Exploring our faith, Growing together as a community in Christ s love.

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1 Exploring our faith, Growing together as a community in Christ s love Youth Ministry seeks to help youth build community, share their gifts, grow in life skills, develop a positive self-image, overcome prejudices, respect differences, serve those in need, develop a personal spiritual and prayer life, apply faith to daily life, participate fully in the life of the Church, and develop a relationship with our lord and savior, Jesus Christ.

2 Requirements for 2014 Major Events Purpose Statement The requirements established for our trips are designed to ensure the success of the trip by developing close interpersonal relationships, establishing a sense of community and trust, and ensuring that we will be able to gather the needed funds for current and future activities. Our trips involve one or more days of driving and/or flying followed by several days of living and working together as a group. It s imperative to our group that we have had a significant amount of time together, learning about each other & growing together in our faith prior to our departure. These requirements are minimums that our group has developed from many years of practice. They are not meant to be a checklist of things that have to be overcome in order to earn the right to go on the trip. Participation in additional activities is strongly encouraged. Mission Trip Requirements For Youth & Adult Youth Advisors The group will consist of a maximum of 30 people. Participation o A total of 20 events are required. 10 events by the Rock-a-thon, 5 more by May, and the final 5 before the mission trip. Attendance at the Fall or Spring clean-up day is required (at least 3 hours). Must attend the Rock-a-thon fund raiser minimum of 9 hours & $75 worth of sponsors are required, though we strongly encourage the youth to stay for the entire event & to gather as many sponsors as possible. Adults must agree to be advisors for two years, organize at least one youth event, and help at fundraisers Must walk in the CROP walk. Must participate in at least one beef bar-b-q, hoagie, Krispy Kreme or other major fundraiser. Participation in more than one is encouraged. Must attend church regularly. Spaces will be filled in the order of completed registration (signed form and payment) Must attend the mission trip retreat in the spring. Requirements for other major events Participation - A total of 20 events. 10 events by the March, 5 more by May, and the final 5 before the trip. Must attend the Rock-a-thon fund raiser minimum of 9 hours & $75 worth of sponsors are required, though we strongly encourage the youth to stay for the entire event & to gather as many sponsors as possible. Adults must agree to be advisors for two years, organize at least one youth event, and help at fundraisers Must participate in at least one beef bar-b-q, hoagie, Krispy Kreme or other major fundraiser. Participation in more than one is encouraged. Must attend church regularly. Spaces will be filled in the order of completed registration (signed form and payment) Must take an active role in planning & preparation.

3 Expectations for all Events & Activities Expectations for Youth & all Adults Respect everyone in the group & location staff and their property. Respect includes: o Treating people and their property in a manner that is fair and courteous o Being open to the ideas and suggestions of others o Recognizing the abilities of others o Choosing language that is encouraging & conducting yourself in a manner that does not degrade others o Helping to maintain an environment that is free of harassment, disrespectful actions, and language o Upholding others rights and dignity o Elimination of verbal, physical conduct, or abuse which interferes with an individuals behavior or creates an intimidating, hostile, or offensive environment. o Inappropriate characteristics include but are not limited to: use of threats or violence, taunting, use of obscene or profane language, inappropriate jokes, slurs, negative stereotyping, or other offensive / intimidating verbal or physical conduct relating to an individual s personal characteristics Must meet or exceed all requirements Lights out at designated times No drugs or alcohol (even if you are of age) Follow directions the first time that they are given No putdowns, compliments are good Express ideas and feelings freely No sexual activity No stealing Take care of vehicles and facilities

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5 Youth Ministry Schedule Date Event Time Contact 1/19 Planning for Youth Fri-Sat 1/24-1/25 Winter Retreat 8pm - 7am Saturday 1/25 Skiing 7a - 6p n/a Superbowl Party 2/2 (Meet at the church around 4.45 to carpool) ??? Thurs 2/6 Fleetwood Food Pantry /9 (Pastor John Away on Vacation) Youth Fellowship 2/16 Practice for Youth /23 Fri-Sat 2/28-3/1 3/2 Thurs 3/6 3/9 3/16 Friday 3/21 Saturday 3/22 3/23 3/30 Thurs 4/3 Fri-Sun 4/4-4/6 Saturday 4/12 4/13 Saturday 4/19 4/20 Youth (No Youth Fellowship Tonight) Rock-a-thon 9.00 & service 6pm - noon Fleetwood Food Pantry Youth Fellowship Souperbowl Painting Potpie Supper Prep Potpie Supper Prep Potpie Supper Serving & Dishwashing Youth Fellowship Fleetwood Food Pantry PSEC Spring Youth Event at Highpoint Camp Spring Cleanup Day Spreading Mulch along with other tasks (please wear old clothes) Stations of the Cross Easter Egg Hunt Easter pm pm :00

6 4/27 Tuesday 4/29 May5/2-5/3 5/4 5/11 5/18 Fri-Sat 5/23-5/24 5/25 Fri & Sat 5/30 & 5/31 Fri & Sat 5/30 & 5/31 6/1 6/8 6/15 Mon-Fri 6/16-6/20 Youth Fellowship Hoagie Sale Second Year Spring Confirmation Retreat Miniature Golf & Ice Cream $5.00 Mother's Day Confirmation Class Leading Worship Tentative: Mission Trip Retreat Relay for Life Rummage Sale Fleetwood Baccalaureate Confirmation () Father's Day & First Communion Vacation Bible School 6/25-6/28 Creation 6am 6pm-8pm 3pm - 3pm 6.00pm Deb & John 7/9-7/13 Regional Youth Event John 7/20-7/26 Mission Trip 8/3-8/16 German Visit Dates are Tentative at this point John, Brian, Jim, Ian

7 Contacts Church Office (610) John Folk (484) Erin & Jim Goldman (610) Deb & Gary Reinert (610) Bob & Ro Wolf (610) Leona & Jim Wright (610) Dawn & Kerry Kachel (610) Visit us online as well at inistries/. There you can find photos, copies of our schedules, forms, etc. Almost anything that is handed out is also posted there

8 PERMISSION FORM & RELEASE OF LIABILITY Activity: Participant Name / / Date of Birth I, as the parent or legal guardian of the person named above, understand that all events and activities have some amount of inherent risk. I recognize that it is my responsibility to determine which event(s) my child may take part in. In signing this release, I grant permission for my child/children to participate in the activity listed above and I agree to release St. Paul s U.C.C., staff, and volunteers from liability for injury, loss, and/or damages which may result from my child s participation in this event. I wish to place the following limitations on my child s participation (e.g., ladder work, use of specific power tools, etc): Signature of Parent / Legal Guardian Date Printed Name of Parent / Legal Guardian

9 MEDICAL RELEASE FORM: Multiple Event & Activities Release for 2014 Name / / Date of Birth I, as parent or legal guardian of the person named above, do hereby give my permission for the adult leaders of St. Paul s U.C.C. to act on my behalf for any and all medical needs that my child might require while participating in Youth Ministry and/or Christian Education events from January 15, 2014 to December 31, I understand that, in the event of a medical emergency where treatment is necessary, every effort will be made to contact me. However, if I cannot be reached, I give my permission to the leaders of St. Paul s U.C.C. to secure a licensed physician to provide the care necessary, including medical transportation, anesthesia, tests, x- rays, and injections, for my child s well being. Further, I grant permission to the leaders of St. Paul s U.C.C. to administer prescribed & over the counter medications as needed. I give permission to the physician selected by the leaders of St. Paul s U.C.C. to secure and administer treatment, including hospitalization, for the person named above. I agree to assume any financial responsibility for my child's care & agree to the release of any records necessary for treatment or insurance purposes. I understand that if any modifications are needed to this form due to changes in insurance information, medical needs, or any other reason throughout the course of the above period of time, it is my responsibility to notify the leadership of St. Paul s U.C.C. and provide a completed replacement form. Signature of parent/guardian / / Date Home phone Mobile phone Work phone address Home Address Emergency Contact(s): Main contact Relationship Main Phone Alternate Phone Secondary contact Relationship Main Phone Alternate Phone Physician(s) Primary Doctor Phone Number Other Physicians (specify specialty)

10 Insurance Information Insurance Company Employer Policy Number(s) Name of Insured Relationship to participant SSN of Insured* SSN of Participant* Is preauthorization needed? Yes No Contact number Medical Information *SSN is optional based on personal comfort levels. Care providers often request this information, but have never refused treatment if we did not have it. Please list any medical conditions of which the group leaders or an emergency care physician should be aware (i.e. but not limited to surgeries, asthma, allergies, chronic illnesses, heart condition, epilepsy, diabetes) At the present time, is this person under a physician's care? YES NO If "Yes," please describe Is this person taking any medication? YES NO If "YES," list names, dosage, and any side effects May your child take the following medications? Lomotil (for diarrhea) Yes No Tylenol Yes No Advil Yes No Pepto-Bismol Yes No Please list any other allergies to medications and/or restrictions Please list any limits on physical activity or other special instructions _ Blood type (if known) Please include copies (front & back) of medical insurance & prescription cards.

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