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CELEBRATING
THE FEAST OF THE NATIVITY
FROM HAITI TO THE HOLY LAND
Speakers will include:
Fr. Gregory Williams, St. John of Kronstadt Community, Liberty, TNNativity in Haiti: The Work of the ROCA Mission in HaitiFr Daniel Meschter, St. Innocent Mission, Pottstown, PA
Celebrating Christmas on January 7 in AmericaFr Nikita Grigoriev, St. Nikita Parish, Richfield Springs, New York
So whats so spiritual about secular music?Fr Nicholas Chernjavsky, Holy Ascension parish, Rochester, NY
"You don't drink at your friend's Christmas party???"Mother Agapia, Convent of Saint Nicholas, Constantia, NY
Bethlehem at the time of ChristDr. Maria Khoury,St Georges Church, Taybeh, Palestine
Nativity in Bethlehem 2010
Cost: $40.00 per person
Accommodations rustic! Bring a sleeping bag! All are welcome tohelp with cooking and cleaning!
Be prepared for outdoor winter activities. Weather permitting therewill be time for hiking/cross-country skiing and outdoor ice skating
Be prepared for Communion and be prepared to have a good timewith Orthodox friends (of your own religion :)!
With the Blessing of Archbishops Andronik and Chrysostomos
Nativity Fast Youth RetreatSaint Nicholas convent
Constantia New YorkFriday December 24 Monday December 27
December 24 - 27 20
Space is limited so sign up early! Deadline to sign up is December 15, 2010
(All those under age 18 must present attached medical waiver/parental release form)
R.S.V.P.: mother Agapia tel: 315-675-3178; e-mail:[email protected]
or
Mia Daniels [email protected]
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Friday, December 24:Sign-in during the day
6 PM Vespers/Matins, time for Confession
Small meal following service
Saturday, December 258:00 AM St Herman Liturgy followed by breakfast
10:15 AM11:00 AMIntro to the retreat and talk
by mother Agapia
11:00- 2:00 PM Rest or time for cross-country
skiing/walk thru Convent forest (select location, build
shrine to St. Seraphim)
2:15 Lunch
3:00 PM4:00 Talk by Fr Daniel
4:305: 30 Rule for Communion
5:306:00 Free time
6:006:30 Dinner
7:00 All-night Vigil with Confession available for all
participants
Sunday December 26*9:00 AM Hours and Divine Liturgy followed by
brunch
1-4 Free time and Talent Show
5:00 6:00 PM: Fr Nikita GrigorievSo whats so
spiritual about secular music?
7:00 Dinner8:00-10:00 Fr Nicholas Chernjavsky lead roundtable
on teenage drinking/bonfire by the cabin
Monday December 27 *8:00 AM Morning prayers followed by breakfast
10:0011:00 AM Fr Gregory Williams on life in
ROCAs Haitian Mission
11:15 AM St. Seraphim wood-splitting contest
1:15 PM Lunch
2 PM Maria Khoury on Nativity in the Holy Land
today; Review of what to expect on upcoming Holy
Land pilgrimages4 PM Clean up Preparation for Tuesday departures
(*Non-retreat participants invited to Sundays services
and Monday Speakers)
Schedule of Events
.
Saint NicholasWonderworker of Myra in Lycia.
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HOLD HARMLESS AGREEMENT/MEDICAL RELEASE
We, the undersigned parent, parents, guardian, guardians are desirous of having our child or
children participate in the St. Nicholas Nativity Fast Retreat and whereas the St. Nicholas
Convent is willing to accept them as participants on the condition of this instrument.
Therefore, in consideration of the St. Nicholas Convents authorization, the undersigned
parents or guardians and children agree that the children participating in the St. Nicholas
Retreat do so at their own risk. Neither the St. Nicholas Convent, Retreat Director, any
volunteer, the Russian Orthodox Church Abroad nor associate shall be liable for any damages
arising from personal injuries sustained by the child in participation of any activity or aspect
of the camp. The parents or guardians and child assume full responsibility for any injuries
which may occur to the child in said participation and they do hereby fully and forever
release and discharge and agree to indemnify and hold forever harmless the St. Nicholas
Convent, the Retreat Director, officers, volunteers, the Russian Orthodox Church Abroad and
associates, individually and jointly, and all employees and agents of them from any and all
claims, demands, damages, rights of action or causes of action present or future includingclaims for contribution and indemnification whether the same be known anticipated or
unanticipated resulting from or arising from the above mentioned activity. The undersigned
do acknowledge that they have made inquiry into the nature of the activity and have no
further questions concerning the nature or conduct of the activity and with such full
understanding do hereby cause this instrument of release indemnity to be executed.
In the event my child(ren) should become ill, or sustain(s) an injury while in the care of St.
Nicholas Convent, I, the undersigned parent or guardian, grant authority to the Director or
Retreat official to act on my behalf in obtaining any medical treatment that may be necessary.
This consent is in effect from December 24, 2010 through December 27, 2010. I will be
responsible for all medical expenses.
Signature of
Parent/Guardian: __________________________________ Date: ___________
Full name of camper: _______________________________________________
Phone Number: ____________________________________________________
***********MEDICAL FORM
Please Print - One sheet may be used for multiple campers if there are no medical conditions
Grade should be grade for the 2010-2011 school year.
Camper(s) Name _____________________________ Birthdate ___________ Grade ________Name ______________________________________ Birthdate ___________ Grade ________
Name ______________________________________ Birthdate ___________ Grade ________
Name of Parent/ Guardian _______________________________________________________
Address ______________________________________________________________________
City _________________________________________ State __________ Zip _____________
E Mail: ________________________________________________ Parent or child - most used
MONTH, YEAR VOL # ISSUE #
D
e
l
ST. Nicholas Nativity Fast Retreat 2010 VOL # ISSUE #
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ST. Nicholas Nativity Fast Retreat 2010
Phone: day ____________________________evening ________________________________
Cell 1 _________________________________ cell 2 __________________________________
EMERGENCY CONTACT (if parent/guardian cannot be reached)
Name ________________________________________ Relationship _________________
Phone day ____________________ evening ________________ cell __________________
HEALTH INSURANCE (please include a copy, front and back, of your insurance card)
Health Insurance Company _____________________________________________________
Name of Insured ________________________________
Subscriber #: _______________ Group #: ____________ Insurance Phone #: _____________
HEALTH HISTORYDoes your child(ren) suffer or has your child(ren) suffered from any of the following:
Asthma
Diabetes
Seizures
Ear Infections/Swimmers Ear
Eczema
Bee Sting Allergy
Food Allergy (list on back)
Drug Allergy (list on back)
List any and all medications (including dosage) your child will be required to take while at the
Convent. Please label all medications with campers name. Prescription medications should be in
the original labeled bottle.
______________________________________________________________________________
__
______________________________________________________________________________
__
______________________________________________________________________________
__
______________________________________________________________________________
__
______________________________________________________________________________
If your child(ren) has any other medical problem please include details on the back.Should
my child(ren) require minor medical treatment (for headache, scrapes, coughs, burns, etc.), I give
permission to the nursing staff to administer over-the-counter medicine and/or herbal products.
Signature of Parent/Guardian: ___________________________________ Date: ___________
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