The Timothy Project 2017

A Leadership Development Experience for Young People!

Who: Young leaders ages 15 - 25

What & Why: A Leadership Development Retreat to inspire and equip young

leaders to get and stay involved in ministry.

Where: Rosewood CRC-10115 Rose St. Bellflower, 90706

When: Friday, October 13(5 p.m.)– Saturday, October 14(ends at noon)

Dinner will be served at 6:00 PM on Friday

How Much: $30 per person includes meals, materials and a t-shirt!

What Should I Bring?

  • Sleeping Bag & pillow (we will be sleeping in a church social hall, feel free to bring anything you need to be comfortable on the floor).
  • Bible and Pen

The Timothy Project Will:

Help you understand spiritual gifts.

Help you develop a ministry plan.

Help you discover the ways in which God has uniquely made you to serve Him & others.

Provide dynamic moments of worship.

Questions?? Contact Pastor Carl

562.400.8683

email:

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Registration Form

Name:______

Circle One: High School Student / High School Grad / Group Leader

Phone:______

Address:______

Sex:____Age:____Grade:_____ Email:______

Church:______Youth Leader:______

T-Shirt Size (Circle One): S / M / L / XL / XXL

Bring registration fee with you to the retreat,it will becollected at the door.

Make Checks Payable to: Classis GLA

YOUTH LEADER: please let us know by October 8 how many will be attending from your church

(All participants under the age of 18 must have their parent/guardian sign the back of the form. If you are over 18 we will need a copy of your insurance card and emergency contact information.)

CONSENT FORM

CONSENT: To Attend and Participate, for Medical Treatment, and Authorization to Release Information.

I the undersigned parent or guardian of______, a minor, give my consent for him/her to attend The Timothy Project from October 13 and 14, 2017 at Rosewood Church in Bellflower, and to participate in its activities.

In the event of an emergency, we do hereby authorize and consent to any medical and hospital service that may be rendered to the said minor under the special instruction of any licensed physician or emergency medical technician at or in transit to a licensed hospital or at the church site.

It is further understood that this consent is given in advance of a specific diagnosis or treatment which might be required and is given to authorize The Timothy Project or the physician to exercise his or her best judgment as to the requirement of such diagnosis or treatment. It is understood that in the case of a major accident or illness, reasonable effort will be made to reach the undersigned prior to rendering treatment to the patient, but that treatment will not be withheld if the undersigned cannot be reached.

The consent is effective while traveling to and from and while in attendance of any activity of The Timothy Project and shall remain in continuous effect until said minor is removed by the parent or guardian from the care of The Timothy Project.

We hereby authorize any hospital or physician, or other person who has attended or examined said minor to furnish the camps insurance company or it’s representatives any and all information with respect to any illness, medical history, consultations, prescriptions, or treatment and copies of all hospital or medical records. A photo, static or other copy of this authorization shall be considered as effective and valid as the original.

SIGNED:______Date:______

Address:______

City:______State:______Zip:______Phone:______Please attach a copy of your Insurance Card to this form.