Rev 3/2019 BVTD 1

Application for Brazos Valley Tres Dias

This section is to be completed by the Candidate

Name _______________________________________________________Preferred or Nickname ___________________ (Last) (First) (Mi)

Address __________________________________________ email ___________________________________________

City _________________________________________________________State _________ Zip ____________________

Home Phone _________________________ Cell Phone _______________________________

Date of Birth ________________ Your Age ______ Marital Status ______________________ Sex M _______ F _______

If married, has spouse attended a Tres Dias or equivalent weekend? Yes No

If answer above is “No” has spouse submitted an application for Tres Dias? Yes No

If spouse attended a weekend, Where?________________________________________ When? ___________________

Spouse’s Name _____________________________________________

Church Attending ___________________________________________ City ____________________________________

Do you smoke? Yes No T Shirt Size (ex. Small, Med, Large) ____________________________

Do you have any special needs (Physical needs, chronic illness, special diet or medications? Yes No

If so, please describe _________________________________________________________________________________

I am making application to Attend Brazos Valley Tres Dias. I have read the back of this form and agree with all statements therein:

_______________________________________ _______________________________ (Applicant’s Signature) (Date) Sponsor: After careful thought & prayerful consideration, Tres Dias Weekend sponsor attended ____________ I commit myself to support this applicant BEFORE, DURING, & AFTER the weekend. ___________________________________________________________ (Print Sponsor’s Name) _____________________________________________ ____________________________________________________ (Sponsor’s Signature) (Sponsor’s Email) _________________________________________________________ ____________________________________________________ Address, City State, Zip Best way to reach you by phone

Sponsor: Mail completed form to BVTD Pre-Weekend Couple: David and Stephanie Bailey PO Box 1029, Madisonville, TX 77864 or email to dsbailey1991@sbcglobal.net

David’s cell: 936.348.1454 Stephanie’s cell: 936.349.5107 PLEASE SUBMIT A $50 DEPOSIT WITH THIS APPLICATION

TOTAL WEEKEND FEE: $165 (Subtract Deposit if applicable) (Make Checks payable to Brazos Valley Tres Dias or BVTD)

NOTE: Husbands and wives should use separate application forms. Please return completed and signed form to your sponsor. SPECIAL NOTE: APPLICATIONS WILL NOT BE PROCESSED WITHOUT A DEPOSIT AND/OR SPONSOR’S COMPLETE INFO AND SIGNATURE.

Rev 3/2019 BVTD 2

Brazos Valley Tres Dias

Purpose of TRES DIAS Tres Dias is an adult weekend which aims to concentrate closely on the person and teachings of Christ.

While Tres Dias explores the basic Christian beliefs, it is best described as a spiritual encounter with Christ. Many who have attended the weekend have experienced a deeper and more meaningful relationship with Christ as they sense His love in a dynamic way.

What happens on a Tres Dias weekend? The Spanish words “TRES DIAS” mean “three days.” Tres Dias begins on a Thursday evening and ends the following Sunday evening.

The Tres Dias team leading the weekend is composed of former attendees of a Tres Dias or a similar weekend like Emmaus or Cursillo and who have volunteered their time for weeks of preparation by working and praying together as a unit.

There is presented in the Three Days the basics of the Christian life and the meaning of living the Christian ideal and its application in our daily lives.

Tres Dias is centered around lay and clergy talks. Each talk is discussed by table groups. Interchange that develops in these discussions makes Christ’s teachings come alive.

The basic atmosphere of Tres Dias is one of love, joy, Christian fellowship, singing, laughing, and worship. Tres Dias makes future Christian experiences more fruitful because of the zestful seasoning it brings to all Christian living.

Tres Dias can be made only once in a lifetime, therefore it is not a substitute for a retreat, nor does it have the individual solitude of a retreat.

Who should attend a Tres Dias weekend? Just as Christ meets you at your point of need, so Tres Dias is designed for those who desire to be strengthened in their faith and to be brought closer to Christ in their discipleship.

All are welcome to attend the weekend. There are weekends for men and weekends for women. If you are married, it is desired that the husband attend first. Wives usually attend a week later. Attendees must be 21 years of age and sponsored by someone who has previously attended a Tres Dias or similar weekend (such as Emmaus or Cursillo) experience.

The History of Tres Dias Tres Dias was derived from Cursillo de Chrisitanadad – a “short course in Christianity” which has been an active tool of church renewal since its beginnings in Spain in 1949.

Tres Dias was started in America in 1972 and is now overseen by an international organization of laity and clergy. Individual weekends are sponsored and coordinated by local chapters which have been chartered by the national organization.

Tres Dias is an ecumenical movement open to any Christians who are interested in deepening their walk with the Lord.

The Fourth Day One’s life after attending a Tres Dias is called the “Fourth Day.” Following Tres Dias a person is able to expand his/her own spiritual life and become a more active disciple of Christ in the world and in the church. During this time, perseverance is important. Perseverance is enhanced after the Three Days through contact with the Tres Dias community. This contact is available regularly as a means for growth. Also reunions or smaller groups within the local church are encouraged so that the participants may help one another in living the Christian life.

How may I attend a Tres Dias Weekend? Contact someone who has attended a Tres Dias weekend and have them pray about sponsoring you. Complete the application with all required signatures. The sponsor will then mail your application and deposit (or fee) to the address shown at the end of this application. For more joy and purpose in your Christian walk, Tres Dias could be just what you are looking for.

Candidate, retain this page for your information.

BnRzos VnllEv Tnes Dns Maruunl 31

Health History Form for Sandy Creek Bible Camp

Brazos Valley Tres Dias Dates of Attendance:

The information on this form is gathered to assist us in identi$zing appropriate care.

Name Birth date Age at campLast

Home addressFirst Middle

Street address

In an emergency, notiff:

Name

City Stdte Zip

Relationship

Address

Phone

Street Address City

fnsurance InformationIs the participant covered by medicaVhospital insurance? f]Yes I No

State Zip

If so, indicate carrier or plan nameCarrier address

Group #

Name of insured Relationship to participantSocial security number of policy holder or insurance ID number

Health History

Medication allergies, Food allergies Describe reaction and management of the reaction.Other allergies (list)

Permission to Provide Necessary Treatment or Emergency Care:I hereby give permission to the medical personnel selected by the camp staffto order X-rays, routinetests, treatment; to release any records necessary for insurance purposes; and to provide or ilrangenecessary related transportation for me. I further, hereby give permission to the physician selected bythe camp staff to secure and administer treatment, including hospitalization, anesthesia, surgery, orany other medical decision.

Signature

Name Date

BRAzos VRrrev Tnes Dns MRttuRt-

- MEDICATIONS BEING TAKEN

Keep all medications in the original packaging/bottle that identifies the prescribing physician (if a prescriptiondrug), the name of the medication, the dosage, and the frequency of administration.

n This person takes NO medication on a routine basis.

tr This person takes medications as follows:

Med #1

Reason

Med#2

for taking

Reason for taking

Med #3

Reason for taking

Attach additional pages for more medications.

RESTRICTIONSThe following restrictions apply to this individual.

Explain any restrictions to activif (e.g. what cannot be done, what adaptations or limitations are necessary)

Do you have any medical or other conditions that medical staff should know?

32

Name of family physician

Address

Phone

Name of family dentisVorthodontist

Address

Phone

Medical Information:

Sandy Creek Bible Camp has a Camper Insurance program which uses the campers existing Medical Insurance Policy as the primarycoverage provider and uses the Camp insurance as the secondary provider. The Staffat Sandy Creek Bible Camp will attempt tocontact t}te emergency contact as listed at the top of this waiver as soon as possible and will keep them up-to-date conceming thecondition and treatment of the Attendee.

01/20L7

Dates attending:

Texas Youth Camp, Inc., dba Sandy Creek Bible Camp5051 Prayer Lane

Washington, Texas 77 8AO

ADUTT GUEST CONSET, ASSUMPTION, AND RELEASE FORM

Croup/Family:

Name:

Home Address:

Cell Phone:- Home Phone Personal E-mail Address

Notifo in case of Emergency: Name . Relationship

Phone: Home- Cell Work

I will be attending Texas Youth Camp, Inc. (hereinafter referred to as "SCBC" or "Sandy Creek Bible Camp"J and as further defined below onthe dates listed above. At all times when I am at SCBC I acknowledge tJrat I wilt be under the direct supervision of the Group/Family listedabove fherein known as the "Sponsoring Organization'] and I release, waive, indemniff and hold harmless SCBC, their officers, direfiors,agents, employees. affiliates, volunteers and representatives for and from any and all liability that may result due to my actions and/or theactions taken by my Sponsoring Organization while I am at SCBC.

General and Emergency Medical AuthorizationsI authorize SCBC to make arrangements for, or give any medical attention to me as SCBC deems necessary under the circumstances, at thesole discretion of SCBC. I also give permission to any medical care providers summoned by SCBC, including every doctor or other medicalcare providers to attend, kansport, and treat me and/or secure such other medical treatrnent as SCBC and the medical care providers deemappropriate. I further understand that emergency medical treafinent may be diflicult to obtain, and in some instances appropriate treatmentmay be delayed because SCBC is located in a country setting miles away from an incorporated town and/or hospital. I release, waive,indemnifo and hold harmless SCBC from any harm that is occasioned me due to any delay in treatment of a medical condition.

Assumption of Risk, Release, and Hold Harmless/lndemnityI understand, and agree to assume all risks which I may encounter while at SCBC, including activities preliminary to my visit, while I am atSCBC and suLrsequent thereto. I understand and assume all risks for acrivities I engage in while I am a guest at SCBC, recognizing andacknowledging that many ofthese encounters and/or activities that I undertake at SCBC are inherently dangerous such as riding a zip line,swimming in a pool, hiking, shooting bows and arrows, and other such related activities. I release, waive, indemniff and hold harmless SCBC,

their officers, directors, agents, employees, affiliates, volunteers and representatives (sometimes either defined and/or referred to hereincollectively as "SCBC" or "lndemnified Parties'J from and against all liability, damages, causes of action, claims, losses and/or expenses,including but not limited to attorney's fees, court costs and expenses, medical costs, and like expenses, which may be related to any injury ordea& to me, or any person related to me. I also release, indemnify and hold harmless SCBC, and the Indemnified Parties from any loss ordamage to property, including loss of use thereof, cause in whole or in part by SCBC or the Sponsoring Organization, whether such loss wascaused in whole or in part by negligence of the Indemnified Parries, or any one or more of them. I further grve my permission and consent toSCBC to use any photograph, or video, taken of me while at SCBC for the purpose of promoting and adverrising SCBC. I assign full copyrightauthority to SCBC for photographs, videos, or audio recordings of me and claim no interest in reproduction ofthese media resources eitherwholiy or in part.

Should any dispute arise from this agreement I agree to first seek or mediate such dispute in good faith with a qualified mediator acceptableto SCBC and me. Should we not be able to agree on a mediator, I agree that the Senior DisEict ludge in Washington County, Texas willappoint a mediator to mediate the dispute. I also agree that venue for any dispute, or cause of action, arising by and between the parties,whether arising out of this agreement or otherwise, can only be brought in a court of competent jurisdiction in Washington County, Texas,

exclusively, and exclusive of any provisions relating to conflict of Iaws.

I expressly agree that this consent, assumplion, release, waiver, indemnity and hold harmless agreement is intended to be broad andinclusive as permitted by the law of the State of Texas and that if any portion thereof is held invalid, I agree that the balance of thisagreement shall, notwithstanding, continue in full force and legal effect I also agree that in the event I take any legal action against SCBC,

which is decided in favor of SCBC, I agree to be responsible for all legal fees, court costs and out of pocket expenses incurred by SCBC. Thisrelease, waiver, indemnity and hold harmless agreement is the enrire agreement by and between the parties hereto and the terms of tlisconsent, assumption, release, waiver, indemnity and hold harmless agreement are contractual and not merely a recital.

I further state that I have carefully read the forgoing and having done so I sign &is consent, assumption, release, waiver, indemnity and holdharmless agreement as my own free acl I acknowledge that this is a legally binding document, which I have read, understood and accept tobe fully bound by from and on the date of the signing (whether manual or electronic) of this agreement and thereafter.

Signature: Date: