narrative questions Please send complete answers in on a separate page:

1 - Write a brief statement of who Jesus is.2 - What are your expectations for this week?3 - Your involvement in church and camp

Please send completed LDP form and narrative answers to: Westminster Woods 18487 Barber Rd. Fall River, KS 67047 Questions? Contact Diane: (316) 253-4783Email: wmwcamp@gmail.comCheck out our website: westminsterwoodscamp.com

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COST — $50 FOR ONE WEEK. $100 FOR TWO WEEKS.

WESTMINSTER WOODS - 2017

“I have told you all this so that you may have peace in me. Here on earth you will have peace in me. Here on earth you will have many trials and sorrows. But take heart, because I have overcome the world.” John 16:33

NEW THIS YEAR! We are hosting two different types of LDP weeks. MISSION LDP participants will stay outside of the cabin, learn about the act of serving, and help out around camp in many different areas (cleanup, recreation help, dishes, etc). LEADERSHIP LDP participants will spend the week learning what it means to be a Christian leader and will apply it while they stay in a cabin with a counselor and campers.

MISSION LDP - Available to freshmen, sophomores, juniors, and seniors. LEADERSHIP LDP - Available to sophomores, juniors and seniors.

CAMPER NAME (please print) __________________________________________ ADDRESS: ____________________________________________________________________________________ EMAIL: __________________________________________GENDER: __________________________________________ CELL PHONE: __________________________________________ GRADE COMPLETED IN MAY 2017: __________________________________________ —This program is for students who have at least completed their freshmen year of High School

HOME CHURCH: __________________________________________TOWN: __________________________________________PASTOR or YOUTH DIRECTOR’S NAME: __________________________________________ You will receive a confirmation by May 1st.

PARENT’S NAME: __________________________________________ PARENT CONTACT PHONE NUMBER: __________________________________________ ALTERNATE CELL PHONE: __________________________________________ PARENT: Please initial for permission: ________ TYLENOL __________ IBUPROFEN

**Please make sure you have filled out a “Health Information Form” from our website and that you send a “Prescription Medication Form” if you have any medication.

I nearby authorize medical treatment by a licensed hospital at the discretion of Brian or Diane Wheeler for the above named youth/adult at this trip sponsored by the Camping Ministry Team, Presbytery of Southern Kansas. I also hereby authorize the making of photographs, motion pictures, videotapes, recording, or other memorializing of said event and for my participation therein, and the publication or other use thereof, I waive any right to compensation therefore or any right that I otherwise might have to limit or control such making or use. I agree to cooperate and conform to directions and instructions of personnel responsible for activities. I will indemnify and hold harmless Westminster Woods (aka Presbytery of Southern Kansas) and its officers, agents, servants, or employees from any and all claims or causes of action by myself or by any other person or entity, and under no circumstances will present any claims against said organization and said persons for personal injury, property damage, wrongful death caused by any act of negligence by the camp. Recourse for the payment of any hospital, medical, dental, or related cost and expenses will be paid either by me or my accident, hospital, or medical insurance, or any available benefit plan of mine.

PARENT/GUARDIAN SIGNATURE:

__________________________________________ DATE: __________________________________________

I AM A FRESHMAN WHO WISHES TO PARTICIPATE IN THE MISSION LDP WEEK. 3RD & 4TH GRADE CAMP

5TH & 6TH GRADE CAMP

I AM A SOPHOMORE, JUNIOR, OR SENIOR WHO WISHES TO PARTICIPATE IN THE LEADERSHIP LDP WEEK. 3RD & 4TH GRADE CAMP

5TH & 6TH GRADE CAMP

I AM A SOPHOMORE, JUNIOR, OR SENIOR WHO WISHES TO PARTICIPATE IN THE MISSION LDP WEEK. 3RD & 4TH GRADE CAMP

5TH & 6TH GRADE CAMP

*** FRESHMEN can only participate for ONE week of the Mission LDP program. All other grades can participate in two weeks unless one week fills up, then they can participate in one of each weeks (one mission week & one leadership week).

3rd & 4th Grade — May 29th-June 2nd 5th & 6th Grade — June 4th-June 9th