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    Countryside StudentMinistries

    Developing Fully Devoted LifeLong Followers of

    Christ.

    2014-2015

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    MINISTRY PLAN

    The Vision

    To see students who come through this ministry become Fully Devoted, Life LongFollowers of Christ.

    The Mission

    Countryside Student Ministries exist to Exposestudents to the extravagant love of God,Connectingthem with other followers of Christ, to Equipthem as they Discovertheirplace in Gods story, so that they CelebrateGod with their life.

    Expose:Expose is our word for Evangelism, which can be defined as sharing the good

    news of Jesus Christ with those who do not yet have a personal relationship with him.Evangelism isnt a program but rather a processa process of a person modeling his/her transformed life to someone in need of Gods transformational grace.

    As students grow in their faith they must learn that evangelism is not only theirresponsibility as believers, but it is also their privilege. So we want our students to take

    some personal responsibility for evangelism and live their lives with eyes that aresearching and hearts that are beating with compassion for their lost friends.

    We believe that there are 3 important elements that will help us accomplish thispurpose:

    1. Develop an Evangelistic attitude.a. Expressing the purpose of evangelism requires a unified evangelistic attitude in

    which those involved understand the difficulty of evangelism yet push aheadcompelled by the biblical conviction to reach the lost. Evangelism for us is a non-negotiable; we know its tough, but we are going to do it anyway. Growth wonthappen because of an evangelistic program, but will happen because ofevangelistic students and adults working together to see the lost be found byGod.

    2. Challenge Students to become Evangelistic.a. We dont expect all of our students to be Evangelists, but we do expectthem to be evangelistic; to shine bright and develop a heart for their lostfriends, pray for them, and bring them to the appropriate student ministryprograms.

    b. The Challenge is this:i. We are going to grow. Not because we want to be the largest, but

    because we are compelled to do what Christ asked us to do, fulfillthe Great Commission. If we take seriously the command ofevangelism, we will grow.

    ii. We will not become a Holy Huddle.

    iii. This program is not for you. If we make the effort to design andevangelistic program, our regular students need to know that thisprogram is intended to reach and they have a responsibility to inviteand bring lost friends.

    3. A worship service that our students are proud to bring their friends to.

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    COUNTRYSIDE Student MinistriesCountryside Church of the NazarenePastor Justin [email protected] 8/9/2011Revised 8/26/2014

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    MINISTRY PLAN

    Connect:Connect is our word for Fellowship. We believe that true fellowship happens

    when students are known, cared for, held accountable, and encouraged in their spiritual

    journey. The most substantial and measurable spiritual growth happens among studentswho have trustworthy, accountable, and healthy relationships with adult leaders andother students.

    Equip:Equip is our word for Discipleship. Discipleship can be defined as the building up

    or strengthening of believers in their quest to become like Christ. This is a lifelongprocess that God uses to bring us to maturity in Christ.

    Weve seen the staggering statistics of the number of students who leave thechurch and their faith when they graduate high school. We believe it is because wetaught them to depend on programs and entertainment, and when they graduated we

    stopped doing those things for them.If we want our students to become lifelong followers then we need to give them

    the tools to help them accomplish that goal. There are 6 Habits that we feel are vital forstudents to be lifelong followers of Christ:

    1. Consistent time with God through prayer and Bible reading2. Accountable relationships with other Christians3. Commitment to the body of Christ and our church. (not just the student ministry)4. Understand and participate in giving/tithing5. Memorize scripture6. Study the Bible on their own beyond just reading

    We believe if we can help our students develop these 6 spiritual habits, then we can

    begin to put an end to this trend of losing our students to the world post graduation.

    Discover:

    Discover is our word for ministry, which can be simply defined as meeting needswith love. We feel that a healthy student ministry will constantly encourage students todiscover their gifts and put them into practice through ministry and missionopportunities.

    Students are not the future church. They are the present church. The more weteach students about service the more open to the concept of ministry they will be.Students at all levels of commitment can fulfill the purpose of ministry. Some will plugright into existing ministries and others will see a need and create their own.

    Someone once said, A life of observation is wasted, but a life of participation inthe work of the Kingdom is the reason we are born. So we need to help studentsdiscover their gifts and express them through serving in ministry.

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    COUNTRYSIDE Student MinistriesCountryside Church of the NazarenePastor Justin [email protected] 8/9/2011Revised 8/26/2014

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    MINISTRY PLAN

    Celebrate:

    Celebrate is our word for worship. Worship is celebrating Gods presence andhonoring Him with our lives. Worship is expressed through praying, hearing Gods word,giving, baptizing, meditating, and communion.

    We attempt to fulfill the purpose of worship by communicating our love to Godthrough praying, singing, giving, testifying, thanking, and listing to Gods word in ourservices.

    Weekly ScheduleSunday:

    9:15 amJr High & Sr High Sunday School 10:40 amWorship with the Body

    Sunday Night: 6:00-8:00 pmStudent Take Over Worship Service

    o 6-6:45CSM Cafe & Connect Options

    o 6:45-7Pre-Service Game

    o 7:00-8Worship & word

    Wednesdays 7:00-8:00Small Groups

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    COUNTRYSIDE Student MinistriesCountryside Church of the NazarenePastor Justin [email protected] 8/9/2011Revised 8/26/2014

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    INVOLVEMENT GUIDE LINES

    The Following are Guidelines and Expectations for all youth participating inCOUNTRYSIDE Student Ministries:

    " The age level for COUNTRYSIDE Student Ministries is 12-18 years of age. Thiscovers the 7th-12thgrade. A teen may enter into COUNTRYSIDE StudentMinistries on the promotion Sunday following their entry into the 7 thgrade. Allstudents 18 years of age will move into college age ministries on the promotionSunday following their Senior summer.

    " The Following are not permitted: tobacco, alcohol, drugs, or prescription drugs(unless designated for medical use by a Guardian), weapons of any kind (knives,guns, etc.)

    " Students are to dress appropriately at all times according to the followingstandards:" Girls are not to wear halter tops or tube tops of any kind."

    No Muscle Shirts." Shorts must be worn at an appropriate length. Finger tips as a general rule

    to follow (No Sophie Shorts).

    " Bathing suits must be modest. (Tankinies and one pieces)

    " Guys must wear shirts at all time except when swimming" No Muscle Shirts." Pants must be worn at the waist, and holes in inappropriate places are not

    allowed.

    " Student Ministries Staff has the right to question clothing that we feel is not

    appropriate.

    " Students are to conduct themselves appropriately at all times according to thefollowing standards:

    " There will be no PDA (public displays of affection) between students. Thisis for all people, whether you are dating a person or not. PDA includes butis not limited to kissing, hugging, sitting on laps, and laying on each other. Itis simply not appropriate. Please be respectful to others.

    " Our goal is to create a physically and emotionally safe place for any and allstudents who wish to come. Therefore we will not tolerate: Gossiping,Cursing, Inappropriate conversation, Hitting, and Disrespect for Student

    Ministries staff or other students." Disrespect of any kind will not be tolerated. God has placed the leaders

    and volunteers here to help you in your faith journey, and so we expect thatyou treat them with respect and dignity.

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    COUNTRYSIDE Student MinistriesCountryside Church of the NazarenePastor Justin [email protected] 8/9/2011Revised 8/26/2014

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    INVOLVEMENT GUIDE LINES

    " Accounts can be transferred to siblings upon graduation from COUNTRYSIDEStudent Ministries, given the sibling is currently in the Student Ministry or movingup in the following year.

    " Accounts can be used for other church sponsored events and activities, but arequest from must be submitted in order to acquire the funds.

    "

    There will be no use of account money for spending money on any trips. Anyspending money one wishes to have must be brought with you." These accounts are set up to help you earn and save money to offset the cost of

    trips and events throughout the year. Please be mindful of up coming events andplan accordingly.

    It is not our intention at COUNTRYSIDE Student Ministries to be rules-driven.However, we are here to create a safe place for students to come, help our ChristianStudents become more like Christ and our non-Christian Students accept Christ astheir Lord and Savior and move them toward discipleship. Our church represents, forthose who do not know Him, Christ, and when students are with us, it is our

    responsibility to point them towards what Christ would want for them. Therefore wehave put these guidelines in place in order that we may provide the best place thatwe can for students to come and feel safe as they pursue their search for the LivingGod. If a student fails to comply with these guidelines, the process is as follows (perevent):

    !"Incident #1: the event director will speak with the student and remindhim/her of the guidelines, and a plan will be made to comply.

    #"Incident #2: if the behavior persists, the students parents will be called todiscuss the issue.

    $"Incident #3: if the previous efforts fail, the student will be sent home atthe expense of his/her parentno questions; no compromise.

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    COUNTRYSIDE Student MinistriesCountryside Church of the NazarenePastor Justin [email protected] 8/9/2011Revised 8/26/2014

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    Effective dates: 08/27/2014 to 08/27/2015 MEDICAL INFO/RELEASE

    & PERMISSION FORM

    Please Print In Blue/Black Ink

    Name:________________________________________________________________LAST FIRST MIDDLE

    Age: ____ Birthday: ________ Year in school:_________________________________

    Male Female E-mail:_______________________________________________

    Address:_______________________________________________________________

    City:__________________________ State: ______ Zip: _______________________

    Phone: (___)________________ Cell: (___)_________________________

    Medical insurance company: ______________________________________________

    Policy #: ______________________________________________________________

    Mothers name: _________________________________________________________

    Phone: Home: (___)__________________ Work: (___)_________________________

    Fathers name: ________________________________________________________

    Phone: Home: (___)_______________ Work: (___)_____________________________

    Emergency contact:______________________________________________________

    Phone: Home: (___)_______________ Work: (___)_____________________________

    Physician: _____________________________________________________________

    Office phone: ____________________________________

    Dentist: _______________________________________________________________

    Office phone: ____________________________________

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    COUNTRYSIDE Student MinistriesCountryside Church of the NazarenePastor Justin [email protected] 8/9/2011Updated 8/26/2014

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    Effective dates: 08/27/2014 to 08/27/2015 MEDICAL INFO/RELEASE

    & PERMISSION FORM

    Medical HistoryIf necessary, describe in detail the nature and severity of anyphysical and/orpsychological ailment, illness, propensity, weakness, limitation, handicap, disability, orcondition to which your student is subject and of which the staff should be aware, andwhat, if any action of protection is required on account thereof. Submit this notification in

    writing and attach it to this form. Include names of medications and dosages that mustbe taken.

    Check the following areas of concern for this student.If necessary, add anotherpage with details:

    1. For your students safety and our knowledge, is your student a!good swimmer fair swimmer non-swimmer

    2. Does your student have allergies to!pollens medications food insect bites

    If so, please list which ones:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    3. Does your student suffer from or has he/she ever experienced, or is being treatedcurrently for any of the following:

    asthma epilepsy/seizure disorder heart troublefrequently upset stomach diabetes physical handicap

    4. Date of last tetanus shot: ______________________________

    5. Does your student wearglasses contact lenses

    6. Please list and explain any major illnesses the student experienced during the lastyear:

    ______________________________________________________________________

    __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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    COUNTRYSIDE Student MinistriesCountryside Church of the NazarenePastor Justin [email protected] 8/9/2011Updated 8/26/2014

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    Effective dates: 08/27/2014 to 08/27/2015 MEDICAL INFO/RELEASE

    & PERMISSION FORM

    Additional comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________

    Should this students activities be restricted for any reason? Please explain:________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    For your information, we expect each student to conform to these rules ofconduct

    -No possession or use of alcohol, drugs, or tobacco.-No students can drive.-No fighting, weapons, fireworks, lighters, or explosives.-No offensive or immodest clothing.-No boys in girls sleeping quarters and no girls in boys sleeping quarters.-Participation with the group is expected.-Respect property.-Respect one another, staff, and adult leaders.-Respect and comply with event schedules.

    Students who fail to comply with these expectations may be sent home at their

    parents expense.

    I, the student, have read the rules of conduct, the above evaluation of my health, andpermission to participate in youth group activities. I agree to abide by the statedpersonal limitations and code of conduct.

    Student signature: ____________________________ Date: __________________

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    COUNTRYSIDE Student MinistriesCountryside Church of the NazarenePastor Justin [email protected] 8/9/2011Updated 8/26/2014

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    Effective dates: 08/27/2014 to 08/27/2015 MEDICAL INFO/RELEASE

    & PERMISSION FORM

    Activities may include, but are not limited to: cookouts, boating, water skiing, swimming,basketball, roller skating, rollerblading, soccer, paintball, volleyball, softball, baseball,hiking, biking, concerts, Bible studies, miniature golf, and hayrides. Note: If you desire tolimit your students participation in any event, please submit your wishes in writing andattach it to this permission form.

    has my permission to participateNAMEOFSTUDENT

    in all activities at/with Countryside Student Ministries.

    This consent form gives permission to seek whatever medical attention is deemednecessary, and releases the Countryside Church of the Nazarene and its staff of anyliability against personal losses of named student.

    I/We the undersigned have legal custody of the student named above, a minor, andhave given our consent for him/her to participate in events being organized by theCountryside Church of the Nazarene. I/We understand that there are inherent risksinvolved in any ministry or athletic event, and I/we hereby release the CountrysideChurch of the Nazarene, its directors, employees, counselors, and other volunteerworkers from any and all liability for any injury, loss, or damage to person or propertythat may occur during the course of my/our students involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonablemedical treatment as deemed necessary by a licensed physician. In the event treatmentis required from a physician and/or hospital personnel designated by the CountrysideChurch of the Nazarene, I/we agree to hold such person free and harmless of anyclaims, demands, or suits for damages arising from the giving of such consent. I/Wealso acknowledge that we will be ultimately responsible for the cost of any medical careshould the cost of that medical care not be reimbursed by the health insurance provider.Further, I/we affirm that the health insurance information provided above is accurate atthis date and will, to the best of my/our knowledge, still be in force for the studentnamed above. I/we also agree to bring my/our student home at my/our own expenseshould they become ill or if deemed necessary by the student ministries staff member.

    Parent/guardian signature:

    ____________________________________________ Date:_____________________

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    COUNTRYSIDE Student MinistriesCountryside Church of the NazarenePastor Justin [email protected] 8/9/2011Updated 8/26/2014

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    The Purpose of NYC 2015 is to

    Gather USA/Canada NYI studentsand leaders for worship,discipleship, service, celebration,and leadership development.

    Impact the host city and serve thepeople of Louisville through a varietyof projects and presence.

    Call students to a dynamic life inChrist and provide experiences thatcompel them to make a difference intheir church, community, district,and world.

    COMPLETE & RETURN THIS

    APPLICATON ANDMEDICAL/LIABILITY RELEASE TOYOUR DISTRICT NYC

    COORDINATOR.

    Joshua MyersSWO District NYC CoordinatorParkview Nazarene Church4701 Far Hills AvenueDayton, OH 45429937-308-5934

    [email protected]

    StudentApplication

    PERSONAL INFORMATION

    First Name: Middle: Last Name:

    Preferred Name:Street Address:

    City: State/Province:

    Zip/Postal: Country:

    Student Cell: Alternate Phone:

    Male Female Birth Date: / / (mm/dd/yy)

    Grade Completed in July 2015: T-Shirt Size:

    Student Email:

    Parent/Guardian Name:

    Email: Phone:

    QUESTIONS*For additional space, use back of page for answers

    Why do you wish to participate in NYC 2015?

    What has your journey with God looked like so far?

    In what ways will you seek to grow in your personal walk with God during thisevent?

    AGREEMENT

    As an NYC 2015 participant:

    I will study all materials sent to me in preparation for the event.

    I will respect my adult district sponsors and all others who areput in charge of me. Upon return, I will report to my local church about my experience

    at NYC 2015.

    __________________________________ _____________________Student Date

    __________________________________ _____________________Parent/Guardian Date

    For District Office Use Only (Do notwrite in this space):

    Application Recd Date: ________

    Med/Liab Recd Date: ________

    District Approved Date: ________

    Medical/Liability copyto NYC Office Date: ________

    Online Reg Cd Date: ________

    Personal Reference RecdDate: ________

    Notes:

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    Nazarene Youth ConferenceJuly 8-12, 2015 | Louisville, KY, USA

    Student Medical andStudent Information Liability Release

    First Name: Middle: Last Name: Gender:

    Street Address: City:

    State/Province: Zip/Postal Code: Country: USA

    Email Address:

    Birth Date:

    (mm/dd/yy)Preferred Phone: Alternate Phone: District: Southwestern Ohio

    Parent/Guardian Contact Information

    Name: Relationship: Parent Guardian

    Preferred Phone: Alternate Phone:

    Email:

    Health Information Necessary for Proper Care and ProtectionIn order to assist medical personnel in an emergency situation, please provide the following:*For additional space, use separate page for responses

    Do you have any special needs the NYC staff needs to be

    aware of?Food allergies Handicap accessibleHearing impaired Vision impaired

    Other ______________________________

    Please provide details for any needs noted above:

    Family Physician:Physician Phone:

    List all current medications and dosages:

    Any allergies to medications?

    Date of last tetanus shot:

    Insurance Information

    Primary Name: Insurance Company:Policy Number: Group #:

    Guaranty of Payment for Medical Treatment for Minor Student(Required if No Insurance Information above)

    As (name of minor) (Student) is not covered by any type of health insurance policy or program,I (name of parent or guardian), on behalf of Student, hereby guarantee payment for any fees, expenses or costs related tothe medical treatment of Student in connection with Students participation in the Nazarene Youth Conference 2015 (NYC 2015) event. I understand andacknowledge that I may be asked to provide further guarantees of payment to health care professionals and institutions which provide medicaltreatment to Student. I also acknowledge that neither Church of the Nazarene, Inc. nor Nazarene Youth International (NYI) is responsible for the cost ofStudents medical treatment and I shall indemnify, defend, and hold harmless Church of the Nazarene, Inc., Nazarene Youth International, theirrespective officers, directors, employees, and/or agents from and against any and all claims which may be made as a result of my failure to providepayment for Students medical treatment.

    Authorization for Medical Treatment & Parent/Guardian PermissionIn the event I cannot be reached, I authorize and direct any adult Nazarene Youth International employee or volunteer representing the Church of the Nazarene tomake emergency medical decisions for my child. I hereby authorize that emergency medical and/or surgical care may be provided for my son/daughter at myexpense. I also hereby release and discharge the Church of the Nazarene, Inc. and its affiliates, along with any other chaperoning adult employees orvolunteers of Nazarene Youth International, its agents, employees, officers, directors, affiliates, successors, assigns and all other from any and all claims,demands, expenses, personal injury, wrongful death, causes of action, lawsuits, damages, and liabilities of every kind and nature, whether known or unknown, inlaw or equity, that I or my child ever had or may have, arising from or in any way related to my childs participation in any activities associated in any way with NYC2015. I have full knowledge as to such activities and I have full knowledge of the probable risks involved. Except for those limitations named in this health form, Icertify that my child is healthy and fit to participate in all such activities.

    Further, I acknowledge that NYI and/or its agents will be taking photographs and/or videos of the NYC 2015 event and that my child may appear in thosephotographs and/or videos. I hereby give my permission to NYI and/or

    Church of the Nazarene, Inc. to utilize event media in all forms and in all manners formarketing, promotional, and future event development. I also give my permission for my students contact information to be shared with USA/Canada Nazarenehigher education institutions. In addition I acknowledge that this release form also includes travel dates to and from the event with my sponsoring district.

    Signature______________________________________________ Date___________________ Relationship______________________________

    Please complete and return to: Joshua Myers, SWO District NYC Coordinator

    Parkveiw Nazarene Church, 4701 Far Hills Avenue, Dayton, OH 45429| 937-308-5934 |[email protected]

    Nyc15

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    What is NYC & Who can Attend?

    Nazarene Youth Conference (NYC), is an exciting and life-changing event for high

    school students, occurs just once every four years. The second-largest event

    sponsored by the Church of the Nazarene, NYC is open to students entering 9th

    grade in the fall of 2015 through those just graduated from high school as members of

    the class of 2015.

    THE PURPOSE OF NYC 2015

    1. GATHER USA/CANADA NYI STUDENTS AND LEADERS

    for worship, discipleship, service, celebration, and leadership development.

    2. IMPACT THE HOST CITY AND SERVE THE PEOPLE OF LOUISVILLE

    through a variety of projects and presence.

    3. CALL STUDENTS TO A DYNAMIC LIFE IN CHRIST

    and provide experiences that compel them to make a difference in their church,

    community, district, and world.

    When & How Much?

    The conference begins on July 8th and concludes on July 12th, but we will be leaving

    a day early on July 7th with the SWO District NYI. By doing this we will be able to

    experience some of the sites, sounds and food Louisville on a 3 hour dinner cruise

    along the Ohio River; this will also allow us to experience a smoother registration

    process on the 8th.

    The cost is $995, and because we believe in the impact it will have on our students we

    will pay $100 toward each registered participant. Below you will see the payment

    schedule:

    September 30,2014 $150.00

    October 31, 2014 $150.00

    November 30, 2014 $ 50.00(Countryside will contribute $100 upon receiving of $50 payment.)

    December 31, 2014 $ 0.00 (So that families are not burdened during Christmas.)

    January 31, 2015 $75.00

    February 28, 2015 $100.00

    March 31, 2015 $100.00

    April 30, 2015 $100.00May 31, 2015 $ 45.00

    Total $895.00

    If you decide to register after December 31st the cost increase by $50. If you register

    after January 27th the price increase an additional $25. No registrations will be

    accepted after February 9th.

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    Countryside Student Ministries 2014--2015 Quick Reference Calendar

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    February 20151 Bunch 2 Lunch @ Penn Station14 Valentines Dinner FR16 Sky Zone28 $100 NYC Payment

    March 20151 Bunch 2 Lunch @ Hot Head (FR)7 Family Movie Night FR21 SWO Blast @ West Chester27 Gathering31 $100 NYC Payment

    April 20151 CSM Easter Egg Hunt5 No Student Take Over

    26 SWO Night of Praise30 $100 NYC Payment

    May 20153 Potato Bar Lunch FR22 Last Day of School31 $45 NYC Payment

    June 20157-13 Senior Trip to MB26-29 SWO NYI Summer Camp

    July 2015

    7-12 NYC 2015

    August 20159 Back 2 School Party16 Lunch On the River26 Annual Student Parent Meeting

    September 2014

    3 Small Groups Start7 Sunday Night Student TakeOver

    Starts18 Bob Evans FR

    27 Drive In Movie FR30 $150 NYC Payment

    October 20144 Son Fest @ MVNU12 SWO Night of Praise17 G.N.O.!19 Chili Lunch FR26 STO Halloween Edition31 $150 NYC Payment

    November 20142 Bunch 2 Lunch @ Gold Star (FR)14-16 Deeper Weekend26 NO Small Groups30 $50 NYC Payment

    December 20147 Pancake Lunch FR19 Christmas Gathering24 No Small Groups30-31 SWO Almost New Years Eve Party @

    D&B

    January 2015

    4 Skyline Lunch FR16 G.N.O.!19 Snow Tubing @ PN25 SWO Night of Praise31 $75 NYC Payment