New Life Youth Retreat 2026

Friday, March 27th

Meet at NLBC: 5pm

Welcome: 5:30pm

Dinner: 6:30pm

Worship/Lesson Time: 7:15pm

Group Activity: 9pm

Lights out: 10:30pm

Saturday, March 28th

Breakfast: 8-8:30am

Personal Devotional Time: 8:30-9am

Worship/Lesson Time: 9-10am

Group Activites: 10-12pm

Lunch: 12-1pm

Worship/Lesson Time: 1-2pm

Group Activities: 2-4pm

Worship/Closing:4-5pm

Parent Pick-up at New Life: 5:30pm

**Schedule is an estimate and could change. Please be flexible!**

Consent for Medical Treatment

In the case of an emergency, parents will be contacted immediately.
I , as the team member or parent guardian so hereby authorize the Agent, acting as my agent, to consent to any x-ray, examination, anesthetic, medical, or surgical diagnosis, or treatment and hospital care or service, which is deemed advisable by and is rendered under the general or specific supervision of any licensed physician and surgeon, or the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. It is understood that this authorization given in advance of any specific diagnosis, treatment or hospital care being rendered, but is given to provide authority and power on the part of the Agent to give specific consent to any/all diagnosis, treatment, or hospital care which the above mentioned physician, in the exercise of his/her best judgement, may deem advisable. I hereby waive and release New Life Bible Church, and/or Agent from damage, liability, claims, or causes of action arising from or relating to decisions made, consents granted, or authorizations made by an Agent pursuant to this Consent to Treatment.

Signature of parent guardian/team member:
First Name Last Name
Date of Birth:
Insurance Company:
Policy #:

Medical Information
Does the student have allergies including asthma?
Please explain on the field provided
Is the student currently under medication?
Please provide the details, the name of the medication and period of intake

Contact Information in Case of Emergency

For any questions or details please contact Mia Spickler: 469-733-2722 or Justin Spickler: 815-979-0382
Name

First NameLast Name
Phone Number:
Relation to student
Name

First NameLast Name
Phone Number:
Relation to student

Agreement and Expectations

Below is a basic overview of behavioral expectations for each student.
PURPOSE STATEMENT:

Our purpose is to grow in our love for God with all of our heart, soul, mind, and strength and to love our neighbors as ourselves in all we do!

We ask that during this retreat, students exhibit:

-Godly character

-A servant heart

-Integrity

-Flexibility

-Responsibility

-Puncutality/On-time

-Respectful towards leadership, fellow students, and any party involved.

-Positive attitudes!

-Open communication with leadership of any problems or issues.
I blanks, as a participating student of New Life Youth, agree to and understand these expectations.
I give permission for my student to join New Life Youth of New Life Bible Church in any of the activities or trips sponsored by the Church, its staff and sponsors. I hereby release them from responsibility and liability for any illness or injury that my student may sustain during this activity. In the event of an emergency, I hereby authorize an adult leader of this activity as agent for me to consent to any X-Ray exam, medical, dental, or surgical diagnosis, treatment and hospital care advised and supervised by a physician, surgeon, dentist (as appropriate), licensed to practice under the laws of the state where services are rendered, either at a doctor’s office or in any hospital. I expect to be contacted as soon as possible.
Signature of Parent or Guardian

Clear
Should be Empty:

New Life Youth Spring Retreat Form