student* *Scholarships are available for students. Students may also raise funds through church fundraisers. Important Dates February 28: Deposits due ($70) March 19: Spring Fundraiser April 1: Payment 1 Due ($134.50)
2 May 1: Last Chance to Register, Payment 2 Due ($134.50) June 4: Pre Camp Meeting, 10:30 AM o Parents may or may not come, students are responsible to attend. Laying out expectations for camp, what to bring, etc. June 26-30: CAMP!!! Itinerary June 26, Monday 12 PM- Meet at Corona Church (eat lunch prior to arrival) 12:15 PM- Depart Corona Church 2:30 PM- Arrive YMCA Rockies/Register 3:30 PM- Camp Begins June 30, Friday 10 AM- Depart YMCA Rockies 11 AM- Lunch 12:30 PM- Arrive Corona Church CONTACT Daniel Weiss- Youth Pastor; Corona Church danielweiss@coronachurch.com E 8 th Ave, Denver CO 80218
3 SUMMER 2017 STUDENTLIFE.COM/PARENTS Available May 1 SEND STUDENT LIFE STORE GIFT CERTIFICATES Only valid at the Student Life Store at Camp SEND S PRE-ORDER CAMP GEAR LEADER BIOS CAMP THEME & DAILY BIBLE STUDY FOCUS STUDENT PACKING LIST Check with your leader for electronics and cell phone guidelines. WHAT TO BRING A fantastic attitude and a desire to draw near to God Bible, pen & notebook Modest casual clothing and closed toe shoes Towels, washcloths and personal hygiene items Bedding and pillow (unless told otherwise) Spending money for snacks, t-shirts, CDs, etc. Watch and/or alarm clock Sunscreen WHAT NOT TO BRING Tobacco, drugs or alcohol Fireworks, water balloons or weapons Skateboards, roller skates or roller blades WHAT NOT TO WEAR Tight clothing Short shorts or skirts (Stand with your arms by your side. If your fingertips are touching skin, your shorts or skirt should be longer for camp.) Spaghetti strap, halter or tube tops (Tank tops at least three fingers wide can be worn during the day, but not to evening worship.) Speedos, bikinis or two piece bathing suits (unless covered with a dark t-shirt) Clothing that promotes alcohol, cigarettes or any other inappropriate items Clothing with questionable sayings, slogans, etc.
4 ALL participants in Student Life events must have a signed and notarized Waiver and Release form. This includes students, all adults and children of adult leaders. Consent by a parent or guardian is required for those under the age of majority which varies by state. For example, in Alabama and Nebraska, consent is required for those under 19 years of age. Return this form to your group leader for submission. OFFICE USE ONLY CODE: RegID: AQU BLU ORG GRN WAIVER AND RELEASE This document must be signed and notarized. Church: City/State: Name: Birthdate: / / Age: Gender: Address: City: State: Zip: Parent/Guardian: Mobile Phone:( ) Work Phone:( ) Camp Location (hereinafter camp location ): STUDENT LIFE CAMP ATTENDING Rec Mission Beach Urban Serve Student Staffer (Volunteer) WHICH ONE BEST DESCRIBES THE ATTENDEE Camper Adult Child of Adult Leader Consideration. I acknowledge the personal benefits accruing to me (and my child, as applicable) by reason of participation in the above described event and am aware of the activities in which I, or my child, will be involved through said participation. Release/Indemnification. I hereby, in consideration of such benefits and other good and valuable consideration received, consent to the above listed participation and release absolutely, forever discharge, hold harmless and covenant not to sue Student Life, a ministry of LifeWay, and camp location (including colleges, universities and conference centers), its directors, employees, agents, volunteers, and affiliates ( Student Life and camp location ) from any and all present or future liability, claims, demands, actions or rights of action, whether asserted by me or a third party arising out of my (or my child s) participation in event activities (the Claims ). I agree to indemnify and hold harmless Student Life and camp location for any such Claims brought by me or a third party from any costs associated with defending or litigating such claims, including but not limited to attorney fees, costs and legal expenses. Medical Emergency. In the event of injury or a medical emergency, I understand that the church s group leader, not Student Life and camp location, will be responsible for the medical care of all attendees. It will be the church group leader s responsibility to assess medical needs, obtain and consent to appropriate medical care, transport persons in need of medical care and contact parents or guardians of minors. I release Student Life and camp location from any and all liability related to medical treatment. In addition, I assume the risk and financial responsibility for any injury resulting from the attendee s participation in all Student Life and camp location events. Addendums Mission Camp Authorization I acknowledge that certain risks do exist during my (or my child s) participation in Mission Camp, Urban Serve or as a Student Staffer volunteer. These include, but are not limited to, the hazards of being in a construction type setting, travel by automobile, the risks involved in leading recreation games and those existing because of consent of these programs. Beach Camp Authorization I acknowledge that certain risks do exist during my (or my child s) participation in Student Life Beach Camp. These include, but are not limited to, the hazards of public beaches, travel by automobile or shuttle service, public condos and hotels, recreation activities and swimming in the ocean. Rec Camp Authorization The recreation programs at summer event locations strive to offer fun, safe and challenging activities that engage the whole person--body, mind and soul. Program staffs are trained and as a team committed to your re- STUDENTLIFE.COM PO BOX 36040, BIRMINGHAM, AL TEL: (800) FAX: (205)
5 warding experience with safety as their highest priority. They have done everything possible to mitigate any risks involved in their recreation programs. However, there are inherent risks to participation in recreation activities, including but not limited to, initiative games, high and low challenge course, outdoor education, paintball and aquatics. You could experience any of the following - elevated heart and respiratory rates, uncomfortable group dynamics, climbing or descending unpredictable and possibly slick or uneven terrain, crossing narrow wires and logs, jumping, running, climbing/descending steep rock faces, traveling long distances in remote settings, carrying weight on your backs and shoulders, unforeseen forces of nature or weather, any of which could result in injury/illness that could result in loss of life, limb and/or property. Assumption of Risk. I am aware of the risks associated with participation in any of the above events and do hereby voluntarily assume full responsibility for any risk of loss, property damage or personal injury, including death, that may result from participation in event activities. Understanding. I represent and acknowledge that I have completely read and understand this document and all its terms and all matters referred to herein, and I signed voluntarily as my free act and deed that I have had an ample opportunity to obtain the advice of counsel and that, by signing this document, I understand that I am relinquishing legal rights and remedies that may have otherwise been available to me. I understand that this Waiver and Release shall be construed as broadly and inclusively as is permitted by applicable law and agree that if any portion of this document is held invalid, the remaining shall continue in full force and effect. To the extent the restriction on filing lawsuits is deemed unlawful, I agree to submit any Claims to Peacemaker International, a Christian mediation/arbitration organization, for final resolution. Media Consent. I give my consent and permission for the taking of photographs and/or video of me (or my child) during the described event and waive and/or assign any and all rights (including copyright) in such media to Student Life and camp location. Student Life and camp location, as the sole owners of such media, shall have the exclusive right to control and determine the use, display, performance, reproduction and dissemination of any such photographs and/or videos. Copy to Camp Location. It is understood and agreed that a copy of this form shall be treated as authentic and binding as the original and that a copy of same shall be provided to camp location. THIS MUST BE SIGNED IN THE PRESENCE OF A NOTARY. CAUTION: Read this document carefully before signing. This is a general release and indemnification of claims. Please check which applies: Parent/Guardian Attendee 18 years of age and older Signature: If you are a Parent/Guardian of an attendee who is under 18 years of age, please include the following: Your Name: Relationship to Attendee: Phone Number: ( ) NOTARY INFORMATION THIS MUST BE NOTARIZED IN ORDER TO ATTEND CAMP. The following is to be completed by the notary witnessing parent/guardian s or adult s signature. All participants, including adults and children of adult leaders, must submit a notarized Waiver and Release before participating in camp activities. The State of the County of Before me, a Notary Public, on this day personally appeared known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he executed the same for the purpose and consideration therein expressed. Given under my hand and the seal of the office this day of, A.D.. Notary Public, Signature My commission expires the day of, A.D.. Place notary stamp or seal here STUDENTLIFE.COM PO BOX 36040, BIRMINGHAM, AL TEL: (800) FAX: (205)
6 EVENTS MEDICALRELEASE&PERMISSIONFORM 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 to or from events 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 Students who fail to comply with these expectations may be sent home at their parents or guardians 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, bowling, water skiing, swimming, basketball, skate boarding, roller skating, games in the park, soccer, broomball, ice skating, volleyball, softball, baseball, camping, 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 (hereinafter the Church ) from to. DATE NAMEOFSTUDENT NAMEOFORGANIZATION DATE Page 2 of 2 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/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 own expense should they become ill or if deemed necessary by the student ministries staff member. Parent/guardian signature Date 391
7 Medical/Permission and Release Form Corona Presbyterian Church 1205 E. 8th Ave. Denver, CO, (303) Name: Age: DOB: Phone: Address: State: Zip: In Case of an Emergency Notify: Relationship: Phone: Family Physician: Phone: Current Health Care Provider: Past Medical History (Check giving appropriate information) Asthma Sinusitis Bronchitis Kidney Trouble Heart Trouble Diabetes Dizziness Hay Fever Stomach Upset Other Allergies: Food(s): Penicillin or Other Drug(s) (Name): Insect Stings/Bites: Poison Sumac, Ivy, or Oak: Previous Operations or Serious Illness: Any Current Medication(s) List: Special Diet (Name): Childhood Diseases: Chickenpox Measles Mumps Whooping Cough Permission for Treatment My permission is granted for the Church, Pastor, Minister of Music, Youth, and other staff personnel or other adult(s) in charge to obtain necessary medical attention in case of sickness or injury to my child. I,, do hereby verify that the above information is correct and I do hereby release and forever discharge all sponsors and the Church from any and all claims, demands, actions or causes of action, past, present, or future arising out of any damage or injury while participating in a church-sponsored Youth activity. Date Signature:
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