July 24-–26 Mohican WIlderness

Number of trail riders:
Number of pony riders:
MEals
Number for Friday dinner:
Number for Saturday dinner:
Number for Sunday brunch:
t
a
I,
as father/
guardian of the named child(ren), give
him/her/them permission to participate
in the activities of The Father & Child
Retreat. I release Grace Polaris Church and
its representatives from any liability in the
event of an accident en route, during, or
returning from an activity. I also authorize
them to obtain any emergency medical
attention that may be required during my
child’s attendance.
th e
R e tr
ea
t!
Restrictions:
•Trail rides for ages 10+, 200 lbs. or less
•Pony rides for ages 10 and under
Please read this section carefully, fill it out
completely, sign, and return with your
registration. Your child must have a
signed waiver in order to attend.
Se e yo
u
Please complete this information if you or
your children plan to ride a horse.
Child Waiver
I have read, agreed to, and accurately
completed the “Registration Info” on
the reverse side.
Father/guardian signature
Date
In the event of emergency, please contact:
Name
Phone number
Name
Phone number
For more information about the Father
& Child Retreat, please contact Bill Kelly
(614–506–0054, [email protected]).
Please list any special medical needs below, along with any
other information that could be helpful.
Tear and submit completed form
Horse Riding
Worship Center
8225 Worthington-Galena Road
Westerville, OH 43081
Mailing Address
PO Box 1650
Westerville, OH 43086
Administrative Offices
8724 Olde Worthington Road
Westerville, OH 43082
GracePolaris.org
614–888–7733
APR 2015
July 24-–26
Mohican
WIlderness
About the Retreat
Activities
Registration INFO
Sign Up TODAY!
Sometimes life becomes so fast and furious
that we forget to sit back and enjoy the
wonders of nature, to pay attention to
every little detail that our Father puts into
His creation. There is absolutely no better
way to slow down with your children
and share memories (while making new
memories at the same time).
Horseback riding (age & weight restrictions)
Tubing
Canoeing
Miniature golf
Archery
Swimming
Volleyball
Field games
Sunday devotionals
Bonfires
Hiking
Music/talent show
The Father & Child Retreat is an approved
activity of Grace Polaris Church. Our
goal is to provide a Christ-centered
environment where a father and his
children can spend time together building
positive relationships and where fathers
can learn more about godly fathering.
Please register early! Return this completed
form with payment (checks payable
to Grace Polaris Church) or sign up at
GracePolaris.org on or before June 22.
The retreat cost is $40 per person if your
payment is received or postmarked by this
date ($45 afterwards). No registrations
accepted if received/postmarked after
July 6. No refunds after July 9.
Join us July 24–26 at Mohican
Wilderness for a weekend filled with
camping delights and activities. This
retreat is geared toward both fathers and
their children (ages 4–14), and there’s
something for everyone!
Our location will be available to set up
camp on Friday at 10:00 a.m. A retreat
worker will check you in as you arrive. If
you cannot arrive at that time to help set
up, simply stop by the large white tents
and check in. The campgrounds include
hot showers and flush toilets. Families will
bring their own tents.
Mohican Wilderness
Mount Vernon
Packing List
Food (Friday lunch, Saturday breakfast & lunch)
Snacks, drinks, and treats
Water bottle/canteen
Tent and camping gear
Sleeping bag/bedroll
Folding chairs
Bible, pen, and note pad
Flashlight
Games/sports equipment
Sunscreen and bug spray
Toiletries
Tennis shoes (with an extra old pair)
Warm clothes for the evenings
Swim suit and towel
Campfire wood (can be purchased on-site)
Bicycles are always a fun addition!
Grace Polaris Church
270
161
Mohican Wilderness
22462 Wally Road, Glenmont, OH 44628
Approximately 50 miles northeast of Grace Polaris Church
In accordance with church guidelines, each
father is expected to be responsible for
his children throughout the retreat. At all
times he is expected to be aware of their
location, actions, activities, and safety. At
no time will a child be without father or
retreat guardian supervision. Please sign
on reverse side for your commitment and
cooperation. If you have a child/children
for whom you are responsible, please sign
for them.
Name of father/guardian
Home phone
Date
Cell phone
Address
Email
Tear and submit completed form
71
This registration is to be completed by the
father or retreat guardian.
Children responsible for:
Name
Church affiliation:
Age & gender
Mail completed forms to:
Bill Kelly
989 Vincent Court
Westerville, OH 43081
General info
Arrival day/time:
Please select one or more of the following
to help out with:
Camp setup: Friday, 10:00 a.m.
Friday dinner prep
Friday dinner cleanup
Saturday dinner prep
Saturday dinner cleanup
Sunday brunch prep
Sunday brunch cleanup
Camp tear-down: Sunday, 1:00 p.m.
(main tent area requires 15–20 dads)
General help