LIVING WATER CONFERENCE 2014
Thursday, July 3 – Sunday, July 6
Conference Fee Conference Location
Registration Application Due: Saturday, May 31, 2014 Camp Oakhurst
Adult Fee Rate (12 yrs & older): $170.00 36611 Mudge Ranch Rd
Children Fee Rate (3-11 yrs): Coarsegold, CA 93614
Infants (0-2 yrs):
No Walk-In Registration (Please note: Prices do not change for individuals who are arriving on Friday or Saturday.)
For youth persons age 18 and over, please register individually (attach your registration form with your family’s registration form if applicable), per liability purposes. For families/parents with children under 18, please register as a household. Attach additional pages if needed.
NAME / AGE / M/F / GROUP(Adult(married)/Youth (single)/Child/Infant) / CONTACT #
(If available) / T-Shirt Size
(For LWC records only, not a pre-sale order) / FEE
1 / $
2 / $
3 / $
4 / $
5 / $
6 / $
7 / $
TOTAL / $
· You may turn in your registration form(s) to or mail to:
Ia Ka Xiong
4668 N. First St. Apt. 104
Fresno, CA 93726
· The camp fee must be paid in full by no later than Saturday, May 31, 2014. If mailing payment(s)/registration form(s), please be sure to mail it in a few days before the due date. PLEASE DO NOT MAIL PAYMENT/REGISTRATION ON THE DAY OF THE DUE DATE.
· Payments must be paid in checks only. Checks must be made payable to: Hmong Baptist National Association.
· The Hmong Baptist National Association, Living Water Conference Staff, and Camp Oakhurst are not liable for any persons listed above. In the event of any medical emergency, however, if parent or emergency contact person cannot be contacted, LWC Staff will take necessary measures to ensure the safety of all conference attendees.
By signing this form, the parent/guardian of the individuals who are attending the 2014 Living Water Conference understand and agree to the statements and expectations listed above. If an individual is 18 or older, he/she may sign for themselves after having read and understand the statements and expectations listed above.
______
Signature of Parent or Individual (if 18 or older) Date
LIVING WATER CONFERENCE 2014
Thursday, July 3 – Sunday, July 6
Medical Release & Emergency Contact Form:
To help the Living Water Conference Staff better assist all needs and requirements of every conference attendee, please list any allergies or medical problems that you or your house-hold members have. All information is kept confidential and will be used only during medical emergencies as necessary.
NAME / AGE / GROUP(Adult (married)/Youth (single)/Child/Infant) / ALLERGIES/MEDICAL PROBLEMS
Emergency Contact Person 1 Name:
Relationship to the conference attendee(s):
Contact Number:
Emergency Contact Person 2 Name:
Relationship to the conference attendee(s):
Contact Number:
By signing this form, the conference attendee, and/or parent/guardian of the conference attendee understands and gives consent to the Living Water Conference Staff to take any necessary actions to ensure the safety of the conference attendee, should any medical emergencies arise.
______
Signature of Parent or Individual (if 18 or older) Date
LIVING WATER CONFERENCE 2014
Thursday, July 3 – Sunday, July 6
What to bring to Living Water Conference:
Mandatory: LWC Permission Form & Medical Release Form
NECESSITIES / CLOTHING / MISCELLANEOUSBible
Notebook
Pen/Pencil
Pillow
Blanket
Bedsheet
(or Sleeping Bag) / Casual wear
Jacket/Sweater
Socks
Closed-toe shoes/tennis
Sandals
Swimwear:
Ladies: one-piece bathing suit, shorts to cover, dark tank top, dark bottoms, shorts must be no shorter than 4 inches above knee
Gentlemen: dark tank tops/t-shirts and dark bottoms / Flashlight
Bath Towel
Lip balm
Sunscreen
Deodorant
Lotion/Moisturizer
Soap/Shampoo
Other Personal Hygiene Items
Medication (if needed)
NOT ALLOWED
Ladies: Short-shorts (enforced rule)
Spaghetti-straps, halter tops, tube tops (all straps should be three-fingers width)
Gentlemen: tank-tops (worn without shirt over it), no sagging pants
No headgears indoors, such as hats/caps/beanies/bandanas
No sunglasses indoors
Clothing with inappropriate words or profanity
Thin shirts/pants
Electronic devices, such as music players, personal laptops, cell phones, game players, cameras, etc. that are used during inappropriate times will be confiscated by staff and returned only after the Conference is over.
| STAFF USE ONLY | CASH: ______/ CHECK: ______PAYMENT RECEIVED BY: ______DATE RECEIVED: ______