What is CPYA? Our Speaker Permission Form The Cascades Presbytery Youth Assembly is

What is CPYA?
The Cascades Presbytery Youth Assembly is
an annual fall retreat that brings high school
youth together from all over Oregon and
Washington.
A team of high school student leaders joined
forces with the retreat deans to plan an
amazing weekend for you and your friends.
CPYA will be held at Aldersgate Camp and
Retreat Center in Turner, Oregon (just south
of Salem). Aldersgate is nestled among 38
forested acres full of great amenities, including
a beautiful dining hall with delicious food.
www.aldersgateretreat.com
For one incredible weekend we have the
opportunity to explore our faith through
worship, small group gatherings, youth
group time, and fun activities with friends. It
is our hope that you will come away with a
deeper and more meaningful relationship
with Jesus Christ.
And don’t forget . . . this weekend is packed
with group games, free time to hang out at
the coffee shop or ice cream parlor,
basketball, slingshot paintball, mini-golf,
board games . . . lots of time to hang out
with your friends—both new and old.
Our Speaker
Permission Form
Mike Hogan is the Northwest
Director of Church
Mobilization for International
Justice Mission. IJM is a
human rights agency that
secures justice for victims of
slavery, sexual exploitation
and other forms of violent
oppression.
I hereby give my permission for my child to attend CPYA
2013 at Aldersgate Camp and Retreat Center,
November 22-24, 2013. I understand that in the unlikely
event of an accident or illness, every effort will be made
to contact me at the phone numbers provided. In the
event that I cannot be reached, I hereby authorize the
adult leaders of CPYA to take whatever medical
attention is deemed necessary, including securing the
opinion of a physician or hospitalization.
Prior to working with IJM, Mike managed economic
relief programs aimed at serving underprivileged
populations both in his local community and other
areas of the world. He has led trips spanning a
wide range of human rights issues, from providing
law enforcement training and aftercare for victims
of sexual abuse in Huánuco, Peru to HIV and AIDS
prevention in Malawi. Previously, Mike served for
four years as the InterVarsity Campus Director at
the University of California, Santa Cruz.
Parent Phone _______________________________
In his current role, Mike works to engage churches
in the biblical call to justice, and to develop a
deeper commitment to justice in churches through
partnership with IJM.
CPYA 2013 Details
Date: November 22-24, 2013
*Meet at the Valley Youth House at 5:00 p.m.
on Friday, Nov. 22. Return to the Youth House
by 3:00 p.m. on Sunday, Nov. 24.
Location: Aldersgate Retreat Center
7790 Marion Rd. SE Turner, OR 97392
Cost: $95 if turned in by Friday, Oct. 18.
$120 if turned in by Thurs., Oct. 31.
Parent Name ________________________________
Signature ___________________________________
Insurance Carrier _____________________________
Policy Number _______________________________
Please provide an emergency name and phone
number, in the event a parent cannot be reached.
Emergency Contact ___________________________
Phone Number ______________________________
__ This camper may appear in photos or film used for the
promotional purposes of the Presbytery of the Cascades.
__ This camper may NOT appear in photos or film used for the
promotional purposes of the Presbytery of the Cascades.
How to Register
Turn in this completed form with your amount
due to Laurel Cluthe or Rebecca Chancellor.
Checks should be made out to:
Valley Community Presbyterian Church.
Presbytery and Valley scholarships are
available if you register by the early deadline:
Friday, October 18!!
CPYA 2013 Registration
Name __________________________________
Circle one:
Youth
Leader
Gender:
Female
Male
T-Shirt Size:
S
M
L
XL
2XL
What to Bring
Sleeping bag & pillow
Toiletries & bath towels
Clothes for rain & shine, dirt & grime
Bible & journal
Guitars, basses, harmonicas, banjos, etc.
This is your weekend and we want to hear you!
Sack dinner for Friday night
Lunch money for Sunday ($10)
Address: _______________________________
______________________________________
Phone Number __________________________
Grade in School _________________________
Church Valley Community Presbyterian- Portland
Youth Leader Rebecca Chancellor, Laurel Cluthe
Cost
On/Before October 18th
Presbytery Scholarship?
Valley Youth Scholarship?
$95 ____
-$25 ____
-$_______
October 19th – 31st
$120 ____
Total Due:
$______
----------------------------------------------------------------Our T-Shirt purchases support women rescued
from sex trafficking in Bangladesh. If you’d like to
order additional T-shirts, please add to this order:
___# shirts x $11
= ______
List sizes: ___________________
Total Due:
$______
What not to bring . . . .
Cell phones
Ipod/CD players, etc.
Computers or games
Anything valuable
Questions?
Presbytery of the
Cascades
Presents
CPYA
“God’s Love
is Bigger”
A weekend retreat for
High School Youth
Talk to Laurel Cluthe, Rebecca Chancellor,
or Rebekah Hanson!
November 22-24, 2013
Aldersgate Camp and Retreat Center
Turner, Oregon