Lutheran Valley Retreat Bethesda Mountain Builder Week

July 22-28 2017Our Savior Lutheran Church

What is the trip about….

This summer Sr. High youth get an amazing opportunity to travel to Colorado to Lutheran Valley Retreat and spend a week working with handicap campers providing them with a camp experience. The youth of Our Savior Lutheran Church will help serve others and spread God’s Word through this servant event.

The youth will be participating with the Mountain Builders - Bethesda Camp July 22-28 at LVR. Servants will spend a day preparing camp for campers with disabilities then spend 4 days (Tuesday-Friday) caring for the needs of the campers under supervision of trained staff. Youth will also get to enjoy activities offered by LVR such as hiking, rock-climbing, archery, fishing, bouldering, and much more.

This trip is open to youth going into 9th grade fall of ’17 thru high school graduates spring ’17. This is a great opportunity not only for the youth to serve others but to also grow in fellowship with one another.

Cost will be $480 for the trip and will include all travel, food, registration and lodging.

LVR Schedule *tentative July 22nd

8:00amo Depart from Our Savior Lutheran Parking lot

5:00pmo Arrive in Denver, Check into hotel * Something fun in Denver

10:30pm o Devotions

11:00pmo Lights Out

July 23rd 9:30am

o Church at St. John’s Lutheran Denver, CO 12:00pm

o Lunch 1:00pm

o Depart for LVR 4:00pm

o Arrive at LVR

July 23rd – 30th LVR Schedule (see next page)

July 30th

7:00amo Clean/Pack

8:00amo Depart for Norfolk

10:00pmo Arrive in Norfolk, NE at Our Savior Lutheran Church

LVR Bethesda Week ScheduleSAMPLE

SundayWed.

4pm Arrive/Move In/Orientation/KP Groups/Whole Group Games

8:00am Breakfast

5:30pm Dinner 9:00am Opening Devotion w/GSC6:30pm TIP 9:30am Morning Activity Session8:30pm Country Store 11:30am Country Store (GSC)9:00pm Campfire Devotion 12:00pm Lunch9:30pm Church Group Time 1:00pm Afternoon Activity Session10:00pm In Cabins/Lights Out 3:15pm Bible Study (Servants)

4:15pm Cleaning// BOB Time//Free Time (20/20/20)Monday 5:30pm Dinner8:00am Breakfast/ Cleaning 6:15pm Karaoke**9:00am Opening Devotion 8:30pm Country Store9:15am TIP/Work Projects* 9:00pm Campfire Devotion12:00pm Lunch 9:30pm Church Group Time12:45pm BOB Time (Body on Bunk) 10:00pm In Cabins/Lights Out1:15pm Work Project3:15pm Servant Orientation w/Sue4:15pm Free Time (20/20/20) Thursda

y5:30pm Dinner 8:00am Breakfast6:15pm Bible Study 9:00am Opening Devotion w/GSC7:30pm Servant Orientation w/Sue 9:30am Morning Activity Session

8:30pm Country Store 11:30am Country Store (GSC)9:00pm Campfire Devotion 12:00pm Lunch9:30pm Church Group Time 1:00pm Afternoon Activity Session10:00pm In Cabins/Lights Out 3:15pm Bible Study (Servants)

4:15pm Cleaning// BOB Time//Free Time (20/20/20)5:15pm Group Picture followed by Cookout

Tuesday 7:00pm TBD possible Evening Activities **8:00am Breakfast/Cleaning 8:15pm Country Store9:00am Opening Devotion 8:30pm Shine Time9:15am Work Project//TIP* 9:30pm Church Group Time11:00am GSC Campers Arrive 10:00pm In Cabins/Lights Out12:00pm Lunch1:00pm Afternoon Activity Session3:15pm Bible Study (Servants)** Friday4:15pm BOB Time//Free Time (20/20/20) 8:00am Breakfast5:30pm Dinner (Karaoke Signup) 8:30am GSC Closing /GSC Depart6:15pm Evening Activities** 9:00am Cleaning/Work Project/Load Bus8:30pm Country Store 12:00pm Lunch9:00pm Campfire Devotion 12:45pm BOB Time9:30pm Church Group Time 1:15pm Activity Session 110:00pm In Cabins/Lights Out 3:15pm Activity Session 2

5:30pm Dinner6:15pm Evening Activities

* Depending on the progress of the work projects. ** The Evening Activities Schedule is flexible to allow for the needs of the GSC campers and cleanup after dinner.

8:30pm Country Store8:45pm Closing Campfire Worship9:45pm Option: Campfire/Church Group Time10:30pm In Cabins/Lights Out

A Few Fun Our Savior Guidelines Guidelines

Respect GodRespect OthersRespect Yourself

1. No possession or use of alcohol, drugs, tobacco, or weapons2. No offensive or immodest clothing 3. No boys in girls’ sleeping quarters and no girls in boys’ sleeping quarters4. Participation with the group and comply with event schedules is expected5. Respect for adult leaders (OSL and other adults) is expected6. Cell Phones acceptable in moderation, they WILL NOT work at camp.

Discipline: Scale of discipline dependent on severity of circumstance, warnings will be in given. If a child is subject to be sent home, the decision will be made by youth’s main leader for their church, cost for flight home will be on the family.

What to Bring: (OSL guidelines) *See back pageT-shirts/Tank tops (Tanks – 1 ½inch straps) Shorts or Pants (shorts at least a 4 inch inseam) Alarm clock (watch, you can’t use your phone)

Contact Information

LVR P.O. Box 9042Woodland Park, CO 80866Tel: 719-687-3560

Christine Ekberg402-860-0725

Lutheran Valley RetreatWoodland Park, CO 80866-9042

Summer CampThings To Bring

Bible & Pencil or Pen Towel & Washcloth Sleeping Bag or Bedding (At least 40 degree) Soap & Shampoo Pillow Toothbrush & Toothpaste Clothing for Sleeping Comb or Brush Pants Shower Sandals Shorts (at least 1 per day) Chapstick & Sun Screen Tissues or Handkerchief Camera (optional) Sturdy Shoes (at least 1 pair will get dirty) Shirts (at least 1 per day)

Flashlight with NEW Batteries Underwear & Socks Canteen or Water Bottle Jacket Day Pack Hat or Cap

Things NOT To BringRadios/CD Players/MP 3 players/I-pods

Knives, Fire Works, Curling Irons, or Blow DryersGum, Sling Shots, Cell Phones (they don’t work @ LVR anyway).

The Camp StoreWhile at Lutheran Valley Retreat you will have the opportunity to use the Camp Store. At the

Camp Store you will be able to purchase snacks and drinks at $.75 each. There are also Shirts, Sweatshirts, Hats, Bandanas, Water Bottles, and much, much more. Items are priced from $3 up

to $40.

LUTHERAN VALLEY RETREAT CONTACT AND HEALTH HISTORY FORM DUE JUNE 2017

Dates of Camp Session July 22-30, 2017

Name _______________________________________ Birthdate _______________ Circle M/F

Address _________________________ ____________ City/State/Zip ________________________________

Parent Name __________________________________ Home Phone Number _________________________

Place of Employment ___________________________ Work Phone _________________________________

E-Mail _______________________________________ Cell Phone __________________________________

Parent Name __________________________________ Home Phone Number _________________________

Place of Employment ___________________________ Work Phone _________________________________

E-Mail _______________________________________ Cell Phone __________________________________

Emergency Contact Name _______________________ Relationship to Camper _______________________

Emergency Contact Address ______________________ Emergency Contact Phone _____________________

Family Medical Insurance Company ______________ Insurance Phone ____________________________

Insurance Address______________________________ Insurance City/State/Zip______________________

Parent Permission & EndorsementThis health history is correct so far as I know & the child herein descried has permission to engage in all prescribed activities including, without limitation, climbing/rappelling, equine, low and high ropes courses, rafting, and walking or riding in camp vehicles, except ________________________________________.I understand that many of these activities are limited to 11 year and older youth. I hereby assume the risk of all injuries to the person herein described & I release and discharge Lutheran Valley Retreat, its agents and employees from any and all liability that results from injury to the person herein described. Insurance protection is my responsibility. I give permission for the camp to administer medications as it deems necessary to this child, including medications sent with my child or nonprescription medications available at camp. In the case of an emergency, I know every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission for the medic selected by the camp director to hospitalize and secure proper treatment for my child. I assume financial responsibility for actions that may cause damage to property.If the staff deems it necessary for my child to be removed from camp, due to disciplinary or other problems I will respond by promptly picking up my child from camp.

Signature of Parent/Guardian _____________________________ Date______________________

Dates of Camp Session ________________Camper Name__________________________

Lutheran Valley Retreat requires every camper to have a physical within 12 months prior to their camp session; doctor may sign a photocopy of this form, but all signatures must be original and include camper's name.

Height: ________________ Weight:_________________ Blood Pressure: __________________

Current Medication: Please not, all prescription MUST be prescribed to this individual, within expiration date, and in their original packaging

Name of Medication Reason for taking Dosage Schedule

Health History

Condition Circle one If Yes: Condition Circle

one If Yes: Condition Circle one If Yes: Condition Circle

one If Yes: Conditions Circle one If Yes:

Anxiety or depression

No

Yes

Current

PastRecurrent Headaches

No

Yes

Current

Past

Heart Disease or problems

No

Yes

Current

PastDiabetes

No

Yes

Current

Past

ADD or

ADHD

No

Yes

Current

Past

EpilepsyNo

Yes

Current

PastAsthma

No

Yes

Current

PastFrequent

ColdsNo

Yes

Current

Past

Frequent Ear

Infections

No

Yes

Current

PastBed

WettingNo

Yes

Current

Past

Ear, Nose, or Throat Trouble

No

Yes

Current

Past

Disease or injury to joints or

back

No

YesCurrent

Past

Stomach or intestine

trouble

No

Yes

Current

Past

Dizzy Spells or Fainting

No

Yes

Current

PastHome

SicknessNo

Yes

Current

Past

Eating Disorders

No

Yes

Current

Past

Comments, other issues, physical limitations and/or list surgeris

Allergies/Dietary Needs

Type of Allergy Circle Describe/Specify Allergen Mild

(runny nose, sneezing)

Moderate

(Swelling or severe rash)

Severe

(System Response/Difficulty breathing)

Food No Yes

Medication No Yes

Environmental (animal, insect, etc.) No Yes

Other No Yes

Vegetarian? No Yes Limitations: Gluten Allergy? No Yes Limitations: Lactose Intolerant? No Yes Limitations:

Immunizations

Vaccination Most Recent Date

Vaccination Most Recent Date

Vaccination

Most Recent Date Vaccination Most Recent Date

Vaccination Most Recent Date

Measles, Mumps, Rubella (MMR)

Hepatitis A HIB Chicken Pox (or had the disease)

Influenza

Diptheria/Tetanus (DPT)

Hepatitis B Polio Other Other

I have examined and found camper to be in satisfactory physical condition, free from any contagious desease and capable of active participation in a regular camp program at altitudes of 8,400-9,100 feet above seal level except as follows____________________________

The camper is under the care of a physician for the following condition(s):_____________________________________________________

Licensed Phsician's Signature________________________ Date of Examination___________________________________________

Doctor Name___________________________________ Doctor Phone __________________________________________________Doctor Address_______________________________________________________________________________________________

Doctor City/State/Zip__________________________________________________________________________________________Official Use only (camp staff only to be determined on site): The camper appears to be healthy and free of contagious desease and capable of active participation for all camp activities. Circle one Yes No

OUR SAVIOR COMMITMENT FORM LVR 2017

Form due when registering

Motivated by God’s love for me, I, __________________________________, commit to exploring, sharing, and growing in my faith this year. As a part of the Our Savior Lutheran Youth Group I plan to attend the summer servant event to Lutheran Valley Retreat, Woodland Park, Colorado.

Parent YouthInitials Initials

_____ _____ I understand the spiritual, financial, and personal conduct expectations that are a part of this trip. I also understand this deposit is non-refundable. If an unavoidable circumstance causes me to not attend the trip, I know that I will not be refunded any payments made toward the trip and will not be held responsible for any remaining payments.

_____ _____ Throughout this experience we will be intentional about sharing God’s love with others through both our actions and our words. I will build relationships with fellow youth, serve my peers, and strengthen our

youth group by being actively involved in worship and Senior High Youth Group and/or Formula 3:18 before and after the trip. (Minimum of 7 youth Bible Studies between now and the trip.)

_____ _____ It is the work of many people to coordinate and prepare for the this trip. I will do my part by attending the required bible studies and training prior to the trip scheduled for TBA April or May.

With my signature affixed below, I hereby give permission for my child, ______________________________, to attend Lutheran Valley Retreat summer trip. This signed agreement hereby absolves the volunteer sponsors, Our Savior, the church staff, and any and all members of its governing boards of any responsibility for the safety, welfare, health, and well-being for the above mentioned child beyond such matters as may be called reasonable care for youth in the care of a sponsor, and subject to the sponsor’s clear instructions. The undersigned also assumes, personally and exclusively, all responsibility and liability for accident, injury, or other misfortune which may occur to the above-named child during the time of this activity.

My child agrees to behave responsibly according to the laws of the State, the rules of Our Savior Lutheran Church and the reasonable expectations of the adult sponsors.

I also affirm that my child has the following items up to date and on file at Our Savior Lutheran Church: Emergency Medical Release From

$50 deposit due at registration (before December 1st ). $100 late registration by February 1st.Every other month $100 payments required Feb, April, June.

_____________________________________________ __________________________Youth Signature Date

_____________________________________________ __________________________Parent Signature Date