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CAMP SOUTH—SOUL SURVIVOR

TEAM CHALLENGE!

Covington, Georgia * July 28th

– August 1st, 2014

You Are Invited!

Camp South is a WELS Bible camp where youth “Share Our Unity Through Him”. At Camp

South, children enjoy God’s beautiful creation, develop Christian friends, and grow in their

relationship with God. Camp South is an experience you’re child will never forget!

Camp South is for youth entering 4th

-8th

grades.

Camp South will be July 28th

– August 1st, 2014. All registrations are due by April 30

th.

Camp South is held at the Georgia FFA Camp, located just outside Covington, Georgia.

Visit www.GeorgiaFFACamp.org to learn more about the high quality amenities the youth

experience at the Georgia FFA Camp.

Camp South costs $275/person. Speak with your pastor and youth leaders about fund raising

opportunities and available support from your congregation. One check please per congregation!

Camp activities include: energetic Bible lessons, Survivor themed team-building challenges,

campfires, swimming, engaging Bible studies, cosmic bowling tournament with prizes,

low ropes course, lake blob, water zip-lining, fishing, mudder course and much more!

Ask your pastor or youth leader for registration information. Remember, the deadline

send in your registration forms is April 30th

!

If you have any questions, contact the South Atlantic Youth Discipleship Coordinator at:

Pastor Jon Enter

[email protected]

Office: (561) 684-0691

Covington, GA

Come Check Out The Location/Facilities!

Covington, GA

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Come Check Out The Location/Facilities!

Covington, GA

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GGeeoorrggiiaa RReedd CCllaayy ““MMuuddddeerr”” CCoouurrssee!! BBaallaannccee BBeeaamm SSeeccttiioonn

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Camp South

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–– AAuugguusstt 11sstt,, 22001144

Mountaintop Marvels!

((EExxaammiinniinngg 1111 ddiiffffeerreenntt mmoouunnttaaiinnttoopp

eexxppeerriieenncceess iinn tthhee BBiibbllee..))

“Let the people…sing for joy, let them

shout from the mountaintops.” (Isaiah 42:11)

-----------------------------------------------------------------------------------------------------------------

MONDAY, JULY 28th

ACTIVITY LOCATION

2:30-5:30 PM Check-in Mobley Hall

6:00-7:00 PM Dinner Sheffer Dining Hall

7:00-7:45 PM Devotion, Music & Announcements Mobley Hall

7:45-8:45 PM Group Mixers & Survivor Challenge Mobley Hall

8:45-9:30 PM Games & Activities Mobley Game Room

9:30-10:00 PM Snacks & Room Time Lobby/Your Room

10:00-10:30 PM Reflection Time with Counselors Your Room

10:30-11:00 PM Quiet Time Your Room

11:00 PM Lights Out!

TUESDAY, JULY 29th

ACTIVITY LOCATION

7:30 AM Rise and Shine!

8:00-9:00 AM Breakfast Sheffer Dining Hall

9:00-9:45 AM Devotion, Music & Announcements Mobley Hall

9:45-10:00 AM Walk to Survivor Challenge Location

10:00-11:45 AM Water Wars: Punctured Drum Upper Field

Drip-Drip-Splash

Water Balloon 500

11:45 AM-12:00 PM Walk to Dining Hall

12:00-1:00 PM Lunch Sheffer Dining Hall

1:00-2:15 PM Bible Study – Elijah on Mt. Carmel Mobley Hall

2:15-2:30 PM Walk to Survivor Challenge Location

2:30-5:30 PM Low Ropes Course Challenge Upper Field

300ft Slip ‘n’ Slide & Pool Time Fun Pool

5:30-5:45 PM Youth vs. Counselors Low Ropes Course Upper Field

5:45-6:15 PM Room Time Your Room



7:45-8:45 PM Survivor Challenge: Lilly Pond Leap Mobley Hall

You Can’t Win Trivia






Covington, GA

WEDNESDAY, JULY 30th

ACTIVITY LOCATION




9:45-10:00 AM Walk to Sand Volleyball Courts

10:00-11:45 AM Survivor Challenge: Ping Pong Zigzag Sand Volleyball Courts

Ship, Shore Field Games

11:45 AM-12:00 PM Walk to Dining Hall



1:00-2:15 PM Bible Study – Abraham on Mt. Moriah Mobley Hall

2:15-2:45 PM Travel to AMF Bowling Lanes

2:45-5:30 PM Cosmic Bowling Tournament Conyers, GA

5:30-6:00 PM Travel to Georgia FFA Camp



7:30-7:45 PM Walk to Campfire Pit

7:45-9:15 PM Survivor Campfire Challenge & S’mores Campfire Pit

9:15-9:30 PM Walk to Rooms





THURSDAY, JULY 31st ACTIVITY LOCATION




9:45-10:15 AM Survivor Bible Challenge Mobley Hall

10:15-11:45 AM Bible Study – Moses on Mt. Sinai Mobley Hall

11:45 AM-12:00 PM Get dressed for mudder challenge Your Room


1:00-1:15 PM Group Picture Mobley Hall

1:15-5:00 PM Survivor Mudder Challenge Jackson Lake

After the Mudder: Lake Blob, Lake Zip-lining

Fishing & Inflatables




7:30-8:45 PM 4-in-1 Survivor Challenge Mobley Hall

8:45-9:30 PM Friendship Cards Mobley Hall






FRIDAY, AUGUST 1st ACTIVITY LOCATION


8:00-9:00 AM Breakfast/clean room Sheffer Dining Hall

9:00-9:30 AM Pack vehicles to prepare for departure Your Room/Vehicle

9:30-10:30 AM Devotion, Music, Group Picture & Departure Mobley Hall

Camp South-Soul Survivor Registration Form--YOUTH

__________________ ______________ _____ _____ _______ Student’s Last Name Student’s First Name M or F Age Grade in Fall

__________________________________ _____________________________ Mailing Address Parent’s E-mail Address

__________________________________ _______ ___________________ City State Zip Code

(_____) ________ - ___________ (_____) ________ - ___________

Primary Phone Secondary Phone

__________________________________ _____________________________ Home Congregation Pastor

Circle one adult t-shirt size: S M L XL

Roommate Request: _____________________________________________________________________________

_________________________ ______________________ ______________________ Health Insurance Company Name on the Policy Policy Number

Please tell us about any special health conditions your child may have (medications, dietary restrictions, allergies,

etc). Please attach additional papers if necessary.

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

In the event of an emergency, I understand that every effort will be made to contact me. I give permission for my

child to be treated by the camp counselors or at the nearest hospital or medical facility at the discretion of the camp

staff. I agree to pay any costs that are incurred and will not hold the camp sponsor or camp staff liable for the cost

of any health care provided to my child.

_________________________________________ ___________________ Signature of Parent or Guardian Date

Please mail forms and payment by APRIL 30th

.

The cost of the rally is $275/person.

Please make your church check out to:

South Atlantic District Youth Fund

One check per church group!

For questions, please email:

[email protected]

Mail your registration and payment to:

Camp South-Soul Survivor

c/o Hope Lutheran Church

7430 Belvedere Road

West Palm Beach, FL 33411

Covington, GA

Camp South-Soul Survivor Registration Form—Adult Chaperones Must Be 21 Or Older.

__________________ ______________ _____ _____ Last Name First Name M or F Age

__________________________________ _____________________________ Mailing Address E-mail Address

__________________________________ _______ ___________________ City State Zip Code

(_____) ________ - ___________ (_____) ________ - ___________

Primary Phone Secondary Phone

__________________________________ _____________________________ Home Congregation Pastor

Circle one adult t-shirt size: S M L XL

_________________________ ______________________ ______________________ Health Insurance Company Name on the Policy Policy Number

Please tell us about any special health conditions you may have (medications, dietary restrictions, allergies, etc).

_________________________________________________________________________

_________________________________________________________________________

In the event of an emergency, I understand every effort will be made to give me medial aid. I give permission to my

fellow Camp South counselors to call for an ambulance on my behalf to be transported to the nearest hospital or

medical facility if I am unable to communicate at the time of an accident. I agree to pay any costs that are incurred

and will not hold the camp sponsor or camp staff liable for the cost of any health care provided on my behalf.

Emergency Contact Name and Phone Number: _________________________________________________

_________________________________________ ___________________ Signature Date

Please mail forms and payment by APRIL 30th

.

The cost of the rally is $275/person.

Please make your church check out to:

South Atlantic District Youth Fund

One check per church group!

For questions, please email:

[email protected]

Mail your registration and payment to:

Camp South-Soul Survivor

c/o Hope Lutheran Church

7430 Belvedere Road

West Palm Beach, FL 33411

Covington, GA

Camp South “Sharing Our Unity Through Him”

Authorization, Release and Waiver of Liability Form—YOUTH Child’s Name: ____________________________________________________ Please initial the following: ______ I authorize my child to participate in all activities of Camp South.

This authorization includes bus/car trips, meals, swimming, mudder course, physical Survivor Challenges and other activities away from the Georgia FFA Camp. I also understand that volunteer chaperones will accompany my child during activities.

______ I authorize Camp South to photograph or videotape, and permit others persons

to photograph or videotape my child while attending Camp South. I also authorize photographs to be used for any other camp advertising.

______ In exchange for my child named above being allowed to participate in Camp

South, I as a parent or guardian waive and release and discharge Camp South (a ministry of the WELS South Atlantic District), its coordinator and all its volunteers, The Wisconsin Evangelical Lutheran Synod (WELS), from any and all claims, damages or expenses arising from or related to my child’s participation in Camp South. I also agree to indemnify, hold harmless and defend Camp South and each of the other parties listed above with regard to such claims, losses or expenses, including without limitation any claims made by or on behalf of my child.

Parent Signature: ____________________________ Date: ________________ Print Your Name: ______________________________

Covington, GA Covington, GA

Camp South “Sharing Our Unity Through Him”

Authorization, Release and Waiver of Liability Form—ADULT

Chaperones Must Be 21 Or Older. Your Name: ____________________________________________________ Please initial the following: ______ I authorize Camp South to photograph or videotape, and permit others persons

to photograph or videotape me while attending Camp South. I also authorize photographs to be used for any other camp advertising.

______ In my voluntary participation in events and activities at Camp South, I waive and

release and discharge Camp South (a ministry of the WELS South Atlantic District), its coordinator and all its volunteers, The Wisconsin Evangelical Lutheran Synod (WELS), from any and all claims, damages or expenses arising from or related to my participation in Camp South. I also agree to indemnify, hold harmless and defend Camp South and each of the other parties listed above with regard to such claims, losses or expenses, including without limitation any claims made on my behalf.

Your Signature: ____________________________ Date: ________________ Print Your Name: ______________________________

Covington, GA Covington, GA

Georgia FFA-FCCLA Center Ropes Course Assumption of Risk / Informed Consent / Voluntary Release

(This must be mailed in with your registration form.)

ALL YOUTH & ALL CHAPERONES MUST FILL OUT THIS FORM.

I, ___________________________________________(print name), fully understand that my participation in challenge/ropes course activities facilitated by the Georgia FFA-FCCLA Center and all of their employees and instructors could result in injury or death. Also, my participation requires that I am of good physical condition and I do hereby accept all responsibility for my own physical well-being. Being fully aware of the degree of risk and injury to myself, I hereby release and hold harmless the Georgia FFA-FCCLA Center and all of their employees and instructors from any claim, action, damage, liability, and expenses of any kind resulting from accident or injury incurred by myself while participating in these activities. By signing this release form I agree to release and hold harmless the Georgia FFAFCCLA Center and all employees and instructors for any claim, action, liability, damage or injuries, physical or mental which I might incur as a result of my voluntary decision to participate in the team building activities held on __________________(event date). If I do voluntarily choose to participate in the team building activities, I recognize that there can be an element of risk associated with any sport, challenge, or outdoor activities. Knowing the inherent risks, dangers, and rigors of such activities, I certify that I am fully capable of participating in these activities. I assume full responsibility for myself for bodily injury, death, loss of personal property, and expenses thereof, as a result of my negligence, or other risks, included but not limited to those caused by the obstacle course, the terrain, the weather, my athletic and physical condition, and other participants. By signing this release form, I agree to indemnify and hold harmless the Georgia FFAFCCLA Center and all employees and instructors from any and all claims, actions, damages, liabilities, and expenses of any kind or nature resulting in loss of life, personal or bodily injury, and/or damage to property arising from or out of any occurrence associated with the aforementioned team building activities. I acknowledge that I have been given the opportunity to ask questions regarding any aspect of this release form and by signing in the space below I do acknowledge that I have read completely and fully understand all aspects of this release form and agree to its terms in its entirety. Participant Name (print) __________________________________________ Participant Signature_____________________________________________ Parent/Guardian Signature ________________________________________ (Parent or guardian must sign if participant is under 18 years of age.)

Date _________________________ Instructor or witness ________________________________________________ Address of Participant _______________________________________________ _______________________________________________ Telephone Number _________________________________________________

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