Zero gravity Camp
Spring Break
March 20th-24th
High school & JR. High
ZERO GRAVITY 2017
High School And JR. High CAMP
March 20th-24th, 2017
Spencer’s Beach Park
Aloha Parents, Guardians, and Teens!
IT’S BACK! After almost three years, we are having our Zero Gravity Camp once again for students in 6th to 12th grade. And this time, we are moving it from being a summer camp to being our spring break camp! Zero Gravity is where we engage in fun and exciting games and activities, spend time building friendships, and draw closer in our relationship with Jesus.
I love it when I hear stories of how God impacts the lives of our youth at camp. Our Zero Gravity Camp is all about building relationships with each other so that NOTHING CAN HOLD US DOWN. Everything we do is to share the love of Jesus so that youth come back from camp ready to live their lives for Christ!
Zero Gravity 2017 will be taking place from March 20th-24th. The cost for camp is $100, which will cover all their meals for every day of camp as well as snacks. With only 50 spots available for campers, we encourage parents, guardians, and teens to fill out forms and return it as soon as possible. Only forms with money turned in will be counted as being registered for ZG. Our registration will be going on from December 4th, 2016 to February 26th, 2017.
Provided below is a parent and student checklist. Please go over the forms together with your teen so that they can be a part of Zero Gravity 2017.
Parent/student checklist:
- Sign and return form to Christian Gapol(Youth Ministry Assistant) withpayment.
- A student camp packet per child must becompleted.
- Cost per student is $100.
- All monies must be turned in no later than FEBRUARY 26TH.
- If you have any questions regarding our ZERO GRAVITY camp, please direct your inquires to: Ben Urbanozo (email: ; church phone: 959-7700)
I look forward to having your teen be a part of Zero Gravity 2017!
Ben Urbanozo
Ben Urbanozo
Relentless Youth Ministry Pastor
ZERO GRAVITY 2017
Relentless Youth Ministry Spring Break 2017 Camp
CAMPER’S REGISTRATION AND INFORMATION FORM
Camper’s Medical History
Studentname:*Pleaseattachacopyofyourinsurancecard
Address:
Health InsuranceCo.:
City:ZipCode:
Policy#:
Grade:D.O.B.//
Group#:
MaleFemale(Campinsuranceissecondarytopersonalhealthinsurance)
Is camper on prescription medication?
Parent/Guardian:YesNo
ParentEmail:
If yes, please list exactly what and when it is to be taken:
Phone:
(Attach additional information as needed)
EmergencyContact:
EmergencyPhone:
Dates of last immunizations:
Shirtsize:(adult)Measles//
Tetanus://
*CAMPERS WITH FORMS TURNEDINLATERDoes camper have any ofthefollowing?THAN FEB. 26th WILL RECEIVE ANADULT
LARGESIZETSHIRTDiabetes: Yes No Tuberculosis:YesNo Epilepsy: YesNoOther: Asthma: Yes No
Allergies (Sever reactions only):
HayFever:YesNo Penicillin:YesNo IvyPoison: YesNo Insect Stings:YesNo Food,Drugs,Other: PleaseSpecify: DietaryRestrictions:
CHILDCANSWIM:YESNO
ZERO GRAVITY 2017
SPRING BREAK CAMP ACTIVITES AND MEDICAL
CAMP REGISTRATION IN NOT VALID WITHOUT THE FOLLOWING TWO SIGNATURES:
1.CAMPER’SDECLARATION:
I will fully cooperate with the staff, guidelines and program established for the camp so as not to discredit my parents, my church, or myself. I UNDERSTAND THAT IF IDON’T FULLY FOLLOW THE GUIDELINES OF CAMP, IT’S STAFF, AND LEADERS, MY PARENTS WILL BE NOTIFIED AND WILL HAVE TO PICK ME UP FROM CAMP. This also applies to Spencer’s Beach Park and it’s staff.
StudentSignature:Date:
2.PARENTAL MEDICAL, ACTIVITY, PHOTO/VIDEORELEASE:
My child will cooperate with the staff, guidelines and program of the camp. I understand that I am responsible for my child’s actions and will be held financially responsible for any damage done by my child. I will pay for any and all repairs incurred by such damage. I acknowledge that many of the camp/sport activities contain inherent risk of injury. Any controversy or claim arising out of or related to the student’s participation in this camp shall be settled by binding arbitration pursuant to the applicable rules of the American Arbitration Association. It is understood that the camp officials will make a conscientious effort to locate contacts listed on the form before an action is taken. I understand that my own insurance is primary, our church activities insurance is secondary and the camp policy is third. I hereby consent to my child participating in all camp activities. I consent to any treatment deemed advisable in an emergency by an EMT, nurse, medical doctor or other first-‐aid personnel. I also give consent for my child to go on authorized trips away from camp premises. I also certify my child’s immunizations are up-‐to-‐date.
Initial
I/We consent to the use of any video images, photographs, audio recordings, or any other visual or audio reproduction that may be taken of the subject of this release during the activity/event to be used, distributed, or shown as (organization) sees fit.
Initial
Parent/Legal Guardian’sSignature:
Date:
ZERO GRAVITY 2017
What to bring:
- Bible, journal,pen
- Toiletries (Shampoo, deodorant, toothbrush and pasteetc.)
- Towels (Shower,swim)
- Medication (If necessary; please place in a zip lock bag and give to youthleader withinstructions)
- Eyewear (Ifneeded)
- Coveredshoes
- Slippers
- Sunscreen
- Sleeping bag, pillow, bottom sheet
- Swimsuit
-‐Girls will need to wear either a rash guard or tank top and swimshortsoverswimsuit
-‐Dark colored tank tops and boardshorts
-‐Must be appropriate (No cleavage anterior orposterior)
- Clothes to get dirty in (bring plastic bags for wet and dirtyclothes)
- Flashlight
- BUGREPELLENT
- Cheap Water Bottle
- Money (normally we go to Waimea before returning back to Hilo on Friday. Youth will be responsible for their monies)
DO NOT BRING:
- Drugsofanykind.Thisincludese-‐cigsandvapordevices
- Lighters/matches or firestarters
- Weapons of any kind. Fishing gear will be allowed, however no spears.
- Pets
- Electronics: THIS INCLUDES CELL PHONES / IPADS / RADIOS/ CAMERAS OF ANY KIND. (Phones will be collected by youth leaders and stored until end of camp if they come with a phone ordevice)
- Skimpy or Immodestclothing.
-‐No exercise clothes that are revealing. (This includes Yogapants)
-‐Inappropriate wording onclothing
-‐Low cut shirts/tanks/shortsetc.
*ANY CONTRABAND ITEMS FOUND IN POSSESSION OF CAMPER IS GROUNDS FOR IMMEDIATE DISMISSAL FROM CAMP. PARENT WILL BE NOTIFIED AND WILL HAVE TO PICK YOUTH UP FROM CAMP.