cogva news - Blacksburg First Church of God
Transcription
cogva news - Blacksburg First Church of God
Newsletter Date June, 2016 Volume 1, Issue 1 Volume 3, Issue 9 COGVA NEWS “…Write the vision and make it plain on the tablet so that it might be read quickly.” Habakkuk 2:2 (LEB) Table of Contents: I’ve Been Thinkin… 2 Lodging Info for Camp Meeting 2 FCOG Chilhowie Calls New Pastor 3 Camp Bedford Needs Caretaker 3 Makenzie Mills Wins Young Essay Writer’s Contest 4 Regional Conventions, CHOG Tables, and NACOG 100 Centennial 5 Mark Your Calendars 6 S.H.A.P.E. Training Begins COGVA Budget 6 7 Men’s Ministry Team For Work and Relationship Building 9 Youth Camp Registration Forms 11 Tibitha Bids a Fond Farewell to the Hencys In January, 2005, Pastor Steve Hency and his wife/ministry mate, Brenda, accepted the call to come to Tibitha Church of God in Reedville, Virginia. This couple, from the mid-west, were coming to a foreign place, a country church in Virginia. Reedville, a town of approximately 500, is located in Northumberland County in the Northern Neck region of Virginia. It is home to the fishing industry for Atlantic menhaden and is known for charter fishing, fresh seafood, farming, and country living! The congregation at Tibitha had been praying and searching for a pastor for about a year when Pastor Hency answered the call. From the first sermon to his last on May 29, those listening to his sermons were challenged to examine their walk with the Lord. An altar call was always made for people to come to the Lord, to come and pray about personal needs or needs of others, or to renew one’s walk with the Lord. Many times over the years, Saints came to the altar to be Rev. Steve and Brenda Hency anointed with oil and with the hands of fellow saints laid on them, a prayer of agreement for healing was offered to the Lord. The attendance at Tibitha has stayed stable through the years despite the loss of over 20 members who now reside in heaven. The Lord has been good and sent in more than 25 new members to work alongside the pastor and the take an active part in the work of the church. The Saints have grown spiritually through numerous in-depth Bible studies. Each year Pastor Hency would create a series of sermons based a book of the Bible. On Sunday nights and Wednesday nights, we have studied many series of teachings including a three year-long series based on Eggermeir’s Bible Story book where we again studied in-depth the characters and stories of the Bible. Pastor Hency always created his own study outlines and handouts for those taking part in the studies. His love for and knowledge of the scriptures was evidenced in his preaching and teaching. Along with building the Kingdom of God at Tibitha, Pastor Hency provided leadership in seeing several building projects completed during his tenure. Those included a new and spacious fellowship hall, remodeling of all the classrooms, the narthex, and the church sanctuary. To God be the glory for all that has been done at (Continued on page 10) COGVA News Page 2 of 14 I’ve Been Thinkin… I am always excited in the summertime! Summer is when Camp Meetings and youth camps take place. Youth Camp at Nazarene Acres and Camp Warren in Illinois were integral to my spiritual development. It was at Youth Camp where I first felt the call to Pastoral Ministry. Dr. Bob Neace, COGVA State Minister It was at youth camp where I learned there was much cooler music than the hymns I was accustomed to on Sundays. Every generation has its music, as did mine, and it is healthy to be exposed to different genres throughout life. It was at youth camp where I learned that as we grow and God provides talent to others, we should recognize God’s blessings on His songwriters and musicians and avail ourselves of these blessings. It was at youth camp where I learned that the church was much bigger than the four walls where a very small band of Christians at 2011 Minton Street in Murphysboro, IL each week. In my small church setting, where the only Pastor I knew was my Grandfather, it would have been very easy to become jaded, cynical, and even rebellious toward those I worshiped with because of the vast differences between myself and others in that setting. But youth camp showed me there were Christians my age, and living for Christ was a great thing. (Continued on page 9) Lodging Information On The Grounds For Camp Meeting July 31 – August 6 Camp Meeting is July 31st through August 6th this year. We have an exciting time planned with many events scheduled during the week. We are asking for a deposit of $25.00 to hold the room. If you make reservations and then discover you will not be using your room, you must give us a 30 day notice. The following are the current prices for 2016: HOGANS Non-Family $60.00 a week plus $10.00 per person (max number of people (9) and max amount charged $100.00) Family $60.00 a week plus $10.00 per person over 5 (max number of people (9) and max amount charged $100.00) “MOTEL” $125.00 per week ABOVE DINING HALL $125.00 per week CAMPER SITES $15.00 per night or $90.00 per week Please send your request along with your deposit to the state office. If you have any questions regarding this letter, please don’t hesitate to call the State Office at 540-258-2040. For those interested in accommodations not quite as rustic as Camp Christi, local hotel information around exit 118C off I-81 are as follows: Days Inn $42 2635 Roanoke Street, 540-382-0261 Econo Lodge $51 2430 Roanoke Street, 855-873-6561 Super 8 $49 Roanoke Street 855-799-6862 Holiday Inn $120 Roanoke Street 855-799-6861 Page 3 of 14 COGVA News FCOG-Chilhowie Calls Rev. Rick Hayes to Serve as New Pastor In a unanimous decision by the church held on a business meeting after service on Easter Sunday, the First Church of GodChilhowie, called Rev. Rick Hayes of Louisville, KY to become their new pastor. Born and raised in Southwest Ohio and nurtured in a home which honored God as Creator and His Son as the only source of salvation, Richard J. Hayes became a Christian at a young age. Rick received his call to Christian ministry early in life, and preached his first sermon as a teenager. At this same time, Amanda Curtis was in Winchester, KY being raised in a pastor’s home. In 1994 her family would relocate to Middletown, OH. In the years to follow Rick and Amanda would cross paths at various times, until 2003 when the couple began dating. They were married June 26, 2004 and moved to Ft Wayne, IN. They entered vocational ministry in 2006 when joining the staff of Pastor Charles Heater at Little Paint First Church of God in Eastern Kentucky. While at the Little Paint Church, Rick and Amanda welcomed two children: son Shane Walker born in 2007 and daughter Reagan born in 2009. In 2009, the Hayes family relocated to Louisville, KY where Rick assumed the pastorate at Poplar Level Church of God. While in Louisville, the Hayes family continued to grow as they welcomed two more boys: James born in 2013 and Harrison born in 2015. Rick and Amanda are personally and collectively gifted for ministry service. They share particular interest in marriage and family ministry concepts, and believe the church is best served on the cultural front lines promoting evangelism and discipleship. They desire to remain in God’s will of being led by the Holy Spirit to share the salvation message of Jesus Christ. Through it all, Rick and Amanda value life with each other, raising their four children, and laboring in the ministry field. Pastor Hayes is ordained through the Church of God and holds a Christian Ministries degree through Indiana Wesleyan University. Camp Bedford in Need of Caretaker The Ministry of Church Property has received the news of the retirement plans of Brother Henry Brown. Brother Brown has been the care taker for Camp Bedford for a number of years and COGVA will certainly feel the vacancy as he moves to Maryland. His retirement will leave a vacancy that will need to be filled. At a recent Executive Board meeting, it was determined that an ad be placed in COGVA News advertising the open care takers position at Camp Bedford. Those interested in details should contact Church Property Chair, Dr. Steve McMurray (mcmurrays@comcats.net or 540-605-6072) and he, along with his team, will be able to give greater details as to responsibilities and compensation package. Rick and Amanda Hayes and Family COGVA News Page 4 of 14 Makenzie Mills Wins Young Writer’s Essay Sponsored by Virginia C.W.C./W.C.G. Makenzie Mills with C.W.C./W.C.G. President Racheal Baez and State Minister Dr. Bob Neace In today’s world, how can I stand confidently for the Lord? It is to be confident in what I believe in and I believe in my youth leaders of the youth group at Gordon Road Church of God. I trust them for every Sunday service and Wednesday nights, and can turn to them for help whenever I need help. I have faith in knowing that God lives through me to show confidence wherever I go. When having the acknowledgement of all of the possible chances to have second chances in hope and truth, especially meeting more Christian people as well I still have my Christian friends to rely on, and the assurance of positive thoughts that are very promising to know that commitment which is intended. “All things are possible” (Luke 18:27) “I can do all things through Christ who strengthens me” (Philippians 4:13) as I can do anything through him because he is my Savior and the Creator of all creations in the world. By praying every single day and reading the bible and devotions, I have a close and personal relationship with Him. This is life, a Christian life, no matter what happens I can have anything through him but no one else. “Beloved, if our heart does not condemn us, we have confidence before God”. (1 John 3:21). As this verse says that having confidence before him is like showing the real you which is tough for me but I’ve got this with God on my side. How I feel certain how special that I am and everyone in this world is as well, is by having a positive attitude towards God by following Jesus Christ along the way on a silver stoned brick path just walking next to Him while talking about everything, and always knowing that God’s not dead. “Cast all your ……. On me” (1 Peter 5:7). As in everything positive like how it is like being in the youth group, that we are always positive as in “My grace is sufficient” (2 Corinthians 12:9). “In Him and through faith in him we may approach God with freedom and confidence” (Ephesians 3:12) anything is possible in him as the lightning bolt is striking down to know that Jesus is the way from Heaven to Earth as it is. And that’s why I had the choice to always have that positive attitude and all smiles when going to church, to worship the Lord. I believe that God’s not dead, that I trust in my youth leaders of the youth group at my church, and that no matter what happens God is always here. That’s how I feel trustworthy to have that capable feeling, the love and faith from God. Every day I will pray and read my bible, whatever the Lord has a scripture for me, as if assurance is there when I’m frightened that He is here. Page 5 of 14 COGVA News Regional Conventions, CHOG Tables, and NACOG 100 Year Centennial Reg. Info found via www.jesusisthesubject.org and www.nacog.com/centennial 5:00 PM—7:00 PM: 7:00 PM—9:00 PM: JUNE 22, 2016 9:00 AM–10:15 AM: 10:15 AM–10:45 AM: 10:45 AM–NOON: NOON–2:00 PM: 2:00 PM–3:15 PM: 3:15 PM–3:45 PM: 3:45 PM–5:00 PM: 5:00 PM–7:00 PM: 7:00 PM–9:00 PM: JUNE 23, 2016 9:00 AM–12:15 PM: 12:15 PM–1:45 PM: 1:45 PM–4:30 PM: SUN, AUG 7TH AM Rev. Dr. Edward Foggs NACOG Distinguished Elder PM Bishop Robert Culp MON, AUG 8TH – AM Rev. Paul E. Sheppard PM Rev. Dr. Cheryl Sanders TUES, AUG 9TH - AM Rev. Marty Grubbs PM Rev. Dr. Diana L. Swoope WED, AUG 10TH – AM Pastor Tatum Osbourne PM Bishop Vernon G. Lambe Check-in and registration Session One with Milton Grannum Session Two with Ben Hardman Break Session Three with Arnetta McNeese Bailey Lunch Break Session Four with Steve Arterburn Break Session Five with Steve Arterburn Dinner Break Session Six with Reggie McNeal CHOG Table—TOPIC: Immigration/Refugee Crisis Lunch Break CHOG Table—TOPIC: Immigration/Refugee Crisis THURS, AUG 11TH - AM Rev. Dr. Ronald J. Fowler NACOG Distinguished Elder PM Rev. Miki Merritt NACOG Presiding Elder FRI, AUG 12TH – AM Rev. Monte Dillard 5:00 PM—7:00 PM:Check-in and registration 7:00 PM—9:00 PM:Session One with Milton Grannum SEPTEMBER 28, 2016 9:00 AM–10:15 AM:Session Two with Ben Hardman 10:15 AM–10:45 AM:Break 10:45 AM–NOON:Session Three with Arnetta McNeese Bailey NOON–2:00 PM: Lunch Break 2:00 PM–3:15 PM:Session Four with Steve Arterburn 3:15 PM–3:45 PM:Break 3:45 PM–5:00 PM:Session Five with Steve Arterburn 5:00 PM–7:00 PM:Dinner Break 7:00 PM–9:00 PM:Session Six with Reggie McNeal SEPTEMBER 29, 2016 9:00 AM–12:15 PM:CHOG Table—TOPIC: Racial Reconciliation 12:15 PM–1:45 PM:Lunch Break 1:45 PM–4:30 PM:CHOG Table—TOPIC: Racial Reconciliation PM Rev. Dr. Andy Thompson SAT, AUG 13TH - AM Bishop Milton Grannum SUN, AUG 14TH - AM Bishop Timothy J. Clark COGVA News Page 6 of 14 Mark Your Calendars June 10th S.H.A.P.E. Cluster Coach Training 10:00 – 4:30, Mountain View CHOG/Lynchburg 11th @4:00 pm Installation Service for Rev. Scott Hudson, Pastor of Covenant Community CHOG/Salem 21st – 23rd Church of God Regional Convention, Anderson, IN CHOG Table “Immigration and Refugee Crisis” Revival Services for Bellamy Avenue Church of God, Rev. Calvin Peterson, Pastor June 22nd -24th, at7:30 nightly and climaxing Sunday, June 26 at 11:00. The theme for the Revival is "Our God Delivers!" and the schedule is as follows: June 22 @ 7:30 pm - Rev. Edna Murrel of the Boykins Church of God June 23 @7:30 pm - Rev. Marian Thomas Joynes Road Church of God June 24 @7:30 pm - Rev. Charlene Aaron Newport News First Church of God, 20th and Oak Ave 29th July 1 Middler Camp, Grades 1-5, Camp Christi See Registration Forms at End of COGVA News July 16th Men’s Ministry Training, Mountain View CHOG Lynchburg, VA (Lonnie Wickard Host Pastor) Bro. Perry Hargrove will be speaking about Moses 18th – 23rd Jr/Sr. High Youth Camp Grades 6-8 and 9-12. See Registration Forms at End of COGVA News 29th S.H.A.P.E. Cluster Coach Training 10:00 – 4:30, Mountain View CHOG/Lynchburg August July 31st – August 6 State Camp Meeting, Rev. Horace Sheppard, Jr, Preaching Evangelist, Rev. Mark Stayton, Worship Evangelist 7th – 14th National Association of the Church of God Centennial Celebration 19th S.H.A.P.E. Cluster Coach Training 10:00 – 4:30, Mountain View CHOG/Lynchburg September 23rd -24th at the Chesapeake Church of God, Host Pastor Rick Morris, Dr. James Lewis, Resource Leader 27th – 29th Church of God Regional Convention, Philadelphia, PA CHOG Table “Racial Unity” S.H.A.P.E. Training to Begin for COGVA On April 7, team of 11 people gathered to talk with Paul Dregar about the possibility of bringing S.H.A.P.E. to the Church of God in Virginia. This meeting produced excitement about the benefits of this program. The acronym of S.H.A.P.E. stands for Sustaining Health and Pastoral Excellence. S.H.A.P.E. is an opportunity for pastors to grow in their relationship to Christ by nurturing relationships with colleagues in ministry. It serves as a tool to bring about and enhance relationship among the leadership in the family of God. This promises to be a great asset for COGVA. S.H.A.P.E. Coach Training will begin June 10 at the Mountain View CHOG in Lynchburg. The schedule for this gathering of S.H.A.P.E. Leaders is as follows: June 10, July 29, and August 19, each to maintain a schedule of 10:00 am to 4:30 pm. At our first gathering, we may tweak that schedule a bit to accommodate everyone’s schedule who asks to be a part of this leadership training. Please watch for more information about S.H.A.P.E Clusters being formed in regions across the state. If you are interested in this training for coaches, please let Dr. Bob Neace know as quickly as possible at brobob4691@gmail.com. For more information on S.H.A.P.E. go to http://www.jesusisthesubject.org/shape/ Page 7 of 14 COGVA News COGVA Budget August 1,2015 - July 31st, 2016 Categories Budget 1000 STATE OFFICE 1100 Business Office $3,800.00 1200 Insurance $14,800.00 1300 Office Manager $14,437.50 1400 Income Taxes and Social Security $3,320.00 SUBTOTAL $36,357.50 2000 STATE MINISTER 2100 Salary Package (Salary, House, Etc.) $9,000.00 Pension Contribution $450.00 2200 Travel & Expenses $4,000.00 2300 Expenses for State and National Meetings $2,600.00 SUBTOTAL $16,050.00 3000 EXECUTIVE COUNCIL/STANDING MINISTRIES 3100 Executive Board $1,000.00 3200 Ministry of Church Service/Credentials $300.00 3300 Ministry of Christian Education $75.00 3400 Ministry of Evangelism $50.00 3600 Ministry of Program $2,000.00 3800 Ministerial Fellowship $100.00 3900 Church Property Team $75.00 SUBTOTAL $3,600.00 5000 PROPERTY AND MAINTENANCE 5110 Camp Bedford 5110 Caretaker $5,000.00 5111 Health Insurance $840.00 5120 Campground Expenses (Maintenance) $1,000.00 Capital Improvements $750.00 Vehicle Maintenance $300.00 Camp Bedford Mkt/Advertising $500.00 5140 Utilities $6,000.00 SUBTOTAL $14,390.00 Aug-Oct 1st Qtr Nov-Jan 2nd qtr Feb-April 3rd Qtr June 4th qtr $552.90 $ $3,609.36 $1,095.77 $6,714.50 $3,609.36 $550.72 $3,302.00 $3,609.36 $78.24 $110.50 $1,203.12 $880.07 $5,042.33 $791.70 $620.69 $12,211.33 $8,082.77 $284.75 $1,676.61 $1,500.00 $ $1,192.62 $1,500.00 $ $281.62 $ $ $2,059.47 $ $ $ 57.39 $ $2,692.62 $840.71 $2,622.33 $1,307.25 $3,366.72 $637.32 $694.71 $ $ $ 359.02 $18.28 $2.60 $ $36.75 $ $ $ $ $55.03 $ $ $331.98 $ $ $334.58 $ $ $329.15 $312.48 $ $1,000.65 $ $1,250.01 $210.00 $1,250.01 $210.00 $1,250.01 $210.00 $416.67 $70.00 $ $ $ $ $976.77 $2,436.78 $ $ $ $ $1,156.79 $2,616.80 $ $ $ $ $1,883.05 $3,343.06 $ $ $ $ $360.28 $846.95 COGVA News Page 8 of 14 5200 Camp Christi 5210 Caretaker 5220 Health Insurance 5250 Utilities 5260 Maintenance Camp Christi Mkt/Advertising 5270 Capital Improvements 5280 Vehicle Maintenance 5300 Legal Fees 5400 Ministry Expenses Christmas Bonus $26,565.12 $7,000.00 $14,000.00 $4,000.00 $500.00 $750.00 $500.00 $400.00 $300.00 $1,300.00 SUBTOTAL TOTAL $55,315.12 $14,715.53 $12,944.65 $11,177.16 $3,734.94 $125,712.62 $24,942.29 $30,729.69 $26,970.36 $6,953.21 $6,641.28 $1,788.00 $5,929.42 $333.33 $ $ $ $23.50 $ $ $6,641.28 $1,788.00 $3,131.21 $ $ $ $ $84.16 $ $1,300.00 $6,641.28 $1,788.00 $2,284.80 $333.33 $ $ $ $129.75 $ $ $2,213.76 $596.00 $805.18 $ $ $ $ $120.00 $ $ Income $24,423.67 $27,148.06 $28,324.58 $5,151.27 Difference $(518.62) $(1,801.94) $(3,581.63) $1,354.22 Men’s Ministry Team Hard at Work Clearing Brush and Watching for the Bear Brother Myers asks Bro. Conciglia for five minutes! Making Way for the New Ramp to the Platform Page 9 of 14 COGVA News Men’s Ministry Team Gathers for Work and Relationship A group of 9 men from the COGVA Men’s Ministries Team descended on the grounds of Camp Christi June 2 – 4 to accomplish a task that has been in the discussion and planning stages for many months. These men gave of their time and labor to accomplish the task of grinding the floor down in the tabernacle to make it smoother and easier to clean. This project, along with the trimming and gathering of brush and power washing the pavilion in the pool area for paint prep not only helped prepare the way for our camps and camp meetings, but more importantly served to help build relationships with one another. COGVA would like to express its appreciation to Rev. Harold Boyd, Men’s Ministry President, Edgar Myers, Larry Ebinger, Robert Wooten, Rev. Pete Conciglia, Rev. Melvin Hooker, Mark Aufrecht, Claude Neace, and Dr. Bob Neace, for their hard work on these projects. This group would have had difficulty fulfilling their mission this weekend without the capable help of Diana Aufrecht and Norma Neace, who kept us well fed. The Men’s Ministry gather quarterly for teaching and learning opportunities, and these dates can be accessed via the calendar in COGVA News, as well as informational flyers throughout the year. There is always a great time of fellowship, laughter, encouragement and support in these team gatherings and every man in COGVA is encouraged to be a participant in the Men’s Ministry. “How?”, one might ask. It I as simple as being present. Men, would you give prayerful thought to joining the Men’s Ministry of COGVA? I’ve Been Thinkin… (continued) It was at youth camp that I began to write letters to friends using regular mail because the Al Gore had not given us the internet yet. This proved to be tedious at best, and taught me long distance romances never lasted longer than the month following youth camp, but I digress…. As I have grown older, I still hold a place in my heart for youth camp. With the exception of one year, my adult summers have included working in our youth camps in Illinois and Virginia. I have served as a prayer warrior, camp director, counselor, financial benefactor, cook, and dishwasher. I will be serving in some of those capacities again this year, and as long as the Lord allows me to serve. It has been exposure to this aspect of ministry that gives me great hope for the future of the Church of God. Throughout the years, it has been my privilege to serve young men and women who have grown from childhood to serving as leaders in churches across the movement, and in various denominational settings as well. Some have taken leadership positions in their local churches, while others have become pastors, evangelists, teachers, nurses, and a host of other occupations that enable them to serve Christ with the love of Christ many experience with great intensity at youth camp, often for the very first time. I could go on and on about the impact church youth camp has made on me. I could fill this, and other issues of COGVA News about the profound positive affect church youth camps across the country have provided the church at large. But I draw to my conclusion to ask this – Will you consider allowing your youth, (Continued on page 10) Men’s Ministry Team at Camp Christi. Tibitha Bids a Fond Farewell to the Hencys (Cont.) Church of God in Virginia Tibitha Church of God in the last 11 ½ years. has also sung as a soloist and in groups and served as the church’s organist. Her talents will be greatly missed, but we thank God for her sharing them with us over these last 11 ½ years. E-MAIL: brobob4691@gmail.com Brenda Hency, like her husband, was a God-gift to Tibitha! She has faithfully served as a leader in the CWC at Tibitha, led the choir in numerous musical cantatas for Easter and Christmas, and prepared choir music weekly. She cogvaoffice@gmail.com I’ve Been Thinkin… (continued) 4704 Roanoke Road Christiansburg, VA 24073 PHONE: (540) 268-2040 FAX: (540) 268-2040 both your own children as well as children in your church to be a part of youth camp at Camp Christi this summer? At the end of this newsletter, I have attached the registration forms with the dates, ages, and pertinent information. If there are We’re on the Web! See us at: www.cogva.com The Tibitha family gave the Hency’s a retirement fellowship on Saturday, May 21. In retirement, the hindrances to any youth to coming to camp, please contact me at brobob4691@gmail.com or 276-356-1433 and we will talk about options to remove those hindrances. Lastly, should you be looking for a way to serve in our camp program, Hencys’ will be moving to Anderson, Indiana to be closer to Pastor Hency’s mother, their two daughters and sons-inlaw, and grandson, Caleb. Tibitha is sad to see them go, but we wish them God’s blessings as they move into the next stage of life. Teresa G. Simpson Tibitha Church of God please know we are always looking for help, but above all, we covet your prayers, as prayer support is vital for the success of youth camp and future growth of young Christians seeking to serve the Lord in this day. About the Church of God in Virginia… The Church of God in Virginia consists of 50 churches across the Commonwealth and according to current CHURCH OF GOD IN VIRGINIA 4704 Roanoke Road Christiansburg, VA 24073 accounting serve over 2,500 constituents each Sunday Morning. Our current State Leadership consists of Chair - Rev. Gertrude Goode, ViceChair – Rev. Steve Hency, Secretary – Cathy Atkins, and State Minister – Dr. Bob Neace. Page 11 of 14 COGVA News Please mail all completed registration forms to: COGVA Summer Youth Camp Ministries 4704 Roanoke Street Christiansburg, VA 24073 540-552-3404 CAMP DATES: (Please note that grades apply for the upcoming FALL semester, and check the camp for which you are registering): Middler Camp (Grades 1-5) June 29- July 2, Director, Michelle Moore. 540-819-2348 or Lmm776@aol.com, Deadline for registration is June 17th . Jr./Sr. High Camp (Grades 6-12) July 18th – 23rd, Director, Matt Holman 276-780-7840 Deadline for registration is July 1st. REGISTRATION INFORMATION: For EACH camper being registered please provide: Name: __________________________________________ Age: _______ Gender: _________ Address: ____________________________________________________________________ ____________________________________________________________________ Home Phone #: _______________________ Parent’s Work #: _______________________ REGISTRATION COSTS*: Middler Camp: $110 Jr./Sr. High Camp: $130 *Registration includes up to $10 snack bar money for the week. See cover letter for explanation. REGISTRATION INSTRUCTIONS: Complete this Registration Form and mail a check payable to Virginia Youth Fellowship to the above address postmarked by the registration deadline. Campers are allowed to send half the registration fees with their camp application, and pay the balance at the door, provided their applications are postmarked by the registration deadline. Cancellations should be made with the Camp Director three (3) days prior to the first date of camp and will result in a 75% refund. Late registration: Late registrations will be accepted as space and provision permit. A completed Camper Registration Form and late fee of $10 will be added to the registration cost ($25 will be the late fee for those showing up to camp on the first day of camp to register). It is required that all late registrants contact the Camp Director to ensure adequate accommodations and preparations for additional campers. Camp Registration begins at 2:00 pm on the first day of each camp. Arrival and Departure Times: Camp begins at 2:00 pm on the first day of each camp, and parents are asked to be at Camp Christi at 10:00 am on the last day of camp for departure back home. *Please note that we will be taking pictures to use in promotional materials and videos to promote our Summer Camp Program, and will use this form as a media release form as well.* Medical Release Form Please print in ink Name: ___________________________________________________ LAST Year in school Address FIRST Age ________ Birthday ______________ MIDDLE Male Female Email City State Phone Zip Pager / cell Medical insurance company Policy # Mother’s name Phone: Home Work Father’s name Phone: Home Work Emergency contact Phone: Home Work Physician ________________________________________Office phone __________________________________ Dentist __________________________________________Office phone __________________________________ Medical History If necessary, describe in detail the nature and severity of any physical and/or psychological ailment, illness, propensity, weakness, limitation, handicap, disability, or condition to which your child is subject and of which the staff should be aware, and what, if any action of protection is required on account thereof. Submit this notification in writing and attach it to this form. Include names of medications and dosages that must be taken. Check the following areas of concern for this student. If necessary, add another page with details: 1. For your child’s safety and our knowledge, is your student a good swimmer 2. Does your child have allergies to pollens medications fair swimmer food non-swimmer insect bites 3. Does your child suffer from, or has ever experienced, or is being treated currently for any of the following: Page 13 of 14 asthma COGVA News epilepsy / seizure disorder frequently upset stomach heart trouble diabetes physical handicap 4. Date of last tetanus shot: 5. Does your child wear glasses contact lenses 6. Please list all medication your child is taking and its prescribed administration: _________________________________________________________________________________________________ ________________________________________________________________________________________________ _________________________________________________________________________________________________ For your information, we expect each student to conform to these rules of conduct____ The possession or use of alcohol, drugs, or tobacco is strictly prohibited Students will not be allowed to drive through the duration of their camping stay No fighting, weapons, fireworks, lighters, or explosives All clothing should be modest and inoffensive. No boys in girls’ sleeping quarters and no girls in boys’ sleeping quarters Participation with the group is expected Respect property, both public and personal Respect one another, staff, and adult leaders Respect and comply with event schedules There will be more specific rules given at the beginning of each camp that are more specific to that particular camp Students who fail to comply with these expectations may be sent home at their parents’ expense. I, the student, have read the rules of conduct, the above evaluation of my health, and permission to participate in youth group activities. I agree to abide by the stated personal limitations and code of conduct. Student signature: ______________________________________________________ Date: __________________ Activities may include, but are not limited to: cookouts, swimming, basketball, roller skating, rollerblading, games in the park, soccer, broomball, volleyball, softball, baseball, camping, snowboarding, hiking, biking, concerts, Bible studies, golfing, miniature golf, hayrides. Note: If you desire to limit your child’s participation in any event, please submit your wishes in writing to the church youth pastor prior to that event. has my permission to attend all youth activities NAME OF STUDENT This consent form gives permission to seek whatever medical attention is deemed necessary, and releases the Church and its staff of any liability against personal losses of named child. I/We the undersigned have legal custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by the Church. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the Church, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/we also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the student ministries staff member. Parent/guardian signature: ________________________________________________ Date: __________________