Join us!

July 21-26, 2019 Pathfinder Lodge, Cooperstown, NY

“For we are God’s handiwork, created in Christ Jesus to do

good works, which God prepared in advance for us to do.” Ephesians 2:10 (NIV)

AB GIRLS

Conference

Registration forms available now at www.abwm-nys.org/abgirls

Get Excited AB GIRLS Conference at Pathfinder Lodge

July 21-26, 2019.

Enjoy a great experience with girls from across the

state in a warm Christian atmosphere - filled with

fun, food, fellowship, and the word of God.

The AB GIRLS Conference is open to girls completing grades 4-12. Special

allowances will be made for younger girls (ages 7 and up) as long as an adult

from their church is in attendance and wea re notified that they will be in

attendance in order to prepare programs that are age appropriate.

Registration forms are available at www.abwm-nys.org/abgirls

Remember there are funds available through the Opportunity Fund, you can

contact Laura Palada for more assistance there or download the form at

www.abwm-nys.org/opportunity-fund

Come join us! Have questions? Contact:

Alecia Willie, AB GIRLS Chairwoman at wilyj8@aol.com

Carol Seidel, Registrar at oldmustangbob@yahoo.com (put AB GIRLS

Conference in the subject line)

Lillian Cabral, AB Women of NYS President at lcabral_13033@yahoo.com

AB GIRLS of NYS CONFERENCE 2019

JULY 21st- JULY 26

th

Pathfinder Lodge, E Lake Rd, Cooperstown, NY 13326

Enjoy a great experience with girls from across the state in a warm Christian

atmosphere – filled with fun, food, fellowship and the word of God

The AB GIRLS of NYS Conference at Pathfinder Lodge is being run by AB Women’s Ministries of NYS

and is open to all girls completing grades 4-12.

All girls are required to fill out the application, the health form AND a signed AB GIRLS Standards of

Behavior statement. The registration form should be submitted with a $75 registration fee. The SIGNED

health form and standards of behavior statements may be mailed with the registration OR presented at

registration. It is imperative that these forms are signed and presented.

Name ________________________________________________________________________

Mailing address________________________________________________________________

City/State/Zip _________________________________________________________________

Phone (____)_________________________Cell Phone (____)___________________________

Email Address ________________________________________________________________

Your Church ____________________________________ Association___________________

Entering Grade Please circle one 5 6 7 8 9 10 11 12

Desired Roommate: ____________________________________ Size t shirt S M L XL XXL

FEE: $275.00 (includes $75.00 registration fee)

Registration will begin on Sunday (July 21st) by 5pm. We will adjourn on Friday (July 26

th)

by noon. More details with exact times will be sent with your “what to bring” letter.

Please submit registration form and the $75.00 deposit (non-refundable) to:

Carol Seidel

17 Telegraph St.

Binghamton, NY 13903

Registration form and registration fee ($75) must be received by July 1st

Checks should be made payable to: VP Ministries

Remaining balance of $200.00 is to be received by July 15th if not sent with this form.

Questions? Call Carol Seidel at 607-722-7395 (oldmustangbob@yahoo.com)

(please put AB GIRLS CONFERENCE in the subject line)

Special needs (dietary, lodging etc.) – please contact Carol Seidel

Upon receipt of registration, participants will receive a “what to bring” letter

with all necessary information.

I give my permission for photographs to be taken during the camp experience to be used for promotional purposes: Yes No

Please note, NO SIGNATURE INDICATES CONSENT.

Signed______________________________________________________

AB GIRLS CONFERENCE STANDARDS OF BEHAVIOR

The AB GIRLS program challenges each girl to grow and develop in her Christian walk. It is the goal of the

staff to provide your daughter with the opportunity to grow and learn, not only about herself, but also about our

Lord and Savior, Jesus Christ; about her relationship with Him and His will for her. The environment we want

to provide for your daughter is dependent largely upon the cooperation of all participants abiding by these rules.

Please review the rules with your daughter. A copy of these rules signed by the parent/guardian of the

conference participates is to be submitted along with the registration and health form. A second copy of these

rules will be reviewed with your daughter and signed by her at the retreat.

Name of participant _____________________________________________________________

1. Attendance and participation is required at all sessions of Conference unless you are in the infirmary.

All injuries and illnesses must be reported to the nurse.

2. No one is allowed off the camp grounds unless accompanied by a staff member.

3. There is no smoking, alcohol or drug use at Camp. Anyone found in violation will be sent home at her

own expense.

4. Use of phones is discouraged. Calls are for emergencies only and must be cleared through your

counselor.

5. Keep all valuables with you. Camp cannot be responsible for valuables. If you choose, you may give

valuable items to your counselor for safekeeping.

6. Nothing (furniture, etc) is to be removed from your cabin/room.

7. We expect participants to respect each other’s privacy, and that of other campers. Any damage to camp

property will be charged to the participant.

8. Keep your program and your Bible with you for all sessions.

9. Do not go barefoot. Shoes are required at all times.

10. This is an all girl retreat. Please confine all activities to our retreat only.

11. No radios, cd players, etc. are allowed outside of your cabin. Volume must be kept low and should not

be heard easily outside of that setting.

12. All girls must be in their cabins/rooms at designated “lights out” time.

13. RESPECT AND COURESTY ARE EXPECTED BY EVERYONE ATTENDING CONFERENCE.

I acknowledge and have read and understand the above rules. I will accept financial responsibility for any

damages that occur as a result of negligence. I understand inappropriate behavior of blatant violation of these

rules results in dismissal from the retreat, my daughter will be sent home at my expense.

Printed name of parent or guardian ______________________________________________

Signature of parent or guardian _________________________________________________

Date _____________

Please sign and mail this form, along with the registration form and health form to:

Carol Seidel

17 Telegraph St.

Binghamton, NY 13903

AB GIRLS OF NYS GIRLS CONFERENCE HEALTH FORM

JULY 21 – JULY 26, 2019

Pathfinder Lodge

E. Lake Rd

Cooperstown, NY 13326

NAME OF PARTICIPANT _____________________________________________________________________________________________

DATE OF BIRTH __________________________________

PARENT/GUARDIAN _________________________________________________________________________________________________

ADDRESS ___________________________________________________________________________________________________________

PHONE (HOME) _______________________________________________ PHONE (WORK) _______________________________________

EMERGENCY CONTACT _______________________________________________ PHONE _______________________________________

MEDICAL INSURANCE CARRIER _________________________________POLICY #____________________________________________

ANY CURRENT ILLNESSES? YES ________NO ____ EXPLAIN ______________________________________________________________

LIST ALL MEDICATIONS TO BE TAKEN AT CONFERENCE

____________________________________________________________________________________________________________________

ANY SPECIAL PRECAUTIONS THAT SHOULD BE TAKEN AT CONFERENCE

IS YOUR CHILD SUBJECT TO: FAINTING ____ ASTHMA ____ STOMACH ISSUES ___ HAYFEVER

ALLERGIES _________ (PLEASE LIST IDENTIFIED ALLERGIES) ______________________________________________________________

EAR ACHES ______ CONVULSIONS/SEIZURES ______ HEART TROUBLE ___

PLEASE GIVE DATE OF LAST INOCULATION OR ATTACH COPY OF IMMUNIZATION RECORD.

DPT ____ MMR____ ORAL POLIO____ HIB____ HEPATITIS B____ INFLUENZA ____

I CERTIFY THIS HEALTH HISTORY IS ACCURATE. I HERBY GIVE PERMISSION TO THE MEDICAL

PERSONNEL SELECTED BY THE CONFERNCE LEADER TO ORDER X-RAYS AND ROUTINE TESTS. IN

CASE OF EMERGENCY, I UNDERSTAND AN EFFORT WILL BE MADE TO CONTACT ME. IF I CANNOT BE

REACHED, I GIVE PERMISSION TO THE SELECTED PHYSICIAN TO HOSPITALIZE AND SECURE

APPROPRIATE TREATMENT FOR THE ABOVE NAMED CHILD. I UNDERSTAND THAT MY INSURANCE

WILL BE BILLED FOR ALL ACCIDENTS AND ILLNESSES THAT MAY OCCUR WHILE MY CHILD IS

ATTENDING CONFERENCE.

PARENT/GUARDIAN SIGNATURE ____________________________________________________________

DATE ___________________

NOTARY PUBLIC __________________________________________________________________(STAMP HERE)