Applicant Information

Full
Name:

Date:
Last

First

M.I.

Address:
Street Address

Apartment/Unit #

City

State

Phone:

ZIP Code

Email

T-shirt Size

Parent/Guardian Information
Full
Name:

Date:
Last

First

M.I.

Address:
Street Address

Apartment/Unit #

City

Phone:

State

Email

ZIP Code

Applicant Contract

Teen Bible Academy begins July 12th. Drop off is between 7:308:30 pm..
During the program phones will only be allowed at certain times.
No electronic devices will be allowed (no ipad, ipod, computer,
etc) Our focus is to keep outside influence out and use this time
to focus completely on God. If you need to get ahold of your
child, you may contact me and I will have them call you back at
the allowed phone time. (typically in the evening on arranged
nights.). Cameras will be allowed.
Norwalk Seventh-day Adventist church or the volunteers are not
responsible for any lost or stolen items.
By taking part of Norwalk Teen Bible Academy, I understand and
will comply with the following:
o I will be at registration on time
o I will treat others with respect
o I will not bring any electronic devices (cell phones, mp3
players, tablets, laptops, etc)
o I am here to draw closer to God!

Date:
Signature

Dear Parents and Applicant,

We are so excited to have you in our program this year. This is our
second year doing this this program here in Southern California,
we are praying to be able this will continue for years to come!
TBA started in Northern California as a three week program
designed to help teenagers draw closer to God. Norwalk Teen
Bible Academy is following this example.
Here is the breakdown:
Solitude: We will backpack and camp by Bridge to Nowhere. This
is time where the kids will have a chance to really connect with
God. As leaders we will be overseeing their time and teaching the
kids how to break away from the noise of the everyday world. We
will spend time reading our Bibles, praying, journaling and doing
group activities. This time is designed to help us grow in our walk
with Christ and build a support system with each other while also
creating great friendships!
Study: After spending 4 days outdoors we will travel back to the
Norwalk Seventh-day Adventist Church where we will spend one
night and repack our things for the rest of the trip. We will leave
for Camp Cedar Falls on July 17th. Where we will begin our next
step in our program Study. During this time we will be having
in-depth Bible Studies to prepare us for the up-coming outreach.
We will also be doing many outdoor activities and group games.
Service: Now we will be ready to serve others! We will be going to
Chinle SDA Church in Arizona where we will be working with
underprivileged families by teaching cooking and health classes
as well as some service projects they are in need of. We will also
be going Door to Door giving out GLOW tracks and praying with
the people of this very poor area.

CONSENT FOR MEDICAL TREATMENT DECLARATION

In case of emergency, I, ________________________, parent/guardian authorize

the Teen Bible Academy staff to give consent during my absence for my child
listed below to receive any necessary health care and/or be hospitalized
Dates: July / 12 / 2015 to July / 29 / 2015
Childs full name __________________________ D.O.B. ______/______/____
Childs physician/phone number ___________________________________________
Important medical history (chronic conditions, allergies, etc.)
__________________________________________________________________
__________________________________________________________________
Name of parent(s) or guardian(s)
Mom: ________________________________Phone:______________________
Email:_________________________________
Dad:_________________________________ Phone:______________________
Email:________________________________
Guardian:_____________________________ Phone:______________________
Email:________________________________

___________________________________
Parent/Guardian Signature

_____/_____/_____
Date

GENERAL CHECKLIST
Bible
Pen
Positive attitude
Camera (May not be wise to take an expensive camera, use
your discretion)

 Cell Phone (To reduce distraction and prevent loss/theft ect.

staff will keep phones and return them at designated times.
Feel free to leave it and use a staffs cell phone during the
trip.)
Laundry Money (we will provide laundry soap, please bring
quarters for your wash)
Comfortable clothes (Please bring modest dress. Be
considerate of students of the opposite gender by not
bringing anything revealing or distracting, preferably things
you don't mind getting dirty. Please leave all jewelry at
home. Watches are ok.)
Swimming suit (One piece for ladies, no Speedos for guys.)
Regular shoes
Flip flops
Light jacket / sweatshirt
Personal items (soap, shampoo, towel, toothbrush, brush,
etc)
Pillow
Sleeping bag and mat (If you want something fresh for after
backpacking)
Church clothes (For our Service Week)
Backpack

It is best if you pack your backpacking pack with the needed

items, and bring another bag for the remainder of the trip. (For
those who signed up to borrow one of our backpacks just bring
two bags and we will have time for you to pack your backpack.)
The backpacking portion of the
trip will be for 4 days and 3 nights (depending on the weather),
but remember to pack light, because you will be carrying all your
belongings. Keep in mind we will add about 10 or more pounds of
food and supplies to your pack.

Food will be provided, but feel free to bring extra food if you feel
you will need it.)
BACKPACKING CHECKLIST
Large backpacking backpack
Small Bible
Warm sleeping bag
Sleeping pad
Tarp
Small pillow (If you want one - Not a necessity)
Hiking boots/shoes (Comfortable for hiking and okay to get
dirty)
Personal items (Soap, toothbrush, toothpaste, brush, etc)
Modest Swimming suit (one piece)
Small towel (For swimming / dishes)
Flip flops/water shoes (If you need a break from hiking boots)
Hat
Sunglasses
Bug spray
Sunscreen
Water bottle-1 liter (Staff will have purifiers, bring one if you
have one)
Flashlight or headlamp (extra batteries)
Spoon or fork (You may not want fancy cookware)
Cooking pot or can (Meals will be cooked on a camping stove,
make sure that your pot has a
handle and lid. It is good if the pot is also light weight and sturdy)
Comfortable clothesdont forget warm clothesit gets chilly at
night
Clothes
1 pair of pants/sweats
1 pair of shorts
3 t-shirts (1 long sleeve)

4 pairs of socks (warm socks and hiking socks)

Underwear (4 days)
1 light rain jacket or Poncho
Sweatshirt
Gloves and hat or beanie

Places to buy cookware:

Wal-Mart (they have a good size lightweight $6 pot)
REI (more pricy but have very nice cookware)
Please leave behind:
Secular media, books and magazines
Electronics (Laptops, tablets, Ipods etc)
Anything expensive that may be lost or stolen
Anything that will distract you