SWO16 Information.pages - Munford Baptist Church

Make War
Not Love
Snowbird Wilderness Outfitters
Make War Not Love Purity Retreat 2016
Information Packet
MUNFORD BAPTIST
STUDENT MINISTRY
www.munfordbaptist.com/students
Everything you need
to know about the
“Make War Retreat
2016” Is In Your
Hands!
Our flesh is sinful and
depraved. It longs for that
which is unholy and
unrighteous in the sight of
God. We claim to follow
Christ and walk in His
redemption; yet over and over
again we fall prey to the very
thing that seeks to destroy us.
We buckle under the weight
of temptation simply because
we choose to live in mediocre,
“defensive” Christianity. But
playing defense against the
longings of our flesh is not
enough. We must Make War
against that enemy. At the
Make War Not Love purity
weekend, students will learn
what it takes to make war on
sin and temptation,
specifically against the lust of
the flesh, and what it looks
like biblically to pursue purity
and holiness, despite past
mistakes.
Two Night Retreat @ Snowbird Wilderness Outfitters In Andrews, North Carolina
Only
$140.00
Per Person
February 26-28, 2016
For 7th-12th Grade Students
Includes:
Travel, Meals, Lodging, Worship, Awesome Recreation, & Biblical Teaching On Purity
Lodging:
Summer @ SWO2013
Snowbird Wilderness Outfitters
75 Mae Johnson Way
Andrews, North Carolina 28901
Phone: 828-321-2210
http://swoutfitters.com
Contact Info:
Josh Dorough
Phone:
205-753-9708
Email: [email protected]
Deposit Schedule:
$35 Due October 28th
$35 Due November 11th
$30 Due December 9th $20 Due January 13th
*$20 Due February 7th
*Orientation Meeting - Feb. 7th
• All deposits & payments are
final & non-refundable
• All payments must be paid
prior to trip. If financial
assistance is needed, your
student can apply for an inhouse job to earn the money
• If you must cancel for any
reason, you may find
someone to take your spot
and pay you for the trip.
Special Reminders:
• We are not responsible for
lost, left or stolen items.
• Unless you pay postage
SWO will not mail items
back.
• The weather in Andrews,
NC. is inconsistent yearround. Pack wisely.
What To Bring:
Bedding & Pillow For Twin Bed
Towel & Toiletries
Bible, Notebook & Pen (Required)
Clothes For Getting Dirty
Modest Clothes For 3 Days (No Short Shorts)
Closed-Toe Shoes
Warm Clothes & Socks
Gloves, Scarves, Winter Hat (Optional But Suggested)
Positive Attitude & Extra Spending Money ($25-$30 Is Suggested)
Optional:
Paintball Gun (Provided If you Do Not Have One)
Money For Extra Paintballs, & Skeet - $8 For Extra Paintballs & Skeet
Rain Gear
Fun Clothes For The Rodeo
Money For Snack Shack
Skateboard & Helmet
Flashlight
What Not To Bring:
Cell Phone (Snowbird Wilderness Outfitters & MBC’s Rule)
iPod / MP3 Players
Portable Games
Alcohol or Tobacco
Drugs (Unless Prescribed - All medicine must be turned in to Bro. Josh)
Two-Piece Swimwear (No Speedos Guys)
Bad Attitude, Clothing w/profanity, beer/tobacco ads
Release Forms:
Each Participant Must
Have ALL of The
Following Release Forms
To Participate In This
Retreat:
STUDENTS 17 & Under
MBC Student Medical Release Form
SWO Medical Info Form
Summer @ SWO2013
SWO Waiver of Liability & Medical
Release Form
ADULTS 18 & Over
MBC Adult Medical Release Form
SWO Medical Info Form
SWO Waiver of Liability & Medical
Release Form
One Participant Per
Release Form!
SWO Release Forms
Are Available In This
Packet & On The
Student Ministry Info
Table In The Student
Worship Center
Download MBC Forms Online @
www.munfordbaptist.com/students
Itinerary: Tentative
Day 1
5:00pm 5-7:15pm
7:30pm 8:45pm 9:45pm 10:15pm Arrival
Recreation
Dinner
Session 1
Small Groups
Fire, Snack Shack, Prayer Chapel
Day 2
8:30am 9:15am 10:30am
12:00pm 1-5:00pm
6:00pm 7:30pm 9:15pm 9:45pm Breakfast
Split Session
Small Groups
Lunch
Recreation
Dinner
Session 2
Small Groups
Fire, Snack Shack, Prayer Chapel
Day 3
8:30am 9:15am 10:30am
11:00am Breakfast
Session 3
Small Groups
Departure
Medical Information Form
Group Name:
Circle One: Summer Camp/Retreat/OLD School/Missions
Circle One: Student/Adult/Child/Leader/Chaperone Email:
Last Name:
Address:
Phone: (
)
Cell:(
)
First Name:
City:
Session Date:
State:
D/O/B:
Middle Initial:
Zip Code:
Sex: M F Ht:
Wt:
EMERGENCY CONTACT INFORMATION:
1st Contact Name:
Home Phone: (___)
2nd Contact Name:
Home Phone: (___)
Relationship:
Cell Phone: (___)
Relationship:
Cell Phone: (___)
Work Phone: (___)
Work Phone: (___)
INSURANCE INFORMATION:
____ Check here if participant does not have insurance.
Insurance Company:
Family Physician:
Insurance Company Address:
Subscriber Name:
Policy #:
Subscriber D/O/B:
Subscriber S.S. #:
Subscriber Phone #: (
)
Subscriber’s Address (if different from above):
Subscriber #:
________
MEDICAL HISTORY
** Any applicants who have been exposed to any communicable disease(s) within 14 days prior to their stay will be unable to attend. **
•
•
•
Any operations, illness, or injuries in the last year?:
Date of last Tetanus shot:
Date of last DPT or DT booster:
Does participant have any physical or mental problems that Snowbird should be aware of?
(For example: asthma, allergies, diabetes, depression, seizures, eating disorder, etc.)
Check One: ___NO ___ YES If YES, please explain:
•
Please indicate any allergies participant has:
•
Circle the medications that Snowbird may administer:
Bee Sting
Tylenol
Penicillin
Ibuprofen
Hay Fever
Poison Ivy/Oak
Antihistamine
Tums
Bacitracin
Swimmer’s Ear
Sumac
Epipen
Antihistamine
Other
Other_________________
Legible written physician’s directions should accompany any prescription medication that is brought to camp. Include
medication type, dosage, frequency, condition being treated, physician’s signature, and DEA number. For the safety of all
participants, medication administered to attendees is the responsibility of that individual attendee or groups’
chaperones’. For minors, it is the responsibility of the parent or guardian to make these arrangements.
PLEASE ATTACH ANY ADDITIONAL MEDICAL CONCERNS
Waiver of Liability and Medical Release
Participant’s Name:
Group Name (if applicable):
Program 1: Regular Camp and Retreats/Conferences. All participants remain in local area.
Program 2: Missions Camp. This is a combination of summer camp and community service projects. Projects include, but are not
limited to repair of houses.
Program 3: O.L.D School Program is predominantly an outdoor leadership school. These sessions include, but are not limited to,
backpacking, whitewater rafting, canoeing, and travel to other states/countries.
Snowbird Outfitters, Inc. will be here and after referred to as “SWO.”
1.
2.
3.
4.
5.
Medical Attention: I understand that medical attention cannot be immediate in all circumstances. Medical attention will be
dependent upon the time needed to remove the person from the program activity area such as a trail in the remote mountains or a
river deep within a ravine.
Injury to Persons or Property. Responsible party agrees that SWO shall not be liable to Responsible party or any other person for
any injury occurring in, on, or around the Premises of other locations including, without implied limitation, attorney’s fees and/or
cost of defending any action.
I/We hereby release SWO, its employees, officers, directors, SWO staff and any individual associated with SWO from any and all
liability, including all expenses of litigation, which might arise from or be a result of my/our child’s participation in the use of the
Premises and other locations. I/We further agree to fully indemnify, and hold harmless, any individual or entity herein named from
any liability from my/our participation in the use of the premises and other locations and that I/We hereby WAIVE and RELEASE
the parties herein named from any and all liability arising as a result or from my/our participation in the use of the Premises and
other locations.
My signature authorizes SWO staff to act for me according to their best judgment in any emergency requiring medical attention.
The participant may be transported by SWO personnel to medical facilities. I hereby waive and release SWO from any and all
liability for any injuries or illnesses incurred while on the property or while being transported by staff for medical attention. I
understand that participation in activities involves motion, rotation and height in a unique environment and as such, carries with it
the risk of injury or death. If the participant does not have insurance, the participant or participant’s family assumes liability. All
medical expenses incurred will be the responsibility of the participant or participant’s family. I have no knowledge of any physical
or mental impairment that would be affected by the named participant’s participation in the program as outlined on the website.
SWO is not responsible for the personal items that are lost, stolen, or damaged. I also understand SWO retains the right to use any
photographs, videotapes, motion picture recordings or any other record of this event for publicity, advertising or for any legitimate
purpose.
I hereby authorize the physician(s) and staff of any Medical facility to provide such hospital care that includes diagnostic
procedures and medical treatment as necessary for the participant while enrolled in the program of SWO. Said medical treatment
may be given without any further permission from the undersigned. I also authorize payment of medical benefits for any services
furnished to the participant by physicians or staff at the above facilities. I authorize you to release to my insurance company
information concerning the health care provided to the participant while attending SWO. In the event of any injury or illness
requiring transportation to an independent medical facility, I authorize the release of all medical records generated at the facility to
the medical staff at SWO. I understand this will enable a continuity of care upon the participant’s return to SWO and will provide
staff a means of informing family members of the participant’s medical condition. Such records will remain a confidential part of
the participant’s general record.
X
PRINT Name of Participant (if 18 years or older)
X
SIGNATURE of Participant (if 18 years or older)
_____________
DATE
FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (UNDER AGE 18 AT TIME OF REGISTRATION).
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the
Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability
incidents to my minor child’s involvement or participation in these programs as provided above. EVEN IF ARISING FROM THE NEGLIGENCE OF THE
RELEASEES, to the fullest extent permitted by law.
X
PRINT Name of Parent/Guardian
Mailing Address:
Phone #: (___
)
X
SIGNATURE of Parent/Guardian
City:
_____________
DATE
State: _____Zip:__________