Registration Deadline: Sunday, January 21, 2018!
Ink This Too . . . Medical Information Doctor: ________________________________________ Insurance Provider: ______________________________ Policy #: _______________________________________ Group #: _______________________________________
Bring ‘Em . . .
Bible Pen for notes Enough clothing for entire weekend A salty snack, a sweet snack and your favorite soda Jeans or Khakis to go with your T-shirt we will give you for Sunday Sleeping bag Any spending money you may need
List ALL medications* students will need: Prescriptions:
Other:
____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ *Please make sure that your student gives his/her medication to the adult in their Host Home.
List ALL Allergies: Foods: ________________________________________
Leave ‘Em . . .
Earbuds or Headphones Cigarettes, vapes, electronic cigarettes, tobacco, and/or drugs of an addictive nature Weapons of any kind Bad attitudes or anything else that would hinder you or others from hearing what God has to tell them!
Medications: ___________________________________ Insect Bites: ___________________________________ Do you suffer from any of the following: ___Sinus Trouble ___Heart Trouble ___Hay Fever ___Epilepsy ___Asthma ___Diabetes
Family Ties Participants Meeting: Wednesday, January 24th at 7:00 p.m. in the Back Room of the Activities Center
Are you restricted from sports: ____yes ____no Why: __________________________________________ EMERGENCY CONTACT: Name: _________________________________________ Relationship: ___________________________________ Number(s) you can best be reached: _______________ _______________________________________________ _______________________________________________ _______________________________________________
2 S. McGregor Ave. Mobile, Alabama 36608 Phone: 251-342-5349 Fax: 251-342-6217 Website: www.shbc.cc
*Registration Deadline: Sunday, January 21, 2018!
What’s it all about? Family Ties is a chance for you to get out of your house and move into someone else’s for the weekend—you and several of your friends! The weekend is packed with House vs. House competition, Awesome Worship, Amazing Mission Projects, and Lifechanging time in God’s Word! It is a weekend that you will not want to miss!!!
Looking back . . .
Ink This . . . Name:__________________________________________ Address:________________________________________ City:_________________ State:______ Zip:____________ Home #:__________________Cell #:_________________ SHBC Member: ____yes
____no
If no, where do you attend:__________________________ School:__________________________ Grade:_________ ____Male ____Female Age:______ Bday:___________
SPEAKER:
Britton Latham
Britton Latham lives in Huntsville, Alabama with his wife and three kids. He leads the Student Ministry and Contemporary services at Mount Zion Baptist Church where he has served for the last seven years. Britton has been helping students encounter Christ for nearly fifteen years and strives to bring the Bible to bear in people’s lives in new and exciting ways.
Please list visitors that you are bringing with you: ________________________________________________ ________________________________________________ T-shirt size: ____S ____M ____L ____XL ____XXL Parents, read and sign below. ______________________________ has my permission to attend Family Ties 2018 on January 26-28, 2018. I certify the provided information is correct to the best of my knowledge. I understand that SHBC and its affiliates will not be held liable for any accidents or injuries my student may incur while participating in this event. In the event of an emergency, I give permission for any licensed medical doctor to treat or x-ray my student if necessary. I understand that if my student’s behavior is disruptive or uncontrollable, he/she will be sent home. I understand that on occasion, SHBC uses photos on its website and/or for church-related publicity and my child will never be identified by name in any photos. ________________________________________________ Parent/Guardian Signature ________________________________________________ Date
Bring ‘Em . . .
Bible Pen for notes Enough clothing for entire weekend A salty snack, a sweet snack and your favorite soda Jeans or Khakis to go with your T-shirt we will give you for Sunday Sleeping bag Any spending money you may need
List ALL medications* students will need: Prescriptions:
Other:
____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ *Please make sure that your student gives his/her medication to the adult in their Host Home.
List ALL Allergies: Foods: ________________________________________
Leave ‘Em . . .
Earbuds or Headphones Cigarettes, vapes, electronic cigarettes, tobacco, and/or drugs of an addictive nature Weapons of any kind Bad attitudes or anything else that would hinder you or others from hearing what God has to tell them!
Medications: ___________________________________ Insect Bites: ___________________________________ Do you suffer from any of the following: ___Sinus Trouble ___Heart Trouble ___Hay Fever ___Epilepsy ___Asthma ___Diabetes
Family Ties Participants Meeting: Wednesday, January 24th at 7:00 p.m. in the Back Room of the Activities Center
Are you restricted from sports: ____yes ____no Why: __________________________________________ EMERGENCY CONTACT: Name: _________________________________________ Relationship: ___________________________________ Number(s) you can best be reached: _______________ _______________________________________________ _______________________________________________ _______________________________________________
2 S. McGregor Ave. Mobile, Alabama 36608 Phone: 251-342-5349 Fax: 251-342-6217 Website: www.shbc.cc
*Registration Deadline: Sunday, January 21, 2018!
What’s it all about? Family Ties is a chance for you to get out of your house and move into someone else’s for the weekend—you and several of your friends! The weekend is packed with House vs. House competition, Awesome Worship, Amazing Mission Projects, and Lifechanging time in God’s Word! It is a weekend that you will not want to miss!!!
Looking back . . .
Ink This . . . Name:__________________________________________ Address:________________________________________ City:_________________ State:______ Zip:____________ Home #:__________________Cell #:_________________ SHBC Member: ____yes
____no
If no, where do you attend:__________________________ School:__________________________ Grade:_________ ____Male ____Female Age:______ Bday:___________
SPEAKER:
Britton Latham
Britton Latham lives in Huntsville, Alabama with his wife and three kids. He leads the Student Ministry and Contemporary services at Mount Zion Baptist Church where he has served for the last seven years. Britton has been helping students encounter Christ for nearly fifteen years and strives to bring the Bible to bear in people’s lives in new and exciting ways.
Please list visitors that you are bringing with you: ________________________________________________ ________________________________________________ T-shirt size: ____S ____M ____L ____XL ____XXL Parents, read and sign below. ______________________________ has my permission to attend Family Ties 2018 on January 26-28, 2018. I certify the provided information is correct to the best of my knowledge. I understand that SHBC and its affiliates will not be held liable for any accidents or injuries my student may incur while participating in this event. In the event of an emergency, I give permission for any licensed medical doctor to treat or x-ray my student if necessary. I understand that if my student’s behavior is disruptive or uncontrollable, he/she will be sent home. I understand that on occasion, SHBC uses photos on its website and/or for church-related publicity and my child will never be identified by name in any photos. ________________________________________________ Parent/Guardian Signature ________________________________________________ Date
