1 Corinthians 5:7

New Life Family Worship Center PERMISSION TO ATTEND & MEDICAL INFORMATION

(Complete for each child under 18)

Name____________________________________________________ Date of Birth______________________________________________ Church___________________________________________________ In case of emergence, notify: ________________________________________________________ Phone __________________________________

MEDICAL HISTORY

Covered by Medical Insurance? Yes_____________ No____________ Company and Policy Number ______________________________________________________ Any present medications? Yes_____________ No_______________ If yes, list any: _________________________________________________________ _________________________________________________________ Family Physician__________________________________ Phone__________________________ Any Allergies to any medications Yes___________ No__________ If yes, list any: ___________________________________________________________________________________________________________________________________________________________________________ Date of last Tetanus Vaccination:______________________________ Any restrictions or comments? ___________________________________________________________________________________________________________________________________________________________________________ AUTHORIZATION

The child whose name is on this slip has my permission to attend the New Life Family Worship Center event on _____________________. Except in the case of gross negligence, I agree to release New Life Family Worship Center from responsibility of accident or injury to the above said person while participating in activities, programs, or ser-vices provided in conjunction with the event. I give my permission for the acting church sponsor to have emergency treatment administered to above said person as is deemed necessary.

Signed___________________________________ Date___________ (Parent or Legal Guardian) Witness_________________________________ Date_____________

Our camp speakers this year are Melvin and Renee Howdershelt. They are the parents of three grown boys the grandparents of 4 growing kids.

They love Jesus and they love kids. It is there de-sire to see God do a deep work in the heart of eve-

ry child as they are young. They desire to teach them important Biblical truths so that when they

are old they will not forget or depart from the Faith. They have some fun things planned and your child will not want to miss this awesome time at Camp, hanging out with friends, having

tons of fun, but most importantly receiving a fresh touch from Jesus!

New Life Family Worship Center PHOTO RELEASE

(Complete for each child under 18)

Check One:

_______ I DO give permission for my child’s photo to be printed and/or used in any

marketing material, brochures, newsletter, church bulletin, videos, or on Facebook for NLFWC. Your child’s name will not be used on websites. I acknowledge that since participation in publications or websites is

voluntary I will receive no financial compensation. I further agree that participation in any publications and/or websites produced by NLFWC or any organization directly related to NLFWC

confers upon me no rights of ownership whatsoever. I release NLFWC and it’s employees from liability for any claims by me or any third party in connection with participation.

______ I DO NOT give permission for my child’s photo to be printed and/or used in any marketing material, brochures, newsletter, church bulletin, videos, or on Facebook for

NLFWC.

Child’s Name: _________________________________________________

Parent’s Signature: _____________________________________________

Date_________________________________________________________

Rules & Regulations

For Ages 5 – 12

1. All participants must attend each service, class and other function.

2. All participants must be in the dining hall for each meal.

3. All participants must act appropriately and behave respectfully toward leaders and fellow campers.

4. Failure to follow direction may result in early dismissal, requiring a parent to pick up said participant.

5. NLFWC is not responsible for any acci-dents, theft or loss.

What to Bring:

1. Bible 2. Bedding (sleeping bag, or sheets and

blanket, and a pillow) 3. Toiletries 4. Bring clothes to get wet in (no bikinis),

shoes for church, sports and recreation.

What Not To Bring:

1. Electronics 2. A bad attitude Camp will be taking place at Camp Kidd in Tucker County again this year. Address is

1155 County Farm Rd, Parsons, WV 26287.

Schedule:

Monday, July 8

Arrival: 3:00 PM Recreation: 3:00-4:45PM Dinner: 5:00 PM Service: 6:30 PM Bonfire: After Service Get Ready for Bed: 10:00 PM

Tuesday - Thursday, July 9-11

Wake Up: 7:00 AM Breakfast: 8:00 AM Worship: 9:00 AM Class: 10:00 AM Class: 11:00 AM Lunch: 12:00 PM Class: 1:00 PM Sports/Rec.: 2:00 - 4:45 PM Dinner: 5:00 PM Service: 6:30 PM Get Ready for Bed: 10:00 PM

Friday, July 12

Wake Up: 7:00 AM Pack Up: 7:00-8:00 AM Breakfast: 8:00 AM Clean Up: 8:30-9:30 AM Worship: 9:30 AM Parent Pick-up: 10:00 AM *Pleas note: all times are subject to change at the directors discretion.