VIBRANT WORSHIP

Join the Saskatchewan Presbyterian Youth in a

weekend retreat where we will explore worship
through communion, encounter, dramatic
narrative, rest, play, and work! Rev. Glen
Soderholm will lead us in “Participating in
Vibrant Worship.”

Where: First Presbyterian

Church, Regina (2170 Albert St)

When: March 25 at 7pm to

March 27 after lunch
Who: Youth Grade 9 to age 25
Cost: $55

For any further questions, call Jen Bell (306-270-2378), e-mail logandebruijn@gmail.com, or look
us up on facebook http://www.facebook.com/#!/group.php?gid=16458010931,
http://www.facebook.com/event.php?eid=170434086336906
 SPY Registration Form
Please have this form, as well as a cheque for $55 sent back in to us no later than Friday,
March 11, 2011.
Please make cheques payable to “Saskatchewan Presbyterian Youth”

What to bring: Sleeping bag, pillow, swim gear, towel, clean clothes,
toiletries for a weekend, a camera and a positive attitude!
Saskatchewan Presbyterian Youth is not responsible for lost or stolen items

Mail to:
Logan de Bruijn
436 Spadina Cres
Saskatoon, SK
S7K 3G6

Keep this part of the form Keep this part of the form
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Name ___________________________________________ Age ______ Gender _____

Birthdate _____________________________ E-mail ___________________________________

Address ______________________________________________ Postal Code _______________

Health Card #_________________________________ Phone (______)____________________

Allergies / Medications / Dietary Needs _____________________________________________

__________________________________________________________________________________

____ I need a ride to the event

____ I can offer a ride to ____ People

____________________________________
Participant Signature

All reasonable precautions for the safety, health and wellbeing of all participants will be taken. S/he will be
properly supervised in activities. In the event of accident or sickness, the Saskatchewan Presbyterian Youth, its
staff and volunteers, are released from any liability. This event requires transportation in private vehicles and
therefore, I give permission for my child to participate in this activity which will include transportation in a private
vehicle. In the event of injury requiring medical attention, I authorize treatment for the participant and
understand reasonable attempts will be made to contact me should such an incident occur. The participant must
be covered by provincial health insurance or equivalent medical coverage.

Parent/Guardian Signature __________________________________________ Date ________________________

(If under 18)

Parent/Guardian Name (printed) __________________________________________________________________