412 2024 30 Hour Famine


Your child would like to participate in our 412 Student Ministry 30 Hour Famine Event on May 10th - 11th, 2024. 



Participation means that your child will:


  • Will fast (not eat) for 30 hours. Starting after lunch on Friday May  10th 2024

  • Drink only water and juice during those 30 hours.

  • Bring their Famine funds that they have raised, to the church on the day of the event. (May 10th, 2024) 

  • Come to the church straight after school Friday afternoon (starts @ 5 PM), stay overnight, and participate until AFTER clean up and the Break-The-Fast meal Saturday evening (Event will be over between 7:30-8 PM). 

  • Participate in activities/games some of which involve dangers and risk of bodily injury.

  • Sign In when they arrive and Sign Out when they leave. 

  • Leave the church campus to do a service project, traveling in our church van and staff vehicles (your signature at the bottom acknowledges and approves your child leaving the church campus).



About Fasting

The average, healthy person is able to go without food for 30 hours without any ill effects. Exceptions include, but are not limited to, the following:


  • Children under the age of 12

  • Pregnant or nursing women

  • People over the age of 65

  • People with diabetes, reactive hypoglycemia, an eating disorder, or any combination of biological, psychological, and environmental conditions which could precipitate an eating disorder


Please note: Because the above medical conditions are not always obvious, if you have any concerns about your child’s health while taking part in the 30 Hour Famine, you are strongly encouraged to consult with your child’s physician prior to his or her participation. Your signature at the bottom of this form implies that you have taken this precaution and are allowing your child’s participation with fully informed consent and relieving and exempting Hillsboro Christian Church, its staff and adult volunteers from liability for any health issues related to or not related to fasting for 30 hours, any personal injury, property damage, or wrongful death during this event on May 10th - 11th, 2024. 



What To Bring: Sleeping Bag (or bedding of some sort for sleeping on the floor), pillow, toiletries, change of clothes, optional: active wear for games, and stuff for a shower if you would like to take a shower. If able: A bottle of juice to share. Nothing acidic. 

Student Information

*For the remainder of this form the term "Student" will refer to the minor mentioned above that is in 7th - 12th grade. 

Parent/Guardian Information

Emergency Contact Information

In case of emergency, we will attempt to contact the primary parent/guardian first, followed by the secondary parent/guardian. If you have someone who you would like to add as an emergency contact in the rare scenario that we cannot reach either parent or guardian please list them here. 

Medical Information

Permissions

Code of Conduct

-No possession or use of alcohol, drugs, tobacco, or juuling/vaping or any other kind of e-cigs. 

-No fighting, weapons, fireworks, lighters, explosives, or any other activity that may cause body or property damage. 

-No offensive language (swearing, cussing, sensual, sexual, inappropriate jokes, etc.)

-No PDA (Public Display of Affection, students will hear it referred to as "NO PURPLE!". Guys are blue, girls are red. Don't mix 

  the two) We do not allow guys and girls to kiss, hold hands, hug for extended periods of time or any other form of touch, 

  embrace etc. that would be considered affectionate or sensual/sexual in any way. If students have a boy/girl friend here and 

  are allowed to do any of that elsewhere they will be expected/asked to refrain while a part of our event or parents will be 

  contacted and they will potentially be sent home.

-No offensive or immodest clothing as listed below: 

                -No tank tops, spaghetti straps, or showing of the midriff  

                -Swimsuits should be modest. No bikinis unless a dark shirt is worn over. 

                -No pants with writing on the back side 

                -No short shorts, dresses or skirts

                -No sagging – no underwear showing because pants/shorts are too low

                -No holes in inappropriate places

                -In all matters of clothing modesty is the best policy. 

 -A student not complying with the dress code above will be asked to change or be sent home to change. 

-No boys in girls’ sleeping quarters and no girls in boys’ sleeping quarters.

-No leaving the facility without the Student Minister (Dana Kennard) receiving parent/guardian permission. If a student leaves without permission we will be forced to call parents and or authorities as we will at that point label the student as "missing". 

STUDENTS WHO FAIL TO COMPLY WITH THESE EXPECTATIONS MAY BE SENT HOME/PICKED UP AT THEIR PARENTS’/GUARDIANS’ EXPENSE.


The Student is also expected to: 

-Participate with the group.

-Respect property.

-Respect one another, staff, and adult leaders.

-Respect and comply with event schedules.

This consent form gives permission for your Student to attend the above mentioned event and to seek whatever medical attention is deemed necessary, and releases Hillsboro Christian Church, its staff or any of its volunteers of any liability against personal losses of named Student. I, the undersigned have legal custody of the Student named above, a minor, and have given my consent for him/her to attend this event being organized by Hillsboro Christian Church off campus. I understand that there are inherent risks involved in any off campus event, and I hereby release Hillsboro Christian Church, its ministers, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my Student’s involvement. In the event that he/she is injured and requires the attention of a doctor, I consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by Hillsboro Christian Church, I agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I also acknowledge that I will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I affirm that the health insurance information provided above is accurate at this date and will, to the best of my knowledge, still be in force for the student named above. I also agree to bring my Student home at my own expense should they become ill, injured or if deemed necessary by the Hillsboro Christian Church’s Student Minister (Dana Kennard), any of the other paid staff or background checked Adult Volunteer Leaders. If you agree to the above terms please sign below:

I am 18 or older and I am filling out this form for myself. I am the "Student" mentioned above.

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