High School Winter Camp High School Winter Camp is an amazing way to get more deeply connected to: Jesus, great friends and with the winter outdoors! This is your opportunity to not only ski, but to grow into a deeper more commiaed disciple of Jesus that follows Him at all cost. Cost is $299 If you are not a skier there are tubing and snowboarding op5ons as well. Schedule 2/17, Friday- 4pm: Arrive at Kiokee, leave for North Carolina & Teen Valley Ranch, eat dinner on the way up, arrive at TVR before 10, unpack 2/18-19, Saturday & Sunday Morning: Worship, lesson, small groups AWernoon: RecreaXon - Rock climbing tower, repelling tower, horseback riding, hike to Plow Point, mini- golf, spike ball, indoor and beach volley ball, war ball, disc golf, coffee shop Evening: Worship, lesson, small groups, free Xme/recreaXon and campfire/ s mores 2/20, Monday Morning: Worship, teaching, small groups AWernoon and night Xme SKIIIING!!!! 2/21, Tuesday Morning: Final worship and lesson, pack up to go home, leave around 11:30, AWernoon: Get lunch on the road and be home by 6pm
$299, Payment Schedule (Payments are non- refundable) Don t forget that you may have fundraising credit to use. Date Payment 1 (Deposit) 12/14 $99 Amount Payment 2 1/15 $100 Payment 3 2/15 $100
SIGN ME UP!!! Kiokee High School Winter Camp Name: Address: Mom & Dad s name: Gender: B-Day: Age: Current Grade: School Attending: Home Phone: Cell Phone: Email: Who do we contact in case of a medical emergency & their phone number: Total amount of $ I am turning in today $ I want to apply $ amount of my fundraising Credit $ Parent name and phone number: Please place this sheet and payment in the security box at Kiokee.
Kiokee Baptist Church Permission and Release Form In consideration of my child/student participating in the following (event, trip, activity) High School Winter Camp to be held on February 17-21, 2017 I do hereby grant the following permissions and waivers. 6. That Kiokee Baptist Church employees and adult agents of Kiokee Baptist Church are hereby given the following authority during the time period indicated above: a. To consent to any medical treatment that may be required by my child in the place and with the same authority as I would have were I present; b. To record or have some other person record any or all of my child s participation in the event by means of photographs, motion pictures, video recordings, audio recordings, or in any other manner of recording, and to use those recordings without notice to me or recompense of any kind to me or to my child; and c. To exercise authority over my child in the same manner that I would be able to exercise authority were I present; and 7. That Kiokee Baptist Church, Kiokee Baptist Church employees and adult agents of Kiokee Baptist Church are hereby released from liability for all actions taken in good faith in connection with the event; 8. That I shall be fully liable for all costs and expenses arising from medical treatment of any kind received by my child under this permission and release; and 9. That I have full legal authority to grant this permission and release and that Kiokee Baptist Church and its employees and adult agents may rely upon this permission and release in good faith. Parent or Guardian Signature: Date: For emergency contact: Telephone #: Cell #:
Notary Public I, the undersigned officer duly qualified and authorized to administer oaths, do hereby state and affirm that, appeared before me and in my presence executed the above permission and release form. Witness my hand and seal this day of, 20. NOTARY SEAL Notary My commission expires