The Breakthrough Fellowship - VacationBibleSchool July 15 – 19 2013 “Being Excellent in a Mediocre World”
This year The Breakthrough Fellowship is proud to present our first VacationBibleSchool for children in grades K-5th and grades 6-8 for junior counselors. This year’s theme “Being Excellent in a Mediocre World” continues the yearlong theme that represents Gods desire for His people including His children to be in the world but not of the world. While we are expected to be responsible members of society, God has established a more excellent way for us to interact with the world. To that end we are planning a host of fun events and activities that seek to deepen children’s knowledge of scripture and strengthen their personal relationship with God. Please consult the information below to determine your interest in VBS and register your child accordingly. On behalf of the BTKids ministry team we thank you for allowing us to partner with you to bring your child closer to God.
Who: Children in grades K-5 and Tweens in grades 6-8 What: Games, Arts & Crafts, Activities, Field Trips, Special Classes (ex. Cooking, Fitness), Music, Bible Study, etc… When: Full time camp experience (M-F 9am-3pm, Before and After Care available for additional fee) Where: The Breakthrough Fellowship, 1810 Spring Road, Smyrna, Ga.30080 When: July 15-19 2013 Cost: $75 per week per child
Sample Schedule 8:30 am Before Care 9:00 am Devotion/Centering Moment 9:30am “In the Kitchen with Chef Myron” 10:30am Snack 11:00am “Verses & Flow” (Bible verses, songs & lessons) 12:00pm Lunch 1:00pm “Gotta Move with Tiss Fit” 2:00pm Arts & Crafts ( Mosaics) 3:00pm Closing Prayer & Dismissal 5:00pm After Care Dismissal
Registration Process Fill out the form attached Detach and submit with $75 payment Form & Payment secures your child’s space in VBS Attend parent information session and submit remainder of forms
The Breakthrough Fellowship Age/Grade ______Vacation Bible School 2013 Registration Form PARTICIPANT INFORMATION Last Name ______First Name ______Date of Birth ______Address ______City ______State ______Zip Code ______Phone number ______E-mail ______Emergency Contact ______Emergency Contact Number ______
Emergency Contact ______Emergency Contact Number ______
CAMPINFORMATION
T-Shirt Size: □Small□ Medium□Large□X-Large
PARENT/GUARDIAN INFORMATION Last Name ______First Name ______E-mail ______Phone number ______Work number ______Cell number ______
COST Cost: $75 per session Total Cost: □ $75 □ Deposit $50
HEALTH INFORMATION The information you provide here will be held in the strictest confidence. It will be kept on file in our health binder or carried by the camp director when your child travels with one of our camp groups.
Child’s Doctor’s Name: ______Phone Number: ______
Allergies: Yes No If yes, please describe the severity of the reaction, requested accommodations and what is done to manage them. ______Does your child have any allergic reactions to sunscreen? Yes No May we serve your child food and beverages: Yes No
Medical, Physical, or Emotional Conditions (including Disabilities): If your child does have any conditions, please provide information to assist us in providing the best camp experience for your child. ______
Medications (including Inhalers): Yes No If your child must take medication while at camp, please note here. All medications must be in their original containers and be appropriately labeled. Please do not give your camper’s medication to them to bring to camp; medications must be received and held by the camp office or with the camp director. ______Is your child up-to-date on all state-required immunizations? Yes No
Authorization to Treat a Minor: I/We, the undersigned, parent(s) or legal guardian of ______a minor, do hereby consent to any X-ray examination, and hospital care which is deemed advisable by, and is suggested, recommended, prescribed or directed by an physician or surgeon duly licensed to practice in the State of Georgia. It is understood that effort shall be made to contact the undersigned prior to rendering treatment to the patient, but that any of the above treatments will not be withheld if the undersigned cannot be reached.
This authorization shall remain in effect until July 20th, 2013, unless sooner revoked in writing delivered to said agent(s)
Authorization (please sign) ______