STUDENT LIFE 2016 Ebenezer Crash Students,

Student Life 2016 is almost here! We’re going to camp in Myrtle Beach - June 20-24. Here are all the great details you need to know as you prepare for camp.

THEME: This year Student Life Camp Theme is: SET APART The camp week will revolve around the theme Set Apart by walking through the life of Peter: his successes (Matthew 16:13-20) and blunders (Mark 8:32-33), through his biggest failure (Mark 14:66-72) and ultimately into his redeemed life as world-changing Gospel advocate (John 21:1-19). This week will help you clearly understand that those who follow Jesus are not "set apart" by perfection, but rather by single-minded devotion to and trust in Jesus Christ (Romans 12:1-2).

LOCATION: We’re staying at Garden City Chapel located at 316 Dogwood Drive in Murrells Inlet. We will be going each day to the Myrtle Beach Convention Center to join nearly 2500 other students for awesome worship experiences with Rush of Fools and great Bible teaching from Matt Chandler.

PACKING: Here is a list of what to bring and what not to bring…

BRING… DON’T BRING…

___ Bible ___ A Great Attitude and a Teachable Spirit ___ Cell Phones ___ Notebook/Pen ___ Electronics ___ Linens for a Twin Bed ___ Strapless shirts and short shorts ___ Pillow ___ Clothing with inappropriate messages ___ Towels for the shower and the beach ___ Fireworks ___ Modest casual clothing & shoes for five days ___ Knives or other weapons ___ Modest one piece or tankini bathing suits ___ A Bad Attitude ___ Plenty of sun screen and aloe ___ Shark Bait ___ Rain Jacket ___ Drugs, Alcohol, Cigarettes… ___ Flip Flops & Tennis Shoes ___ Money for Missions (offering) ___ Money for snacks and the camp store

Camp Schedule MONDAY 10:00am - Meet at Ebenezer 10:30am - Depart 12:00pm - Lunch in Myrtle Beach 1:30pm - Check-In at Student Life 2:30pm - Arrive at Garden City Chapel Beach Time (come dressed w/ bathing suits under clothes) 4:00pm - Check In 5:00pm - Dinner 6:00pm - Leave for Conference 7:00pm - Youth Pastor’s Meeting / Students line up for worship 7:30pm - Evening Worship 9:30pm - Head back to Garden City 10:00pm - Desserts & Family Group Bible Study 1 11:30pm - In Rooms

TUESDAY - THURSDAY 7:00am - Beach Quiet Time 7:30am - Breakfast 8:30am - Leave for Convention Center 9:30am - Celebration Service 11:30am - Family Group Bible Study 2, 3 & 4 12:30pm - Lunch 1:30pm - Free Time * Various Free Time Activities & Group Games 5:00pm - Dinner 6:00pm - Leave for Conference 6:30pm - Youth Pastor’s Meeting / Students line up for worship 7:00pm - Evening Worship 9:00pm - Head back to Garden City 10:00pm - Dessert & Church Group Time 11:30pm - In Rooms

FRIDAY 8:00am - Beach Quiet Time 8:30am - Breakfast 9:30am - Beach Free Time 12:00pm - Lunch 1:00pm - Pack Up / Clean Up 2:00pm - Depart 3:30pm - Arrival Home

FORMS & PAYMENT All students and chaperones must have the attached paperwork filled out, notarized and returned by Wednesday, June 1. These forms are being mailed to Student Life no later than June 3. We will have a parent meeting with a notary available on Wednesday, June 1 at 6:00pm where you can turn these in. ***If you did not go to Winter Retreat 2016 and didn’t do a Church Medical Form, please turn that in along with a Code of Conduct by June 1st as well. You must include a copy of your insurance card with that form. Those who

did those forms already simply need to turn in the SL Form & Final Payment.

STUDENTLIFE.COM • PO BOX 36040, BIRMINGHAM, AL 35236 • TEL: (800) 718-2267 • FAX: (205) 403-3969

• ALL participants in Student Life events must have a signed and notarized Waiver and Release form. This includes participating campers, adults 18 years and older, and children of adult leaders.

• Participants under 18 must have the authorized signature of a Parent/Guardian.• Return this form to your group leader — they are responsible for submission.

Church:________________________________________________________ City/State:__________________________________

Name:_______________________________________ Birthdate:_______/________/________ Age:_________ Gender:______

Address:__________________________________________ City:_________________________ State:______ Zip:_____________

Parent/Guardian:________________________________________________ Email:______________________________________

Mobile Phone:(__________)______________________________ Work Phone:(__________)_______________________________

Camp Location (herinafter “camp location”):______________________________________________________________________

STUDENT LIFE EVENT ATTENDING Rec Camp Mission Camp Beach Camp Urban Serve Student Staffer (Volunteer)

PLEASE CHECK WHICH ONE BEST DESCRIBES THE ATTENDEE (MORE THAN ONE MAY APPLY) Camper Adult Child of Adult Leader

Consideration. I acknowledge the personal benefits accruing to me (and my child, as applicable) by reason of participation in the above described event and am aware of the activities in which I, or my child, will be involved through said participation.

Release/Indemnification. I hereby, in consideration of such benefits and other good and valuable consideration received, consent to the above listed participation and release absolutely, forever discharge, hold harmless and covenant not to sue Student Life, a ministry of LifeWay, and camp location (including colleges, universities and conference centers), its directors, employees, agents, volunteers, and affiliates (“Student Life” and “camp location”) from any and all present or future liability, claims, demands, actions or rights of action, whether asserted by me or a third party arising out of my (or my child’s) partic-ipation in event activities (the “Claims”). I agree to indemnify and hold harmless Student Life and camp location for any such Claims brought by me or a third party from any costs associated with defending or litigating such claims, including but not limited to attorney fees, costs and legal expenses.

Medical Emergency. In the event of injury or a medical emergency, I understand that the church’s group leader, not Student Life andcamp location, will be responsible for the medical care of all attendees. It will be the church group leader’s respon-sibility to assess medicalneeds, obtain and consent to appropriate medical care, transport persons in need of medical care and contact parents or guardians ofminors. I release Student Life and camp location from any and all liability related to medical treatment. In addition, I assume the risk and financial responsibility for any injury resulting from the attendee’s par-ticipation in all Student Life and camp location events.

AddendumsMissions Camp Authorization – I acknowledge that during my (or my child’s) participation in Mission Camp, Urban Serve or as a Student Staffer volunteer that certain risks do exist. These include, but are not limited to, the hazards of being in a construction type setting, travel by automobile, the risks involved in leading recreation games and those existing because of consent of these programs.

Student Life Beach Camp Authorization – I acknowledge that during my (or my child’s) participation in Student Life Beach Camp that certain risks do exist. These include, but are not limited to, the hazards of public beaches, travel by automobile or shuttle service, public condos and hotels, recreation activities and swimming in the ocean.

Recreation Authorization – The recreation programs at summer event locations strive to offer fun, safe, and challenging ac-tivities that engage the whole person--body, mind and soul. Program staffs are trained and as a team committed to your re-

WAIVER AND RELEASEPlease note, the 2nd page of this document must be signed and notarized.

OFFICE USE ONLY CODE:__________________ RegID:__________________ AQU BLU ORG GRN

STUDENTLIFE.COM • PO BOX 36040, BIRMINGHAM, AL 35236 • TEL: (800) 718-2267 • FAX: (205) 403-3969

warding experience with safety as their highest priority. They have done everything possible to mitigate any risks involved in their recreation programs. However there are inherent risks to participation in recreation activities, including but not limited to, initiative games, high and low challenge course, outdoor education, paintball and aquatics. You could experience any of the following - elevated heart and respiratory rates, uncomfortable group dynamics, climbing or descending unpredictable and possibly slick or uneven terrain, crossing narrow wires and logs, jumping, running, climbing/descending steep rock faces, traveling long distances in remote settings, carrying weight on your backs and shoulders, unforeseen forces of nature or weather, any of which could result in injury/illness that could result in loss of life, limb, and/or property.

Assumption of Risk. I am aware of the risks associated with participation in any of the above events and do hereby volun-tarily assume full responsibility for any risk of loss, property damage or personal injury, including death, that may result from participation in event activities.

Understanding. I represent and acknowledge that I have completely read and understand this document and all its terms and all matters referred to herein, and I signed voluntarily as my free act and deed, that I have had an ample opportunity to obtain the advice of counsel and that, by signing this document, I understand that I am relinquishing legal rights and reme-dies that may have otherwise been available to me. I understand that this Waiver and Release shall be construed as broadly and inclusively as is permitted by applicable law and agree that if any portion of this document is held invalid, the remain-ing shall continue in full force and effect. To the extent the restriction on filing lawsuits is deemed unlawful, I agree to submit any Claims to Peacemaker International, a Christian mediation/arbitration organization for final resolution.

Media Consent. I give my consent and permission for the taking of photographs and/or video of me (or my child) during the described event and waive and/or assign any and all rights (including copyright) in such media to Student Life and camp location. Student Life and camp location, as the sole owners of such media, shall have the exclusive right to control and determine the use, display, performance, reproduction and dissemination of any such photographs and/or videos.

Copy to Camp Location. It is understood and agreed that a copy of this form shall be treated as authentic and binding as the original and that a copy of same shall be provided to camp location.

CAUTION: READ THIS DOCUMENT CAREFULLY BEFORE SIGNING. THIS IS A GENERAL RELEASE AND INDEMNIFICATION OF CLAIMS.Please check, which applies:

Parent/Guardian Attendee 18 years of age and older Signature:_____________________________________

If you are a Parent/Guardian of an attendee who is under 18 years of age, please include the following.

Your Name: __________________________________________________________

Relationship to Attendee: _______________________________________________

Phone Number: _______________________________________________________

NOTARY INFORMATIONThe following is to be completed by the notary witnessing parent/guardian’s or adult’s signature. All participants, including adults and children of adult leaders, must submit a notarized Waiver and Release before participating in camp activities.

The State of ___________________________ the County of ____________________________

Before me, a Notary Public, on this day personally appeared _________________________ known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he executed the same for the purpose and consideration therein expressed.

Given under my hand and the seal of the office this _________ day of _________________,

A.D._________________.

Notary Public, Signature ________________________________________

My commission expires the _________ day of____________________, A.D.______________.

Please place any notary stamp or seal here if applicable

Medical Release Form

Ebenezer Baptist Church * 524 S. Ebenezer Rd * Florence, SC 29501 * (843) 669-1802

Student Name _____________________________________________________ Birth Date ____________________

Address ___________________________________________________________________________________________

City _______________________________________________________ State _______________ Zip ________________

Father’s Name ______________________________________________________________________________________

Mother’s Name ______________________________________________________________________________________

Legal Guardian’s Name (if different from above) _____________________________________________________________

Home Phone __________________________________ Email: ________________________________________

Father’s Contact Info Mother’s Contact Info

Employer _____________________________________ Employer ___________________________________

Work Phone ___________________________________ Work Phone _________________________________

Cell Phone ____________________________________ Cell Phone __________________________________

Additional Contact Name __________________________ Relationship ____________ Phone ____________________

Physician Name ________________________________ Physician Phone _____________________________

Orthodontist/Dentist ____________________________ Dentist Phone _______________________________

Allergies (e.g. medications, food, insect / bites) Date of Last Tetanus Immunization ______________

_____________________________________________ Insurance Carrier ____________________________

_____________________________________________ Primary Policy Holder _________________________

Special Medications _____________________________ Policy Number _______________________________

_____________________________________________ Carrier Phone Number ________________________

Other Important Medical Information _______________ Please attach a copy of both sides of your insurance card

_____________________________________________ _____________________________________________ Please complete the reverse side.

· I (we) hereby give permission for my (our) child to attend and participate in activities sponsored by Ebenezer Baptist Church.

· I (we) hereby authorize Ebenezer Baptist Church and its acting leaders to teach and lead my (our) child in religious lessons and services which include prayer and Bible teaching.

· I (we) hereby authorize leaders and authorized adult chaperones of Ebenezer Baptist Church to transport my (our) child to and from church related events.

· I (we) hereby authorize leaders and adult chaperones of Ebenezer Baptist Church to take my (our) child to receive any necessary medical treatment in the event of an emergency and in which neither parent can be reached.

· I (we) hereby authorize leaders and adult chaperones from Ebenezer Baptist Church to dispense to my (our) child necessary over-the-counter medications (according to proper dosage instructions) when deemed necessary.

· The undersigned adult shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.

· Should it become necessary for my (our) child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs.

· I (we) herby, forever discharge and agree to hold harmless Ebenezer Baptist Church and the director thereof from any and all liability, claims or demand for personal injury, sickness or death, as well as property damages and expenses, of any nature whatsoever which may be incurred by the undersigned adult and the child-participant that occur while said child is participating in any trip or activity with Ebenezer Baptist Church.

· The medical consent and liability waiver provisions hereof shall remain in full force throughout 2016 and in effect until written notice of revocation or withdrawal is received by Ebenezer Baptist Church at its office. It is the responsibility of the parent or guardian to notify the church of any changes in medical condition, guardianship, address or phone change in writing to the address listed at the beginning of this form.

Father’s Name _________________________________________________

Father’s Signature ______________________________________________ Date:_______________

Mother’s Name: _________________________________________________

Mother’s Signature: ______________________________________________ Date: _______________

(If different from above) Legal Guardian’s Name: ___________________________________________

Legal Guardian’s Signature: ________________________________________ Date:________________

Notary Information The Notary Seal is required

Taken, subscribed and sworn to before me, a Notary Public, in and for the County of Florence, SC on this:

_______________ day of _________________, 2016.

___________________________________________, Notary Public for the State of South Carolina.

My Commission Expires:_______________________

!Code of Conduct Covenant !!!

I, _________________________________________ (student’s name) will abide by the following code of conduct while on trips with Ebenezer Baptist Church: ! I will wear modest clothing that reflects Christ and is sensitive to others. Girls, no tube tops, spaghetti straps, crop tops, short skirts and shorts. Guys, please don’t have your boxers showing. Basically, don’t show everything God gave you. ! I will not wear t-shirts or other clothing with questionable messages. ! When swimming or water sports are an option I will wear a modest swim suit. One-piece or modest tankinis for girls. No speedos guys. ! I will not bring or use alcohol, cigarettes, or illegal drugs of any kind. ! I will not bring or use weapons, fireworks, matches or anything of the kind. ! I will respect other people’s property (no stealing or messing with anyone’s stuff). ! I will not use foul or inappropriate language. ! I will show respect for everyone - especially the adult volunteers. ! I will not go in the room of someone of the opposite gender. ! I will not be alone with someone of the opposite gender at any time. ! No PDA (public display of affection) – Limit to handholding. ! I will participate and be on time to all scheduled meals, activities, services and meetings. ! No cell phones or other electronic devices unless otherwise noted. All chaperones will have their phones. Parents are welcome to call or text Nathan. I understand that following these guidelines will help me focus my attention more closely on the Lord, help everyone else have a better trip experiences, and help to reflect Christ in my actions. I also understand that if I do not abide by this code of conduct I may have to return home and/or be unable to attend further trips sponsored by Ebenezer Baptist Church. !!Student’s Signature ____________________________________________ Date _______________ !!!I have read and understand the code on conduct that my teenager is being asked to follow. I also understand that if my teenager does not follow these guidelines, I may be asked to retrieve my teenager at our expense. !Parent(s) Signature ____________________________________________ Date ________________ !!Parent(s) Signature ____________________________________________ Date ________________