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Each summer the church sponsors a Youth Summer Camp Program for ages 4-17 in the month of June through July. It is open Mondays through Fridays from 8:00 a. m. to 4:00 p. m. We begin early registration in May and the fee is $50.00(NON-REFUNDABLE). You can register at the church between 9:00 a.m. and 2:00 p.m. Mondays through Fridays. Camp fee is $250.00 per month.

The Summer Camp is geared toward academics and fun. Teens will prepare for the ACT test, visit various colleges and universities in Louisiana area. Various field trips are taken each Friday and sometimes during the week. We also have before and after care for a small fee.

Each child will get Breakfast, Lunch and a Snack. The church participate in the USDA Summer Feeding Program. This program was established to ensure the low-income children continue to receive nutritious meals when school is not in session. Children to 18  years of age is eligible to eat whether they are enrolled in Summer Camp or not,  arrangements can be made by calling the church.  Meals will be provided at the church during the Summer Camp months 3 June through 26 July with breakfast being served at 8:00 a. m. to 9:00 a. m. and lunch from 11:00 a. m. to 1:00 p. m. Meals will be provided to children without charge. In accordance with Federal Law and the U.S. Department of Agriculture Policy, we are prohibited from discriminating on the basics of race, color, national orgin, sex, age, or disability. THIS INSTITUTION IS AN EQUAL OPPORTUNITY PROVIDER.

To file a complaint of discrimination write USDA, Director ,Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue,SW, Washington, DC  20250-9410 or call (202) 720-5964. USDA is an equal opportunity provider and employer. 


                                     Summer Food Service Program


Pentecost Missionary Baptist Church 36138 Shady Lane Slidell, LA (985)641-5527 is participating in the Summer Food Servic Program.

Meals will be provided to all chidren under age 18 without charge. Acceptance and participating requirements for the program and all activities are the same for all regardless of race, color, national orgin, gender, or disability, there will be no discrimination in the course of the meal service. Meals will be provided at the site and times as follows:

Pentecost missionary Baptist Church                               June 3 - July 26, 2019

36138 Shady Lane Slidell, LA 70460                                           Monday-Friday 

  Breakfast 8:00 a. m - 9:00 a.  m.                             Lunch 11:00 a. m. - 1:00 p. m.

Closed Thursday July 4, 2019 in observance of Independence Day.

Any person who believes he or she has been discriminated against in any USDA - related activity should write or call immediately to:

USDA    Director, Office of Civil Rights

1400 Independence Avenue, S. W.

Washington, DC 20250-9410

(800)795-3272 or (800)720-5964(TTY)

Pentecost Missionary Baptist Church

Program Monitoring (Waiver for 1st Week Visit)

Summer Food Service Program (SFSP) Section

 

Pentecost Missionary Baptist Church, today announced its intent to request approval from the United States Department of Agriculture (USDA) for use of a 2019 SFSP Waiver that would enable use of the Program Monitoring Waiver for all of its anticipated 2019 SFSP Sites:

 

Please note that a total listing of 2019 SFSP Sites will be furnished no later than mid-May.

 

For additional information, please contact:

Pastor Gary Wood

Pentecost Missionary Baptist Church
36138 Shady Lane
Slidell, LA  70460
Telephone: (985) 641-5527

Email: pbchu@bellsouth.net Non-Discrimination Statement

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1) Mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;

              (2) Fax: (202) 690-7442; or

              (3) Email: program.intake@usda.gov.              This institution is an equal opportunity provider.

                                   Pentecost Missionary Baptist Church Summer Camp

36138 Shady Lane    Slidell, LA 70460

Email:  pbchu@bellsouth.net

June 3, 2019 – July 26, 2019

8:00 a.m. – 4:00 p.m.

Registration Fee - $50.00

Non-members - $250.00 per month for 1st child

Members:  $200.00 per month for 1st child

 $25 discount for addl. siblings

Fees include, breakfast, lunch and a snack

Camp activities: Reading, Math, Spelling, Computer Lab & Games

Before and after care is available for $5.00 per day for each child. Before care is 7:00

 and after care is until 5:00 p.m. unless other arrangements are made.

Registration for members is April 1, 2019, 9am-1pm

Registration for non-members is May 6-May 30, 2019, 9am-1pm 

 For more information contact:

Church: 985-641-5527

Pastor’s Office: 985-285-5629

                                                         Summer Camp Application
   

For office use only

Check# ________$___________ $________
                               Amount of check    this camper

Check# ________$___________ $________
                               Amount of check    T-Shirt
 
Check From: _________________________

                 Pentecost Missionary Baptist Church 2019 Summer Camper Registration Form

Mail to: Pentecost Missionary Baptist Church
             36138 Shady Lane 
             Slidell, Louisiana 70460

Phone: 985-641-5527         Fax: 985-641-5450
E-Mail: pbchu@bellsouth.net 

Please note camp fees are non-refundable $250.00 per camper each month. There is a non-refundable $50.00 registration Fee.

Please enter correct phone numbers on the application.

Camp will begin June 3, 2019 through July 26, 2019.  Hours are 8:00 a.m. to 4:00 p.m.


***Please Print Legibly***               ***Please Print Legibly***                    ***Please Print Legibly***  

Camper Name___________________________________________________________
                                                First                                 Middle Initial                            Last
Home Address: ________________________________________________________________________
                              Street or Box Number                       City                        State                       Zip

Home Phone: _______________________Camper e-mail_____________________Gender__(M) __(F)

Grade This Fall_____Age at Camp_____ Birth Date______________

Custodial Parent/Guardian_______________________________________________________________

 Address_______________________________________________________________________________
                                                                     (If different from Camper)

Home Phone#_________________________________Work Phone#_____________________________

Cell Phone #__________________________________ Emergency #_____________________________
 
Additional Parent/Guardian______________________________________________________________

Address_______________________________________________________________________________

(If different from Camper)

Home Phone#_________________________________Work Phone#_____________________________

Cell Phone #__________________________________ Emergency #_____________________________

Who will pick up camper after camp?______________________________________________________

 
                                           PARENTAL / GUARDIAN CONSENT FORM

 

                Participant:____________________________  Date of Birth: _____________________

                Address:_____________________City: ____________State: _______Zip Code:______

                                             

                                              EMERGENCY CONTACT INFORMATION

                   PARENT/GUARDIAN NAME: _______________________________________

                   PHONE:__________________________CELL PHONE: ___________________

                  ALTERNATE CONTACT: ____________________________________________

                  PHONE:__________________________CELL PHONE: ____________________

 
I, the undersigned parent/guardian of the above named participant hereby grant permission for the participant to participate in all Field Trips I, ________________________________ (parent/guardian) have been advised of the nature and extent of the activities that may take place and represent to you that the participant is physically and mentally able to participate in these activities.

I, the undersigned parent/guardian of the above named participant hereby authorize on our behalf such medical and hospital treatment as you may deem advisable for the health and well being of the participant.

On behalf of the participant and myself, I hereby release Pentecost Missionary Baptist Church, its pastor, teachers, activity supervisors, and any and all members and volunteers in the above named activity.  I agree to defend and hold harmless against any claims or liabilities asserted against you at any time on behalf of the participant by reason of such participation or any other matter or thing to which this Consent Form appertains.


List any known medical complications to include medicine or food allergies: ________________ _________________________________________________________________________________
 

The activity begins at Pentecost Missionary Baptist Church at 8a.m. and the participant should return at approximately 3p.m. I authorize transportation by such said church. I am aware that activities will involve water slides and water pools from 2 to 4 feet, age and height appropriate.

 
_____________________________________                   ______________________________

         Parent/ Guardian Signature                                                        Date

 
This form must be signed and returned prior to departure.  Only those who return this form properly signed can be granted permission to participate.

__________________________________________________________________________________

 
Comments: Please list any special circumstances that might affect the camper relates to others at camp.  Examples: special dietary needs, short attention span, family or personal circumstances,
etc,.

Camp activities at Pentecost Missionary Baptist Church Camp may include but are not limited to:

Swimming, water slide, group games, skating, bowling, basketball, football, softball, volleyball, Ropes Course and Climbing Wall activities.  I do hereby assume all risk of the above and any other ordinary risk incidental to the camp setting and will hold the Pentecost Missionary Baptist Church and their Trustees, employees and agents harmless from any and all liability.  I hereby grant permission to Pentecost Missionary Baptist Church Camp to use photos of the above named camper, taken during activities at camp, for publicity purposes, in advertising materials, or on the camp’s website.

 
Custodial Parent/Guardian’s Signature ___________________________________________________

 

                                            PARENT CONSENT TO TREAT A MINOR

 

(THIS FORM SHOULD BE COMPLETED ANNUALLY AND A COPY SHOULD BE TAKEN ON EACH TRIP.)

 
Being the parent or legal guardian of _________________________ (minor's name printed) I _______________________ (parent/guardian's name printed) do consent to any x-ray, anesthetic, medical, surgical, or dental diagnosis or treatment that may be deemed necessary for my minor child.  Further, I understand that all efforts will be made to contact me prior to treatment.  In the event I cannot be reached in an emergency, I give permission to the activity leader to make the decisions necessary for treatment.  Should there be no activity leader available, I give permission to the attending physician to treat my minor child.  I further understand that the doctors, dentists, and other providers attending to my child will take all reasonable safety precautions during their care.

Further, as parent or legal guardian I am responsible for the health care decisions for my minor child and agree that my insurance plan is the primary plan to pay for the dental, medical, or hospital care or treatment that is given to my child.  Any policy of the church or organization sponsoring this event will be used as the secondary coverage.

 


Minor's date of birth: ___________________Date: ___________________________  

Parent/Guardian Signature_______________________________________________