Who: All Middle School Students (6th-8th grades)

What: A Middle School retreat

When: Friday September 18– Sunday September 20.

We will meet at the church to leave @ 5:30 PM on Friday,
and we will return after lunch on Sunday.

Where: North Georgia Christian Camp in Clarksville, GA.

Why: To deepen the spiritual lives of Middle School students

D ee pe r Life
and fellowship together.

How much: $30 covers all meals and registration and a T-shirt.
You can make a check out to Galilee Christian Church and pay the day we leave.
If you are not going because of financial issues please contact Brian for scholarship info.

What to bring: Bring a sleeping bag or twin sheets, pillow, clothes, bathing suit, toiletries, and your Bible

If you would like to attend Deeper Life, please return the lower left hand corner of this flyer, and the release
form attached.

If you have more questions contact:

Name:_________________________ Grade:_______ Brian LaRue
706.248.1251
brian@galilee.org
Phone Number:_________________ T-Shirt Size___

Deeper Life: Middle School Reservation

 Galilee Student Ministry
Trip and Event Authorization and Release Form 
 
 
We (I), the undersigned parent(s) of __________________________    hereby authorize and approve the said stu‐
dent’s travel for all the trips with Galilee Christian Church he or she participates during this year. 
 
The undersigned hereby releases Galilee Christian Church, it agents, employees, members, sponsors, ministers and 
vehicle drivers from liability, claims, demands, actions and causes of action whatsoever arising out of, or related to, 
any loss, damage or injury which may be sustained by the above referenced said student or the undersigned parent 
or guardian while the said student is traveling to or from, or participating in, any church activities or trips.  
 
In the event of an accident or injury to the above named student, when time is of the essence, I hereby authorize 
the event sponsor(s) to seek and authorize medical treatment by the best available medical personnel. 
 
Please complete to following information then sign and date this form. 
 
Parent(s) or Guardians full name: ______________________________ 
 
Phone number:__________ Cell number: _________ Work Number: _________  
 
IF you are not available contact: ____________  phone number: __________  
 
Insurance company: ____________________ Policy Number: _______________ 
 
Insurance company Phone number: __________   
 
Family Doctor: ____________________  Phone number: __________ 
 
Please list any allergic reactions or medications your child has: 
_____________________________________________________________________ 
 
_____________________________________________________________________ 
  
Executed _____________________ (Date) 
 
____________________   ____________________   ____________________ 
             Student          Parent or Guardian         Parent or Guardian 
 
Galilee Christian Church 2191 Galilee Church Rd. Jefferson, GA. 30549 706.867.8072