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Who: All High School Students (9th-12th grades) What: A high School retreat When: Friday November 4 Sunday

November 6
We will meet at the church to leave @ 5:30 PM on Friday, and we will return after lunch on Sunday. If we need to take a late van please talk to Brian.

Where: North Georgia Christian Camp in Clarksville, GA. Why: To deepen the spiritual lives of High School students
and fellowship together.

How much: $40 covers all meals and registration and a T-shirt.
You can make a check out to Galilee Christian Church and pay the day we leave. If you are not going because of financial issues please contact Brian for scholarship info.

What to bring: Bring a sleeping bag or twin sheets, pillow, clothes, toiletries, spending money for our
afternoon in Helen, GA. and your Bible If you have more questions contact: Brian LaRue 706.248.1251 brian@galilee.org

Name:_________________________ Grade:_______ Phone Number:_________________ T-shirt Size___

Deeper Life: High School Reservation

Galilee Student Ministry


TripandEventAuthorizationandReleaseForm

We(I),theundersignedparent(s)of__________________________herebyauthorizeandapprovethesaidstu dentstravelforallthetripswithGalileeChristianChurchheorsheparticipatesduringthisyear. TheundersignedherebyreleasesGalileeChristianChurch,itagents,employees,members,sponsors,ministersand vehicledriversfromliability,claims,demands,actionsandcausesofactionwhatsoeverarisingoutof,orrelatedto, anyloss,damageorinjurywhichmaybesustainedbytheabovereferencedsaidstudentortheundersignedparent orguardianwhilethesaidstudentistravelingtoorfrom,orparticipatingin,anychurchactivitiesortrips. Intheeventofanaccidentorinjurytotheabovenamedstudent,whentimeisoftheessence,Iherebyauthorize theeventsponsor(s)toseekandauthorizemedicaltreatmentbythebestavailablemedicalpersonnel. Pleasecompletetofollowinginformationthensignanddatethisform. Parent(s)orGuardiansfullname:______________________________ Phonenumber:__________Cellnumber:_________WorkNumber:_________ IFyouarenotavailablecontact:____________phonenumber:__________ Insurancecompany:____________________PolicyNumber:_______________ InsurancecompanyPhonenumber:__________ FamilyDoctor:____________________Phonenumber:__________ Pleaselistanyallergicreactionsormedicationsyourchildhas: _____________________________________________________________________ _____________________________________________________________________ Executed_____________________(Date) ____________________________________________________________ Student ParentorGuardian ParentorGuardian
GalileeChristianChurch2191GalileeChurchRd.Jefferson,GA.30549706.867.8072

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