2015 "Youth In Christ" Summer Program True Light Baptist Church “Prayer Is Enough” 1 Thessalonians 5:17 Reverend Dennis R. Hebert, Sr., Pastor Director: Sister Diane H. Jones June 29, 2015 True Light Baptist Church 3836 North Street Baton Rouge, Louisiana 70806 Dennis R. Hebert, Sr., Pastor “YOUTH IN CHRIST” SUMMER PROGRAM SUMMARY What We Have to Offer Our ‘Youth In Christ” Summer program is designed for children ages 5-16. Children are engaged in devotion and bible lessons each morning, followed by Body Gospel (exercise your faith) and educational instruction in the areas of reading, language arts and math. The afternoon sessions consists of speakers, arts and crafts, baking activities, as well as educational and fun field trips. It is held Monday through Friday each week during the month of July, beginning Monday, June 29, 2015 and ending Friday, July 24, 2015. Doors will open at 7:30 am, and all children should be picked up by 4:30 pm. Breakfast and lunch will be provided for your child on Monday, Tuesday, Wednesday, and Thursday. However, on Fridays, please provide your child with funds for breakfast and lunch, because we will be traveling out of town. Our volunteer staff does an exceptional job of working and caring for our youth as well as chaperoning them on field trips. We are truly blessed to have volunteers who are committed and dedicated to our Youth Ministry. We also would like to thank our True Light Family for your prayers and continued support. Rules 1. 2. 3. 4. 5. 6. 7. 8. 9. Bring your bible each day. Appropriate clothing – “Youth In Christ” t-shirt each day with knee length shorts, jeans or khaki pants, and clean tennis shoes and socks (No sandals). Participate in all activities. Be respectful to adult leaders, chaperones and other children. Profanity, swearing or any abusive language is prohibited. NO electronic devices are allowed (e.g. cell phones, media players, cameras etc.). Children will be allowed to contact their parents or guardian if there is a need. Remain with your assigned group at all times. Emergency contact person must show picture ID. (i.e. drivers license) Please keep your surroundings clean at all times. Phone: (225) 383-1822 Fax: (225) 383-1822 E-mail: [email protected] True Light Baptist Church 3836 North Street Baton Rouge, Louisiana 70806 Dennis R. Hebert, Sr., Pastor “YOUTH IN CHRIST” SUMMER PROGRAM CONCENT FORM Child’s Name Last Name (print) Birthday First Name (print) Gender: Male Middle Suffix Female Program Consent: By signing below, I am giving consent that my child may participate in any True Light Baptist Church “Youth In Christ” summer weekly programs and camps (ages 5–16). In consideration of my child’s participation in this programs, I, and our heirs and assigns, hereby forever release, discharge and hold harmless the True Light Baptist Church directors, officers, employees, representatives, agents, and volunteers from any liability for an injury, loss or damage sustained by our child, howsoever caused, arising out of or in connection with our child’s participation in the above mentioned program. Transportation Consent: I understand that some of True Light Baptist Church “Youth In Christ” summer programs will require that my child be transported away from the base site. I understand that all safety precautions will be taken when transporting my child off site and I give permission for this to occur. Emergency Treatment: In the case of illness or accident of my child, and I cannot be reached by phone, I hereby authorize True Light Baptist Church “Youth In Christ” summer program staff to send for or seek medical assistance. I agree that in the case of an EMERGENCY, True Light Baptist Church “Youth In Christ” summer program staff may call upon the local hospital or ambulance. All costs incurred are the responsibility of the parent or guardian. This waiver and all information included on the attached forms which includes medical and contact information will be valid until December 31, 2015. It is my responsibility to inform True Light Baptist Church “Youth In Christ” summer staff in writing with any changes to this information in the one year term (January 1, 2015 to December 31, 2015). Parent or Guardian Print Parent or Guardian Signature Date Media Consent: There may be photos or video taken during the camp activities. Please sign on the line below to give True Light Baptist Church, “Youth In Christ” summer program permission to use any promotional photos or video that may include your child. Parent or Guardian Signature Phone: (225) 383-1822 Date Fax: (225) 383-1822 E-mail: [email protected] True Light Baptist Church 3836 North Street Baton Rouge, Louisiana 70806 Dennis R. Hebert, Sr., Pastor “YOUTH IN CHRIST” SUMMER PROGRAM REGISTRATION FORM Child’s Name Last Name (Print) First Name (Print) Middle (Print) Date of Birth Home Address Street Address City State Home Telephone Cell Telephone Work Telephone Email Address Zip My child has permission to attend the “Youth in Christ” Summer Program at True Light Baptist Church. Signature of Parent or Guardian: Make check payable to: True Light Baptist Church FOR OFFICE USE ONLY Cash Amount Phone: (225) 383-1822 Check Amount Initial Fax: (225) 383-1822 Date E-mail: [email protected] True Light Baptist Church 3836 North Street Baton Rouge, Louisiana 70806 Dennis R. Hebert, Sr., Pastor “YOUTH IN CHRIST” SUMMER PROGRAM CHILDS MEDICAL INFORMATION FORM PHYSICIAN (S) NAME: PHYSICIAN (S) PHONE NUMBER: PHARMACY (S) PHONE NUMBER: PHARMACY: EMERGENCY CONTACTS NAME RELATIONSHIP HOME PHONE MOBILE PHONE WORK PHONE MEDICAL CONDITIONS 1. 2. 3. 4. 5. 6. CURRENT MEDICATION REGIMEN MEDICATION Phone: (225) 383-1822 DOSAGE Fax: (225) 383-1822 FREQUENCY E-mail: [email protected] True Light Baptist Church 3836 North Street Baton Rouge, Louisiana 70806 Dennis R. Hebert, Sr., Pastor “YOUTH IN CHRIST” SUMMER PROGRAM T-SHIRT ORDER FORM Child’s Name First Name Middle Name Last Name ADULT SIZES YOUTH SIZES SM How many? $10.00 6/8 How many? $10.00 M How many? $10.00 8/10 How many? $10.00 LG How many? $10.00 10/12 How many? $10.00 XL How many? $10.00 14/16 How many? $10.00 2XL How many? $12.00 3XL How many? $14.00 All shirt orders must be paid in advance. Make check payable to: True Light Baptist Church OFFICE USE ONLY Total number of shirts ordered: Amount received: Phone: (225) 383-1822 Total amount of order: Cash Fax: (225) 383-1822 Check Check no.: E-mail: [email protected] True Light Baptist Church 3836 North Street Baton Rouge, Louisiana 70806 Dennis R. Hebert, Sr., Pastor “YOUTH IN CHRIST” SUMMER PROGRAM STUDENT ACADEMIC FORM Child’s Name Last Name (print) First Name (print) Middle Suffix Grade The True Light Baptist Church “Youth-In-Christ” Summer Program will focus on skills in the areas of Math, Reading and Language Arts. Our academic program has been designed to help students maintain and improve skills in Math, Reading and Language Arts. It is our desire that the Summer Youth Program is successful in helping our children return to elementary, middle and high school grades. Please place a ___√__ by the skill(s) in which your child needs improvement in as well as those skills you feel your child needs further development. Skills are listed for Kindergarten and First grade students only. Parents should list skills in Math and Reading/ Language Arts for second through tenth grade students. Please allow your child/children to assist you in identifying these skills, and list at least four skills that you would like to see your child improve. Phone: (225) 383-1822 Fax: (225) 383-1822 E-mail: [email protected] True Light Baptist Church 3836 North Street Baton Rouge, Louisiana 70806 Dennis R. Hebert, Sr., Pastor “YOUTH IN CHRIST” SUMMER PROGRAM STUDENT ACADEMIC FORM Kindergarten and First Grade - Reading / Language Art Express ideas and experiences verbally Names common objects and pictures Recalls sequence of events Discriminates between rhyming and non-rhyming words Distinguishes likeness and differences in color, size, shapes, letters, words Follows left to right sequence Distinguishes positional words Writing skills List other skills that your child needs improvement. Kindergarten and First Grade - Math Identifies numbers of a set Identifies a set that has more or less than another set Writes numbers 1-10 Identifies ( ordinal position 1st through 5th ) Combines sets Understands basic math concepts List other skills that your child needs improvement. Phone: (225) 383-1822 Fax: (225) 383-1822 E-mail: [email protected] True Light Baptist Church 3836 North Street Baton Rouge, Louisiana 70806 Dennis R. Hebert, Sr., Pastor “YOUTH IN CHRIST” SUMMER PROGRAM STUDENT ACADEMIC FORM Reading / Language Art Oral language Written language Listening Handwriting Comprehension Word recognition Vocabulary Phonetic analysis List other skills that your child needs improvement. Math Concepts Basic Facts Computation Problem solving Algebra Geometry List other skills that your child needs improvement. Phone: (225) 383-1822 Fax: (225) 383-1822 E-mail: [email protected]
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