Jr. High Retreat - Camp Blue Diamond

Inviting 6th, 7th & 8th graders for a great weekend at the
Jr. High Retreat
Andy Duffey, pastor at the New Enterprise Church of the Brethren, will be leading sessions on:
Looking in the Mirror:
Reflecting the Everyday Jesus
Andy will be
focusing on how we
can reflect the way
of Christ in
everyday situations
and relationships
that 6th, 7th & 8th
graders face. How
can Jesus be there
at all times? Plus all
of our usual camp
----------------------------------------------------------------------------------------------------------------------------------------------------------------
fun: great
Name _______________________________________________ Phone ________________________
counselors, games,
Street ________________________________ City ___________________ State
____ campfire
Zip _______
singing,
and more!
Who: All 6th, 7th & 8th Graders
When: Feb. 20th – 22nd
Begins 7 pm Fri. - Closes 1:30 pm Sun.
Where: Camp Blue Diamond, Main Lodge
Bring: Sleeping Bag, Pillow, Flashlight, Bible,
Boots, Warm Clothing for Outside, Friends
Cost: $55, $50 before Feb. 13th
How: Complete this form and mail with fee to:
Camp Blue Diamond,
P.O. Box 240
Petersburg, PA 16669
Congregation _______________________________
Grade _____
Sex: M
F Jr. High Retreat
Parent/Guardian: I give my child permission to participate in the Camp Blue Diamond Jr. High Retreat on Feb. 20 – 22. I authorize the
leaders to act in any emergency and give permission to the physician selected to hospitalize or secure treatment as needed. Should it
become necessary for my child to return home for any reason prior to closing, I will abide by the decision and provide transportation. Also,
I give permission to use pictures of my child in brochures and other publicity used by Camp Blue Diamond.
Signed ___________________________ Date ________ Parent’s E-mail _______________________
Allergies:(include medications, foods, and environment) _______________________________________
Medications: (bring in original bottles with instructions) _______________________________________
Insurance carrier or plan name: __________________________________ Group #: _______________
Carrier address/phone: _____________________________________________________________