The Endless Winter Registration |

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Name__________________________________ |
Age ______ Grade ______ Gender _________ |
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Shirt Size (Adult): XS S M L XL |
Address ________________________________ |
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City ______________________Zip __________ |
Parent’s Names __________________________ |
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Phone # _______________________________ |
Email _________________________________ |
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Alternate Contact _________________________ |
Phone # _____________ Work # ___________ |
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MEDICAL INFORMATION: |
Allergies: _______________________________ |
Medication Being Taken: ___________________ |
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_______________________________________ |
Physical Handicaps or Limitations: |
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____________ |
_______________________________________ |
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Medical Insurance Company: ________________ |
Policy Number: __________________________ |
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Member’s Name: _________________________ |
Primary Physician: ________________________ |
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Physician’s Phone# _______________________ |
Are you planning on skiing or snowboarding |
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(chaperones will be provided) at Mission Ridge?
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____ Yes _____ No ____Maybe
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____ Could I have more information? |
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If “yes” are you planning on renting equipment? |
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____ Yes _____ No |
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PLEASE COMPLETE OTHER SIDE! |
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Harbor Covenant Church, |
5601 Gustafson Dr. NW |
Gig Harbor, WA 98335

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 What you need to know for the

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Welcome to The Endless Winter!
The Endless Winter weekend:
Had enough snow yet? Didn’t think so! When Does Registration close? February 25th
When is it? March 6-8th
That’s why we are on our quest for the Perfect
Times: Depart at HCC at 3:15pm Friday, March 6th
Snow!
Return to HCC at 4pm Sunday, March 8th
This Quest will take us all over the world and on Why? Because it is one of the best ways to meet fel-
the first weekend of March, we will be seeking it low students in the youth group, meet the Middle
out at Camas Meadows. School Staff team, and bring a friend
Cost: $165 .00
Get ready for a weekend of adventure and
*Plenty of Scholarships are available!*
relaxation! There will be plenty of opportunity
There is an early bird rate of $155 IF registration and
for getting away and taking a break from
deposit are in BEFORE the END of JANUARY! No
everything that stresses you out. Or if you’d
exceptions!
rather break loose and go crazy, then we have
What should I bring? A Sack Dinner for the trip there,
that too!
Sleeping bag, pillow, a few bucks for the snack bar
There will be plenty of snow to inspect by (optional), Bible, warm/snow clothes, toiletries,
various methods such as: cross country skiing, towel, journal, friends, camera (optional),
world famous inner tubing, our annual pick up flashlight, Bible, pens, extra socks, two pairs of shoes
game of Snow Rugby, snow ball fights, or even (or snow boots recommended).
snow-cave building! Not to mention skiing/ What shouldn’t I bring:
snowboarding (costs extra and is chaperoned) at Personal electronic devices like ipods (anti-social),
Mission Ridge! weapons, drugs, alcohol, pets, expensive personal
items, or sword wielding mongooses.
This weekend will be full of fun, games, and
How do I sign up:
praise to our God. The Endless Winter Retreat at
Complete the registration form (keep your portion to
Camas Meadows has something for everyone.
retain important info), attach a down payment
Get ready to play hard, laugh until it hurts, and
($40.00 non-refundable deposit) and then place in
learn about a God that wants nothing more
the lock box outside the youth pod (room 106 in
then for us to know how much He cares for each
education building). Then skip around with joy!
of us. If this sounds like something you desire,
What if I have questions? Contact Director of Middle
then this winter retreat is where you need to be.
School Ministries, Jen Easton @ 253-851-8450 or
Registration is now open! email at jeaston@harborcovenant.org

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consent to any x-ray examination; medical, den-

any unacceptable behavior, I will be responsible

tive, brings alcohol, drugs, weapons, causes any
tal or surgical diagnosis; treatment; and hospital

tist (as appropriate) as listened to practice under

to remove my child from this activity and trans-

her son or daughter and use the resulting photo-

I give permission for _____________________

Church deems proper. (For further explanation,

to travel to The “Middle School Winter Retreat

may sustain during this activity. In the event of

care as advised by a physician, surgeon or den-

___________
Harbor Covenant Church to photograph his or
I hereby release Harbor Covenant Church, its

ability for any injury and illness that my child

vices are rendered, either at the doctors office

Date
(The Endless Winter)” with Harbor Covenant

staff and sponsors, from responsibility and li-

graphs for any purpose that Harbor Covenant

I also understand that if my child is disrup-
or in any hospital. I expect to be contacted as

please contact Jen Easton at the church (253-

___________

The undersigned gives permission to

Church (Gig Harbor, WA) March 6-8, 2009.

injury to themselves or others, or engages in

the laws of the state/province where the ser-
leader of this activity, as an agent for me, to

port them immediately back to Gig Harbor.

Date
851-8450; his cell 253-241-3760; or email
an emergency, I hereby authorize an adult
Medical Release

Photography Release

jeaston@harborcovenant.org).

_____________________
Parent or Legal Guardian
_____________________
Parent or Legal Guardian
soon as possible.