Proclaim – Kelowna

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This form is to register to go on the trip to Kelowna to go to Proclaim at Fresh Start Church. This permission form must be completed before leaving Abbotsford.

Details:

Cost: $50
E-Transfer to: CPDNYI@gmail.com
Covers gas & lodging for the trip
Spending $ for meals is not included

Location for Drop Off/Pick Up:
Abbotsford Church of the Nazarene
2390 McMillan Road
Abbotsford, BC

Location of Fresh Start Church:
365 Mills Road,
Kelowna, BC

Location of Hotel:
Sandman Hotel Kelowna
2130 Harvey Ave,
Kelowna, BC

Drop Off: 3:00 pm, Friday, November 29
Pick Up: 5:00 pm, Saturday, November 30

What to Bring:
Bible, Notebook & Pen, Toiletries, Daily Medications, Swimsuit & Towel (as there is a pool at the hotel)
You will need to bring money to cover your own meals (3 meals total)

Online Registration:

    Information

    I am registering as a:

    Name

    Email

    Phone

    Birthday

    Age

    Medical #:

    Allergies:

    Primary Address

    Emergency Contact

    Name

    Relationship to Student

    Phone Number

    Legal Stuff

    I, the undersigned, parent or guardian of the above child, give the above child permission to attend and participate in “Proclaim - Kelowna” and all that it entails from November 29-30, 2024. I agree not to hold Canada Pacific District NYI, or any of their staff or leaders, involved in this event liable for accident, injury, illness, or death caused to the above-named child during his/her attendance and participation in “Proclaim - Kelowna". In case of an emergency, I give permission to the adult leaders to take necessary action to ensure the best possible care for the above-named child. In the event that I cannot be reached, I give permission for medical care in a hospital.

    Please select 'Yes' or 'No' if you agree to the following statement:

    By participating in "Proclaim - Kelowna" you consent to, photography, audio recording, video recording of said event and activities within; and its/their release, publication, exhibition, or reproduction to be used for live streaming, promotional purposes, advertising, inclusion on web sites, and/or any other purpose by the Canada Pacific District Church of the Nazarene and/or its' Churches.

    Please select 'Yes' to confirm that you have read and understand the CPDNYI Code of Content below.

    Parent or Guardian:
    If you are registering as a leader just use your own name for the parent/guardian info

    Name:

    Relationship to child:

    Signature of Parent/Guardian:
    (Please sign your name in the box below with your mouse, or finger on a phone or tablet.)

    Signature of Student:
    (Please sign your name in the box below with your mouse, or finger on a phone or tablet.)


    (if you get an error, try clicking submit again before refreshing or re-filling out the form)

    CPDNYI Code of Conduct

    For the safety and well-being of all participants and acknowledging that students represent both their local Nazarene Church and/or Canada Pacific District, the “Code of Conduct” will be strictly adhered to.

    Students are expected to:
    ● Understand that all bags and backpacks may be thoroughly searched at any time during the event.
    ● Follow all directions from Leaders courteously and respectfully.
    ● REPORT ON TIME to designated checkpoints as indicated by Leaders.

    Lodge/Hotel Guidelines
    ● Absolutely no mixed genders in Lodge/hotel rooms.
    ● Students are responsible for checking in with their Leaders when they arrive at designated meeting places.
    ● All students must remain in groups of at least 2 members and must have a cell phone.
    ● Be in their rooms, ready for room check at curfew time.
    ● Abide by all curfews and rules of the Lodge/Camp/hotel. There will be other guests at the Camp. Please be considerate of others. Do not make excessive noise in the Lodge/hotel (music playing, shouting, riding the elevator, etc.).
    ● Appropriate swimwear (Girls: one piece/Boys: swim trunks) must be worn at swimming pools.
    ● Keep the buses/transport vehicles CLEAN and follow all other rules of courtesy.
    ● Prior to leaving Lodge/hotel rooms at the conclusion of the trip, rooms will be checked by a Leader.
    ● Any damages incurred by students to property (hotel/buses/venues/etc…) during our trip will be the
    responsibility of the parent.

    The following rules are considered as zero tolerance policies for Canada Pacific NYI participants:
    ● No smoking/Vaping
    ● No consumption of alcohol
    ● No use of any drugs or medications unless specifically listed on the health portion of the permission slip.
    ● No inappropriate physical contact

    Consequences for zero tolerance rules include:
    ● Contacting parent/guardian
    ● Student being sent home early at the parent’s/guardian’s expense