High School Winter Retreat

March 17-19, 2017

Warner Camp
60 55th St. 
Grand Junction, MI 49056

Cost $90

 

What to know:

Please arrive at Warner Camp at 7:00pm on March 17th. Please do not arrive before 7:00pm. Retreat ends at 11:30am on March 19th. 

What to Bring:

Sleeping bag and pillow, winter clothes, toiletries & towel, flashlight and Bible. 
If you have any questions, contact our student ministries office at (269) 983-1524 or email alex.w@myfirstchurch.com.

 

Register Online

This form is intended for parents to fill out. 

By filling out this form you are giving permission for your child to attend the First Church of God Middle School Winter Retreat at Warner Camp. You are further agreeing to hold the First Church of God and its adult supervisors guiltless from any responsibility other than normal supervision and care. 

In case of accident or emergency, you will not hold First Church of God and its adult supervisors liable, unless guilty, of gross disregard for the safety of your child. 

Furthermore, in case of accident or emergency, you give permission for First Church of God and its adult supervisors to order any necessary medical treatment. Understand that every opportunity will be made to contact you in case of an accident or emergency. 

Name *
Name
Youth Full name
Address *
Address
Phone *
Phone
Date of birth *
Date of birth
Name *
Name
Parent/Guardian Name
Phone *
Phone
Parent phone
Phone
Phone
Insurance phone number
Over the Counter Permission
Do you give permission for your child to be given over-the-counter medication as needed and as directed on the label, to treat non-emergency medical conditions that do not require a doctor or hospital visit such as a minor headache, stomachache, or allergic reaction (i.e. Tylenol, Advil, antacids, Benadryl) while on this trip?