Beruflich Dokumente
Kultur Dokumente
Name__________________________________ |
Age ______ Grade ______ Gender _________ |
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Shirt Size (Adult): XS S M L XL
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Address ________________________________ |
City ______________________Zip __________ |
Parent’s Names __________________________ |
Get
Phone # _______________________________ |
for...
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Email _________________________________
Ready
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Alternate Contact _________________________ |
Phone # _____________ Work # ___________ |
MEDICAL INFORMATION: |
Allergies: _______________________________ |
Medication Being Taken: ___________________ |
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_______________________________________
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Physical Handicaps or Limitations: ____________ |
_______________________________________ |
Medical Insurance Company: ________________ |
Policy Number: __________________________ |
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Member’s Name: _________________________
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Primary Physician: ________________________ |
Physician’s Phone# _______________________ |
Are you planning on skiing or snowboarding |
(chaperones will be provided) at Mission Ridge? |
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____ Yes _____ No ____Maybe |
____ Could I have more information? |
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If “yes” are you planning on renting equipment? |
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The Game Show weekend:
Everyone enjoys game shows! When Does Registration close? January 31st
When is it? February 5-7th
There’s just something about watching someone
Times: Depart at HCC at 3:15pm Friday, Feb. 5th
win something that can change their life in an
Return to HCC at 4pm Sunday, Feb. 7th
instant! That’s why we are putting on a weekend
Cost: $165 .00
of game show games with good old Camas
*Plenty of Scholarships are available!*
Meadows as our backdrop!
There is an early bird rate of $155 IF registration and
Get ready for a weekend of adventure and deposit are in BEFORE JANUARY 13th! No excep-
relaxation! There will be plenty of opportunity tions!
for getting away and taking a break from What should I bring:
everything that stresses you out. Or if you’d A Sack Dinner for the trip there, Sleeping bag, pillow, a
rather break loose and go crazy, then we have few bucks for the snack bar (optional), Bible, warm/
that too! snow clothes, toiletries, towel, journal, friends, cam-
era (optional), flashlight, Bible, pens, extra socks, two
There will be plenty of ways to enjoy all the
pairs of shoes (or snow boots recommended).
snow: cross country skiing, world famous inner
What shouldn’t I bring:
tubing, our annual pick up game of Snow
Personal electronic devices like ipods (anti-social),
Rugby, snow ball fights, or even snow-cave
weapons, drugs, alcohol, pets, expensive personal
building! Not to mention skiing/snowboarding
items, or Icaulanibokola’s.
(costs extra and is chaperoned) at Mission Ridge!
How do I sign up:
This weekend will be full of fun, games, and Complete the registration form (keep your portion to
praise to our God. The Game Show Weekend retain important information), attach a down pay-
Winter Retreat at Camas Meadows has some- ment ($40.00 non-refundable deposit) and then
thing for everyone. Get ready to play hard, place in the lock box outside the youth pod (room
laugh until it hurts, and learn about a God that 106 in education building). Then skip around with
wants nothing more then for us to know how joy!
much He cares for each of us. If this sounds like What if I have questions? Contact Director of Middle
something you desire, then this winter retreat is School Ministries, Jen Easton @ 253-851-8450 or
where you need to be. email at jeaston@harborcovenant.org
Registration is now open!
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The undersigned gives permission to Harbor Covenant
activity. In the event of an emergency, I hereby author-
___________
Date
Medical Release
Email: jeaston@harborcovenant.org
Harbor, WA) February 5-7, 2010.
_____________________
Parent or Legal Guardian
tacted as soon as possible.
Work: 253-851-8450
Cell: 253-241-3760
to Gig Harbor.