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One Heckuva Night Campout ALL-Forms

One Heckuva Night Campout ALL-Forms

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Published by kkuckel

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Published by: kkuckel on May 03, 2010
Copyright:Attribution Non-commercial

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05/03/2010

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June 4th-5th,2010
 
Some of the perks:
Flushing outhouse
Working showers
Best view of the night skyin JoCo
Tornado shelter (hopingnot to be needing this)
Barn the size of your house
Most impressive talent showin the Midwest
Fireside worship
Frisbee, yard games
Fellowship with area teens
Who: Any high school teenWhat: Overnight camp-outWhere: Rantoul, KSWhy: Summertime fellowship
Sponsored by the JoCo YMsHosted by Sacred Heart YM
COST ONLY $5!!!
(Each parish must supply own chaperones)
(Sign up with your local YM)
 
one heckuva night
Directions to ‘The Farm’:
 ‘The Farm’ is 160 acres just south of Rantoul Kansas (@40 minutessouth of Olathe). Take I-35 South to the Wellsville exit. Turn left(highway 33 South) and go to the first stop sign. Turn right (highway 68West) 1 mile. Turn left (South) on the road to Rantoul. Once you’rethrough the traffic of Rantoul(that’s a joke), continue heading South 3 ½miles. Turn left (you can’t turn right here) on Hamilton road (notHamilton Terr.). If you reach the stop sign (John Brown MemorialHighway) you missed Hamilton road. We’re at the top of the hill on theleft side of the road. You can’t miss us.
What to expect:
 
Outhouse, that’s right
 
Flushing Outhouse
 
Working showers
 
Best view of the night sky in JoCo
 
Tornado Shelter…just in case
 
A Barn the size of your house
 
Fireside worship
 
Kickball, Frisbee, horseshoes, volleyball, fishing, tractor rides,maybe some golf 
 
Fellowship with area teens
What to bring:
 
TENT!!! Please let your youth minister how many it will sleep
(please note that there will be a distinct line where boys and girls cannot cross)
 
 
Sleeping bag
 
Drinks for your time there, we will have plenty of coolers
 
Snacks for in between meals
 
A change of clothes
 
Lawn chairs
 
Bug spray/sun screen
 
Anything that can be used outside
 
Musical Instruments
 
 
Camp-Out 
DRIVER INFORMATION SHEET 
Driver 
Name _________________________ Date of Birth ________________ Address _________________________ Home Phone ________________  _________________________ Cell Phone ________________ Driver’s License # ____________________ Date of Expiration ________________ 
 
Vehicle That Will Be Used
Name of Owner __________________ Model of Vehicle ________________ Address of Owner __________________ Make of Vehicle ________________  __________________ Year of Vehicle ________________ License Plate # __________________ Date of Expiration ________________ Registration Expiration Date____________ If more than one vehicle is to be used, the aforementioned information must be providedfor each vehicle.
Insurance Information
When using a privately-owned vehicle, the insurance coverage is the limit of theinsurance policy covering that specific vehicle.Insurance Company ________________ Policy # _____________________ Date of Policy Expiration __________ Liability Limits of Policy* __________ 
(
*
Please note: The minimal, acceptable liability limit for privately-owned vehicles is $100,000/$300,000)
In order to provide for the safety of our students or other members of theparish/school and those we serve, we must ask each volunteer driver to list allaccidents or moving violations they have had in the past five years:
__________________________________________________________________________________________________________________________________________________________
Please be aware that as a volunteer driver, your insurance is primary. There is apolicy that would offer additional liability protection should a claim exceed thelimits of your policy.
Certification
I certify that the information given on this form is true and correct to the best of my knowledge. I understand that as a volunteer driver, I must be 21 years of age or older,possess a valid driver’s license, have the proper and current license and vehicle registration, and have the required insurance coverage in effect on any vehicle used to transport students. I agree that I will refrain from using a cell phone or any other electronic device while operating my vehicle.
____________________________________________ ___________________
Signature
 
Date
 

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