Ampd 2013 Student Application

Name______________________________________________________ Age__________ Grade Entering__________ Guy_____ Girl______

Address_____________________________________________________ City_________________________ Home #______________________ T-Shirt size small State______ Zip___________

Cell #___________________________ medium large x-large 2x-large

What makes you want to go to Ampd? (circle one) Hang with my homies Get away from the parents for a while Love some good competition Love getting in touch with nature Want to grow closer to Jesus Other (tell us)___________________________________________

Please write why you would appreciate the opportunity to go to ampd. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________

Ampd
June 20-22 $25 We will be leaving Strong Tower Ministries at 7am on Thursday June 20th. We will be arriving back at Strong Tower between 1pm and 2pm Saturday June 22nd.

Things to Bring
Tennis Shoes Bible, Pen, Paper DEODRANT!!! Flash Light Change of Clothes Canteen Sleeping bag Toothbrush/ tooth paste No more than you can fit in one backpack

What Not To Bring

iPod Cell Phone (Adults will have them if needed) Laptop MP3 Players Knife or weapons of any kind Tobacco products, drugs, or alcohol of any kind Game systems of any kind (Nintendo DS, PSP, etc.)

Location:

West John Davis Road, Westmoreland, TN. 5.5 miles away from the church

Dear Parents, I wanted to give you some information about Ampd camp. Ampd is an incredible opportunity for students to grow closer relationally, build tier self-confidence, and most importantly grow closer to God. While at Ampd they will be challenged mentally and physically. They will be separated out in different teams and compete as a team in a number of games and challenges. We will be staying on a farm on West John Davis Rd., Westmoreland, TN. Its about 5.5 miles away from our church. They will be building their own shelter and they will not have any electricity or running water. It will be a lot like camping out with there being many activities during the day and amazing worship services at night. There will be port-a-joins available for restrooms and lots of sanitation products. We take almost as many counselors as students so we can assure you that your child will be monitored the whole time with us. To make sure we can watch your child appropriately, there is a limited amount of students that we can take. This is why we do an application, so please tell your child to take it seriously. We wish we could take all students, but we never want to have more students than our counselors can watch properly. If you have any questions feel free to call or message me at the office (615644-7283) or my cell (615-714-3902). Thank you and we cannot wait for this opportunity to minister in a unique way! Ampd will be June 20th, 21st, and 22nd This year we will have a facebook page for ampd. You will be able to go there to see pictures and updates while your child is still at camp. Hope this is a blessing to you! The page is called Ampd. You can find the link to the page on Jeremy Meadors Facebook and at strongtowerchurch.com Jeremy Meador Student Pastor Strongtowerchurch.com

I hereby release, waive, discharge, and covenant not to sue Strong Tower Ministries, Jeremy Meador, or the Dunnigan family from any and all liability claims, demands, actions, and causes of action whatsoever arising out of the related to any loss, damage, or injury, that may be sustained by me, or any property belonging to me, whether caused by the negligence of the releases, or otherwise, while participating in such activity, or while in, or upon the premises where the activity is being conducted.

I am fully aware of the risks involved and hazards connected with the use of the campground and I hereby elect voluntarily participate in said activity with full knowledge that said activity may be hazardous to me and my property. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, that may be sustained to me, or any loss or damage to property owned by me, as a result of activity at the camp, whether caused by negligence of release or otherwise.

In signing this release, I acknowledge and represent that I have read and agree to the terms.

Signature______________________________________ Date___________________

Parents Signature________________________________ Date___________________