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Middle School Fall Retreat 2020

Name: Middle School Fall Retreat 2020
Start: 2020-10-23T19:00:00-04:00
End: 2020-10-25T11:30:00-04:00
Location: Prairie Camp

October 23, 2020 @ 7:00 pm - October 25, 2020 @ 11:30 am

$20

WHO = 6th-8th Grade Students

WHAT = 2 Night God-Focused AWESOME Retreat

WHEN = October 23-25

WHERE = Prairie Camp, Goshen, IN

COVID19 = Daily Symptom Check Will Be Given To ALL

SIGN UPS = Yellow Paper at the Student Ministry Center by THE DUB

Come & Go = Can my son/daughter leave for a few hours? Yes, if you student needs to come and go (due to other commitments), they are welcome to do that. Please communicate that request before the event.

COST = $20ea. Due Oct. 18th with WakyMC Parent Permission Form (Scholarships are Available)

TIME = Drop-Off @THE DUB, Friday at 7:00pm & Pick-Up @THE DUB, Sunday at 11:30am

PACKING LIST = Bible, Sleeping Bag/Pillow, Twin Size Sheet, Shower Stuff & Bath Towels, 2 Nights of Bathroom Essentials, Costume, Warm Clothing, ALL Black outfit for night game & Bring FRIENDS!!!

QUESTIONS? = Call Adam Wachtman 574.862.2102 or email at awachtman@wakymc.org

2021 Parent Permission Form

The ULTIMATE Parent Permission Release Form - Wakarusa Missionary Church Minor 2021

Parent's Name*
Parent's First & Last Name
Student's Name*
Students First & Last Name
To Participate In*
Event/Activity Participating In
Date & Location*
In consideration for the above-named student's participation in the above-referenced activity, I , for myself and on behalf of the student, agree to release the Wakarusa Missionary Church, its officers, directors, agents, and anyone connected or associated with the church from any liability for injuries to the above-named minor arising out of his/her participation in the above-referenced activity, including during their transportation to and from said activity.
Parent Signature*
- I Agree
Do you agree with the above paragraph?
Address of Student*
Student's Date of Birth*
Allergies/Medical Concerns*
Medical Release: I agree and consent to having a staff member of the Wakarusa Missionary Church give permission for my student to receive medical attention in the event of accident or illness while attending any event. This includes travel to and from the event/activity as well as the event/activity itself. I accept responsibility for any and all financial obligations incurred for such treatment.
Do you have Medical Insurance?*
- YES
- NO
Policy Holder
Relationship to Student
Insured's Date of Birth
Name of Insurance Company
Policy #
Emergency Phone #
Parents and Students, please read and discuss the following: On all of our events, we have certain expectations regarding behavior which will insure that we all have a great experience. If during this event, you are unwilling to maintain these expectations, please understand that your parents will be notified. Further, should it be necessary for the participant to return home due to disciplinary action or otherwise, parents will assume all transportation costs. By checking the box below you are indicating that you understand this and agree to cooperate.
Signature of Parent or Legal Guardian*
- I Agree To These Terms

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Details

Start:: October 23, 2020 @ 7:00 pm
End:: October 25, 2020 @ 11:30 am
Cost:: $20
Event Category:: Student Ministries

Venue

Prairie Camp; 63526 Co Rd 9
Goshen, IN 46526 United States + Google Map
Phone:: (574) 612-2241
Website:: http://prairiecamp.org/