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Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder Camporee. The form for Campsite is not included because I made it for each club. If you need anything or any form is missing, just e-mail to me at [email protected] or text me at 347-461-7702. Thanks a lot for your cooperation, remember in order to participate for camporee, you must register your club with the conference. See, you soon!! Your friend!!! Veronica Chaug

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Page 1: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder Camporee. The form for Campsite is not included because I made it for each club. If you need anything or any form is missing, just e-mail to me at [email protected] or text me at 347-461-7702. Thanks a lot for your cooperation, remember in order to participate for camporee, you must register your club with the conference. See, you soon!!

Your friend!!! Veronica Chaug                                          

Page 2: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

 Greater New York Conference of Seventh Day Adventist Parental / Guardian Permission 2015

Name of Son/Daughter: _____________________________________________________ Event: Pathfinder Camporee Date: May 29-31, 2015 My Son/daughter has my permission to attend the Pathfinder & Master Guide Camporee in Wingdale, NY. I understand the arrangements done by the Greater New York Conference Seventh-day Adventist Church and I give my son/daughter permission to go. I will not sue the Greater New York Conference Seventh-day Adventist Church and its representatives for any accident or lesion that can occur during this event. This form does not eliminate insurance coverage (within the limits of the Insurance Policy for Accidents) offered for events sponsored by the local Seventh-day Adventist Church or the Greater New York Conference. ___________________________________ _________________________________ Signature of Parent/Guardian Date

Medical Treatment in case of Emergency

In case of an emergency (sickness or accident) that requires medical attention, My son/daughter ____________________________________________ has permission to receive medical treatment. During the event of ____________________________________________________, From: (Date) __________________ to __________________ (Year) _____________ I can be contacted at the following phone numbers: Home: _______________________ Work: ______________________ Cell: ____________________ Indicated are all medical conditions that my son/daughter has (including any allergies or any medication that my son/daughter may be taking): ______________________________________________________________________________ _________________________________ ________________________________ Signature of Parent/Guardian Date

WAIVER / RELEASE

In consideration of your accepting this entry I, the above signed, intending to be legally bound hereby, for myself, my heirs, executors, and the administrators, waive and release any and all rights and claims for damages I may have against the Greater New York Conference Pathfinder & Master Guide Camporee and any other sponsors, their representatives, successors and assigns, for any and all claims or liabilities of any kind arising out of my participation in this event. I assume all risk associated with my participation, including, but not limited to, weather, course conditions and the behavior of participants, course workers and observers. Further, I hereby grant full permission to any all of the aforementioned parties to use my name, likeness, and voice in any and all multimedia form. Accordingly, the registrant agrees to hold Greater New York Conference and its agents harmless from any liability or injury resulting from the Greater New York Conference Pathfinder & Master Guide Camporee and associated events. Furthermore, the registrant agrees that it shall have no claim against gnycyouth.com for any injury that may occur during the Pathfinder & Master Guide Camporee and associated events. The individual event operators and sponsors have provided information included in the www.GNYCYouth.com and does not verify the accuracy or completeness thereof. All confirmed orders are final once payment is submitted. Greater New York Conference does not issue refunds. __________________________________________________

Signature

Page 3: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

Greater New York Conference of Seventh Day Adventist Youth Ministries Department Parental / Guardian Permission

Name of Son/Daughter: ______________________________________________________________ Event: Pathfinder Camporee Date: May 29-31, 2015 My Son/daughter has my permission to attend the Pathfinder Camporee at Camp Berkshire, NY. I understand the arrangements done by the Department of Youth Ministries of Greater New York Conference of Seventh Day Adventist and I give my son/daughter permission to go. I will not sue the Greater New York Conference of Seventh Day Adventist and its representatives for any accident or lesion that can occur during this event. This form does not eliminate insurance coverage (within the limits of the Insurance Policy for Accidents) offered for events sponsored by the local Seventh Day Adventist Church or the Greater New York Conference. ___________________________________ _________________________________ Signature of Parent/Guardian Date

Medical Treatment in case of Emergency In case of an emergency (sickness or accident) that requires medical attention, my son/daughter has permission to receive medical treatment. During the Pathfinder Camporee, I can be contacted at the following phone numbers: Home: _________________ Work: __________________Cell: ____________________ Please indicate any medical conditions that your son/daughter may have (including any allergies or any medication that your son/daughter may be taking): ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ _______________________________ _______________________________ Signature of Parent/Guardian Date

Page 4: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

Greater New York Conference of the Seventh Day Adventist Church

Adventist Youth Ministries Department 2015

Staff Medical Treatment in case of Emergency

In case of an emergency (sickness or accident) that requires medical attention, I, __________________________________, give permission for myself to receive medical treatment. During the event of Pathfinder Camporee From: (Date) May 29 to 31, 2015 My emergency contact person can be reached at the following phone numbers: Name: ______________________________ Relationship: _____________________ Email: _____________________ Home:____________________ Work:___________________ Cell:_____________________ Below are listed all my medical conditions (including any allergies) and any medication that I am currently taking: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _________________________________ ________________________________ Signature Date  

           

Page 5: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

Greater New York Conference: Department of Youth Ministries

Annual Camporee Points 2015 Attendance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200 points

Club presence in camp 50 points; 15 additional points for each 10% of registered membership.

Baptism at Camporee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …………100 points

Club will be credited for having a baptism or more at Camporee Bathroom Duty (per occasion) . . . . . . . . . . . . . .. ……… … . . . . . . . . . . . . . . . . . . . .. 50 points

Club to be credited for each session of duty honored as require; maximum 150 pts. Camporee Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .375 points

Full participation by club in the Honors program . . . at least 80% of camporee pathfinders earning at least 3 honors each.

Campsite inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 points Curfew Violation (per occasion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 points

Noise, activity or disruption of the peace in a campsite after "Lights out". Roll Call (per occasion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 points

With over 75% of registered pathfinders and uniformed staff present and on time (full pts.); 51% - 75% present and on time (50 pts.); 50% or less present and on time (no points).

Security Assignment (per occasion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 points

Club to be credited for fulfilling each session of security assigned; maximum 150 pts. Set up before Sabbath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 points

Campsite completely set up with at least 75% of registered camporee members and uniformed staff in place before sunset (150 pts.); Campsite completely set up and less than 75% of registered camporee members and uniform staff in place (50 pts.).

Uniform Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .465 points Pathfinder Basic Uniform items and Insignias . . . . . . . . . . . . . . . . . 170 points Uniformed staff Basic Uniform items an Insignias . . . . . . . . . . . .. . 170 points Club Uniformity and Appearance . . . . . . . . . . . . . . . . . . . . . . . . . … 80 points Personal appearance: hair, nails, etc. modest in appearance and well groomed; hands, face etc. clean (see regulations) . . . . . . . . . . . ……………….30 points Military courtesy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …….15 points      

Page 6: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

   

Greater New York Conference Headquarters Adventist Youth Ministries

PO Box 5029 7 Shelter Rock Road Manhasset, NY 11030-9878 Telephone: (616) 627-9350 Fax: (516) 627-9272 Email: [email protected] Website: www.gnycyouth.com

April 1, 2015 Dear Educator: _________________________________, is a member of a Pathfinder Club in the Greater New York Conference of the Seventh-day Adventist Church. Pathfinders are a youth organization within our church for boys and girls ages 10-16. In some cases the Pathfinder may be a year younger or choose to remain part of the organization after their 16th birthday through the Teen Leadership Program. The purpose of the Pathfinder Ministry is to promote healthy living, good community citizenship, outdoor living skills, and appreciation of nature, practical living skills, and a strong spiritual life. From May 29 to 31, 2015 the Greater New York Conference of the Seventh Day Adventist Church will be conducting a Pathfinder Camporee for all clubs. The Camporee will be held at Camp Berkshire, Wingdale, New York. During the Camporee the Pathfinders will participate in various skill events such as: Knot-tying, First Aid, Orienteering, Star Gazing, Hiking and many others, which are part of the Pathfinder program. They will listen to an inspirational speaker that will challenge them to be good students, citizens and Christians. They will meet other Pathfinders and will be expanding their network of friends. This truly would be an educational experience. The Youth Ministries Department of the Greater New York Conference is requesting that you as an educator give consideration and realize the benefits of this type of event by excusing the student from classes missed and allowing them to turn in assignments on their return. Thank you for your consideration and honoring this request. Blessings,

       

Pastor Andres J. Peralta Director Adventist Youth Ministries

         

Page 7: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

CONSENT, RELEASE, AND ASSUMPTION OF RISK AGREEMENT For

ROPE COURSE

Group Name: ____________________________________________ We have endeavored to take reasonable steps to assure that our Rope Course program has been made as safe as possible; however, we wish to inform you that the rope course is not without risk. As in any strenuous activity, the rope course has inherent risks and may result in serious injury or death. High rope and cable-combined elements have been designed for team-spirited problem solving, communication, trust, and challenge. High elements take you from ground level to over 24 ft. Participation in high rope activities is encouraged, but not a required activity. If you have any questions, please feel free to contact the programming director at 845-832-6681before participating or giving consent at 845-832-6681.

CONTRACT OF RELEASE AND ASSUMPTION OF RISK AGREEMENT

I realize that Rope Course has inherent risks. I knowingly accept and assume those risks, and agree to release Camp Berkshire and the Greater New York Conference of Seventh-day Adventists, and their related organizations from any and all liability and responsibility. Further, I agree to indemnify and hold harmless the organizations noted above from any and all claims, damages, injuries, and expenses arising out of or resulting from my participation in Rope Course activities. I further agree to release, acquit, and covenant not to sue the organizations noted above for any and all actions, causes of action, claims or damages, damages in law, or remedies in equity of whatever kind, including the negligence of the organizations noted above. Print Name________________________________________________ Signature___________________________________ Date________________ PARENT/S OR GUARDIAN/S CONSENT, RELEASE, AND ASSUMPTION OF RISK AGREEMENT FOR PARTICIPANTS UNDER 18 YEARS OF AGE I, parent/guardian, hereby give my consent for all participants under 18 years of age for whom I am responsible, and whose names and ages are listed below. I have read the above release and assumption of risk agreement and agree to be bound by it. Signature__________________________________________________Date________________ Parent Guardian (Circle One) Signature__________________________________________________Date________________ Parent Guardian (Circle One) NAME (S) OF CHILD (CHILDREN) Name_____________________________________________________ Age________________    Name________________________________________________________________________  Age_____________________  

Page 8: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

CONSENT, RELEASE, AND ASSUMPTION OF RISK AGREEMENT For

HORSEMANSHIP

Group Name: ____________________________________________ We have endeavored to take reasonable steps to assure that our horsemanship program has been made as safe as possible; however, we wish to inform you that horseback riding is not without risk. As in any strenuous activity, horseback riding has inherent risks and may result in serious injury or death. You should only participate, or consent for participation after you have read the description of the horsemanship program in the camp brochure. Please note, horsemanship is not a required activity. If you have any questions, you should contact the programming director at 845-832-6681 before participating or giving consent.

CONTRACT OF RELEASE AND ASSUMPTION OF RISK AGREEMENT

I realize that horseback riding has inherent risks. I knowingly accept and assume this risk, and agree to release Camp Berkshire and the Greater New York Conference of Seventh-day Adventists, and their related organizations from any and all liability and responsibility. Further, I agree to indemnify and hold harmless the organizations noted above from any and all claims, damages, injuries, and expenses arising out of or resulting from my participation in horsemanship activities. I further agree to release, acquit, and covenant not to sue the organizations noted above for any and all actions, causes of action, claims or damages, damages in law, or remedies in equity of whatever kind, including the negligence of the organizations noted above. Print Name________________________________________________ Signature___________________________________ Date________________ Date of Birth___________________________________ PARENT/S OR GUARDIAN/S CONSENT, RELEASE, AND ASSUMPTION OF RISK AGREEMENT FOR PARTICIPANTS UNDER 18 YEARS OF AGE I, parent/guardian, hereby give my consent for all participants under 18 years of age for whom I am responsible, and whose names and ages are listed below. I have read the above release and assumption of risk agreement and agree to be bound by it. Signature__________________________________________________Date________________ Parent Guardian (Circle One) Signature__________________________________________________Date________________ Parent Guardian (Circle One) NAME (S) OF CHILD (CHILDREN) Name_____________________________________________________ Age________________

Name_____________________________________________________ Age________________  

Page 9: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

Greater New York Conference of Seventh Day Adventist Youth Ministries Department

680-1 Berkshire Road- Wingdale, NY 12594 Telephone 845-832-6681

Pathfinder & Master Guide Camporee Parking Agreement & Deposit

In order to enhance safety and order during the Pathfinder Camporee, Greater New York Conference Pathfinder Ministry has instituted the following procedures:

1. Vehicles will be allowed into the camping area for unloading only. 2. After unloading all vehicles, with the exception of a storage trailer, must be moved to the parking area. 3. There will be no driving in the camporee area during the camporee. 4. There will be a deposit of $25 for each vehicle entering the camporee area. That deposit will be returned if the vehicle is not in the camporee area at any time during the camporee weekend. 5. The Pathfinder club will receive no points for attendance or any activity at the camporee as long as vehicles from the club are parked in an unauthorized area. 6. In addition to the above, Camp Berkshire reserves the right to tow any vehicle that is parked creating an unsafe condition. I acknowledge receipt of these regulations:

________________________ _________________________ ___________________ Name Club Date ------------------------------------------------------------------------------------------------------------------- I ______________________________ have given $25.00 (Twenty-five and 00/100 Dollars) as a Parking deposit. I will make sure this car parked only in authorized areas or I am liable to lose my deposit and have my car towed ______________________________ ________________________ ___________________ Name Club Name Club # ________________________ ________________ _________________________ Plate Number State Signature

RECEIVED FROM: _______________________________ ___________________________ (Office Staff) Name Signature ___ Cash ____ Check I acknowledge return of my $25 deposit. Name: __________________________________ Date________________________

Page 10: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

Greater  New  York  Conference  of  Seventh-­‐  day  Adventist  Youth  Ministry  Department  

 Pathfinder  &  Master  Guide  Camporee

May  29-­‐31,  2015      

Learn  to  do  good;  seek  justice,  correct  oppression;  bring  justice  to  the  featherless,  plead  the  widow’s  cause.  Isaiah  1:17      

Church:      __________________________________________________________________________    

Director:  ______________________________________  Club:  _____________________________    E-­‐mail:  _________________________________  Telephone:  _____________________________    

*Please Print Clearly Registration begins on March 4, 2015

Pathfinder/Master Guide (Name)

Pathfinder Only

T-Shirt Size

Amount Paid $40.00

Regular Registration

Amount Paid $45.00

Late Registration

Amount Paid $70.00

At Camp

1

2

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9

10

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13

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15

16

17

18

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25

   

Page 11: : In this document, you arefiles.ctctcdn.com/9839bcdc001/ca5c672e-c0f8-499f-a4b5...Dear Pathfinders Directors: In this document, you are going to find all the forms for Pathfinder

STAFF

Candidate (Please Specific)

T-

shirt Size

Amount Paid

$40.00 Regular

Registration

Amount Paid

$45.00 Late Registration

Amount Paid

$70.00 At Camp

26

27

28

29

30

31

32

33

34

35

36

37

38

39

SUPPORT STAFF (Name)

Parents/Candidate

T-shirt Size

Amount Paid $40.00

Regular Registration

Amount Paid $45.00

Late Registration

Amount Paid $70.00

At Camp

40

41

42

43

44

45

46

47

48

49

50

      Total  Registration  ______________________X  $40.00=__________________________________________________       Total  Registration  ______________________X$45.00=___________________________________________________       Grand  Total  ___________________________________________________________________________________________      

Registration February 24 to May 16, 2015 – (will be $40.00 per person) Late Registration May 18 to May 26, 2015 (will be $45.00 per person (No pin, t-shirt or Patch

NO-On Site Registration Camp Berkshire 680 Berkshire Road- Wingdale, NY 12594