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April 1, 2026

God will answer

Messenger: Pastor Lloyd Keith
Passage: Joshua 9:1
Service Type: Wednesday Night Bible Class

When you don’t ask God, you will answer to your decisions

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Address (Optional)
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Name of Camper *
Gender *
Street Address *
Instrument *
Will the child walk to camp? *
If the child is not walking to camp, who will be picking the child up?
Does the child take any medications that must be administered between the hours of 9 a.m. and 2 p.m.? *
If yes, can the child administer the medicine himself/herself?
Please indicate if it is a child's size or adult size.

Authorization

The Mt. Hebron Missionary Baptist Church is sponsoring a music camp at 3445 – 47 West Douglas Blvd from July 1 – July 31, 2025. I understand this document provides authorization granting the church permission to provide musical training, bible studies and social skills.  Full authority is granted to Mt. Hebron to supervise and instruct the same.  I do further agree to indemnify, protect and hold harmless said church, its officers, board members, supervisors, agents, servants, employees and all private persons or organizations  to supervise minor participants in this camp  from any claim or liability whatsoever, including but not limited to, personal injury, property damage, court costs, attorneys’ fees and interest, however caused, as a result of the minor participating in the camp.

I further agree to pay for all damages caused by the above named individuals to the  facility or the instruments, as well as any injuries/illnesses sustained by or caused by the same.

I hereby authorize Mt. Hebron Missionary Baptist Church and its designated representatives to obtain reasonable medical care and emergency services in case such circumstance presents itself.  I further hold harmless Mt. Hebron and its representatives of any liability due to such medical care and emergency service as provided.

I further agree that Mt. Hebron, its officers, agents, and/or employees reserve the right to terminate the participation of the minor for failure to behave and act in accordance with the church’s regulations and instructions on conduct, for failure to follow instructions and directions of the camp supervisors and/or chaperones, or for any acts of the minor deemed by the board, its officers, agents, and/or employees to be detrimental to or incompatible with the interest, harmony, comfort or welfare of the camp as a whole.

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Emergency Contact *
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Retreat Registration
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Name *
Address

Attendee #1

attendee1_name
attendee1_age
attendee1_sex
attendee1_shirt_size

Attendee #2

attendee2_name
attendee2_age
attendee2_sex
attendee2_shirt_size

Attendee #3

attendee3_name
attendee3_age
attendee3_sex
attendee3_shirt_size

AUTHORIZATION FORM

The Mt. Hebron Missionary Baptist Church is sponsoring a religious retreat at  Cedar Lake Ministries,  13701 Lauerman St., ,  Cedar Lake, IN 46303 from June 18 – June 21, 2025.  I understand this document is an authorization granting the church permission to take the above named individuals to the retreat.  Full authority is granted to Mt. Hebron to supervise and instruct the same.  I do further agree to indemnify, protect and hold harmless said church, its officers, board members, supervisors, agents, servants, employees and all private persons or organizations  to supervise or chaperone minor participants in this retreat excursion while engaged in this retreat (and its activities) including travel to and from, from any claim or liability whatsoever, including but not limited to, personal injury, property damage, court costs, attorneys’ fees and interest, however caused, as a result of the minor participating in the religious retreat.

I further agree to pay for all damages caused by the above named individuals to the retreat facility or the bus, as well as any injuries/illnesses sustained by or caused by the same.

I hereby authorize Mt. Hebron Missionary Baptist Church and its designated representatives to obtain reasonable medical care and emergency services in case such circumstance presents itself.  I further hold harmless Mt. Hebron and its representatives of any liability due to such medical care and emergency service as provided.

I further agree that Mt. Hebron, its officers, agents, and/or employees reserve the right to terminate the participation of the minor for failure to behave and act in accordance with the church’s regulations and instructions on conduct, for failure to follow instructions and directions of the retreat supervisors and/or chaperones, or for any acts of the minor deemed by the board, its officers, agents, and/or employees to be detrimental to or incompatible with the interest, harmony, comfort or welfare of the retreat as a whole.  If the participation of the minor is terminated, the minor shall be escorted home at the expense of the parent or guardian.  No refunds will be granted.

I further agree Mt. Hebron, its officers, agents and/or employees reserve the right at any time prior to or during the retreat, to make cancellation, changes or substitutions in emergencies or changed conditions or in the interest of the group, and to alter, prior to the retreat departure to meet unexpected changes in fares, hotel rates, etc.

Refund policy:  I understand and agree that if Mt. Hebron cancels the retreat for any reason, refunds will be granted.  However, if I should have to cancel for any reason,  no refunds will be granted  after June 1, 2025.

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