What you need to know:

We will be headed out to Camp Spalding, When Does Registration close? July 9th
located North of Spokane WA. We’ll have Who? For incoming 6th to incoming 8th grade
tons of stuff to do! students!
There is Swimming, Boating, Mountain Biking, When? Aug. 8-14th 2010
Why? Because it is one of the best ways to meet fel-
Bible Studying, Rock Wall Climbing, Disc
low students in the youth group, meet the Middle
Golfing, Mountain Boarding, Cliff Repelling, as
School Staff team, and bring a friend!
well as having opportunities to do crafts,
What should I bring? Bible, Sleeping bag, Money
watch skits and just taking time to rest
(for two meals on the road and the snack bar), a light
around God’s amazing handiwork! They even
jacket, toiletries, swimsuit (one piece only), towel,
have horses and lots plenty of lakeside activi- journal, pen, friends, camera (optional), pillow, flash-
ties (like the zip line over the lake!). Not to light.
mention great worship and speaker times! What shouldn’t I bring? Personal electronic devices
Join us in what will prove to be an awesome (anti-social), weapons, drugs, alcohol, pets, expensive
week! personal items, or Spice Racks.
How much is it? $395. And like always, scholarships
Sign up fast because this year, spots are
are available! You can pick up a form in the Youth Pod
extremely limited! As soon as we are filled (Room 106) or online at www.hccfuel.com. If you have
we will add you to a waiting list and will do our any questions, please call Jen Easton!
best to get you there! How do I sign up? Complete and detach the registra-
If you have any questions, please contact Jen tion form, attach payment ($50 non-refundable de-
Easton at 253.851.8450 or email him at posit) and then place in the lock box outside the youth
jeaston@harborcovenant.org! pod (Room 106). Complete payment is due by Aug. 1st.
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Please Detach Here Please Detach Here Please Detach Here

Medical Release Form

I give permission for ______________________ to travel to “Camp Spalding” with Harbor Covenant
Church (Gig Harbor, WA) Aug. 8-14th, 2010.
I hereby release Harbor Covenant Church, its staff and sponsors, from responsibility and liability for any
injury and illness that my child may sustain during this activity. In the event of an emergency, I hereby authorize an
adult leader of this activity, as an agent for me, to consent to any x-ray examination; medical, dental or surgical di-
agnosis; treatment; and hospital care as advised by a physician, surgeon or dentist (as appropriate) as listened to
practice under the laws of the state/province where the services are rendered, either at the doctors office or in
any hospital. I expect to be contacted as soon as possible.
I also understand that if my child is disruptive, brings alcohol, drugs, weapons, causes any injury to them-
selves or others, or engages in any unacceptable behavior, I will be responsible to remove my child from this activity
and transport them immediately back to Gig Harbor.
Photography Release
The undersigned gives permission to Harbor Covenant Church to photograph his or her son or
daughter and use the resulting photographs for any purpose that Harbor Covenant Church deems proper.
(For further explanation, please contact Jen Easton at the church (253-851-8450—
jeaston@harborcovenant.org or his cell 253-241-3760).
Please fill out both sides of this
_____________________ ___________ page! Thanks!
Parent or Legal Guardian Date
Harbor Covenant Church, 5601 Gustafson Dr. NW Gig Harbor, WA 98335 — 253.851.8450

*Both sides of this form will need to be filled and checks will need to be made out to
“Harbor Covenant Church” with “Camp Spalding—<student’s name>” in the memo line—Thanks!
 CAMP SPALDING REGISTRATION AND MEDICAL RELEASE
HEALTH INFORMATION Yes No Registration
Appendictis .................................................................. O O
Name______________________
Asthma ......................................................................... O O
Convulsions................................................................... O O Age ____ Grade (In Fall)____ Gender ____
Diabetes ........................................................................ O O Shirt Size: S M L XL
Digestive problems........................................................ O O
Address __________________________________
Ear trouble...................................................................... O O
Emotional problems ...................................................... O O City ______________________Zip ____________
Epilepsy......................................................................... O O Parent’s Names ____________________________
Heart trouble ................................................................. O O
Phone # _________________________________
Hernia ............................................................................ O O
Lung problem ................................................................ O O E-mail Address____________________________
Menstrual problem ........................................................ O O Alternate Contact __________________________
Skin problem ................................................................. O O
Phone # _____________ Work # _____________
Known allergy to:
Penicillin..........................................................O O MEDICAL INFORMATION:
Insect Stings.....................................................O O Allergies: _________________________________
Food(s)............................................................O O
Medication Being Taken: _____________________
Other drugs......................................................O O
Type __________________________________ __________________________________________
Surgery within last 2 years? ............................................O O Physical Handicaps or Limitations: _____________
Type__________________________________________
__________________________________________
Last Tetanus shot _______________________________
Swimmer? ........................................................................O O Medical Insurance Company: _________________
Camper restrictions: Policy Number: ____________________________
Member’s Name: ___________________________
In case of emergency, I give my authorization to provide whatever
emergency care is necessary for my child’s safety, and assume Primary Physician: __________________________
primary responsibility for payment. Physician’s Phone# _________________________
______________ _________
Parent Signature Date
Please fill out both sides of this page! Thanks!
Please Detach Here Please Detach Here Please Detach Here
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August 8-14th