FALL CAMPING 2018 - REGISTRATION BELOW

FALL CAMPING 2018 - REGISTRATION BELOW

Dear Parents,

We are so excited to take a long weekend camping trip! We would love to have your middle and/or high school student come with us!

We will be heading to Santa Barbara for this adventure! Friday November 9th to Monday November 12th. We will meet at Glendale Presbyterian Church at 4:30 pm the afternoon of November 9th for departure and will be returning to the church by 4:30 pm on November 12th.

We will be at Lake Cachuma - click here for more information on the campground - Chumash Meadows Group Site!

The cost for the weekend trip is $220 which covers transportation, food, long sleeve T-shirt, reservation fees, gear, fuel etc. We will be stopping for snacks on the way there and back so your student/s will need some cash. You can pay online (Make Payment to "Houseboats"), or submit a check to Glendale Presbyterian Church. You can mail the check or send it with your student.

In order to register your student(s) for the trip, please complete the form below. If your student went on a trip with us in 2018, we do not need a new medical form unless your healthcare has changed. If this is your student’s first trip with us in 2018, please send a copy of your students medical insurance card with them on the trip to turn in.

Please contact stephenfinkel12@gmail.com or ashleycmyers86@gmail.com with any questions!

Sincerely,
Youth Directors Ashley Myers and Stephen Finkel 

 

Packing List

  • Sleeping bag

  • Pillow

  • Sleeping mat

  • Blanket for campfire

  • Beach towel

  • Shower towel

  • Flashlight

  • Backpack

  • Book // Journal

  • Pen

  • Bible

  • Toiletries (there are showers available)

  • Warm clothing for cold nights

  • Tennis shoes

  • Sandals/water shoes

  • Hat

  • Sunglasses

  • Jacket (it will get chilly at night)

  • Bathingsuit

  • Hiking clothes

  • Lounge gear

  • Pajamas

  • Socks

  • Beanie

  • Clothes for hiking

  • Clothes for campground play and lounging

 

REGISTRATION

Guardian (required)
Guardian's Name *
Guardian's Name
Guardian's Phone *
Guardian's Phone
Guardian's Address
Guardian's Address
If guardians cannot be contacted, please contact *
If guardians cannot be contacted, please contact
Their phone number *
Their phone number
Student 1 (required)
Student 1 *
Student 1
Date of Birth *
Date of Birth
Student 1 Cell
Student 1 Cell
Student 2 (optional)
Student 2
Student 2
Date of Birth
Date of Birth
Student 2 Cell
Student 2 Cell
Student 3 (optional)
Student 3
Student 3
Date of Birth
Date of Birth
Student 3 Cell
Student 3 Cell
Authorization *
We, the undersigned parent(s) or guardian(s) of the above mentioned minor(s), do hereby grant permission for my son/daughter to travel or stay at over night event with representatives of Glendale Presbyterian Church.
If deemed necessary for my students’ health, I (we) authorize representatives of Glendale Presbyterian Church to consent to any examination, x-ray, anesthetic, medical, or surgical diagnosis rendered under the general or special supervision of any physician or surgeon, licensed staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. In any case all such expenses shall be paid by the parent except where covered by the Accident Insurance Policy.
*