touch group leader workshop leader Print this form out from your browser and fill it out.
Remember to fill out an ordinary Annual Conference registration form too.
Attach this form to the registration form.
Submit both to the address on the registration form.
Youth Consent:
I have read the
Youth Conference Guidelines and agree to abide by them:
No smoking, alcohol, drugs (except prescriptions), weapons, violence, or
sexual activity. Members of our community are empowered to voice their opinions,
objections, or concerns at any time. People and property are to be treated with respect.
Inappropriate, demeaning, derogatory, or offensive behavior is not acceptable.
| Youth’s name | ___________________________________________ |
| Signature: | ___________________________________________ |
| Date: | ___________________________________________ |
| I am interested in being a: touch group leader workshop leader |
|
| Workshop topic: | ___________________________________________ |
Parental Consent:
I give my permission for my youth to attend the Prairie Star District 2005 Annual Conference. I give my consent and authority for the conference staff to take any reasonable action to ensure my child’s safety, health, and welfare, including any necessary medical treatment. I understand that my youth must adhere to the YAC guidelines, and that any breach of these rules may result in removal from the conference at my child’s own expense.
| Parent name: | ___________________________________________ |
| Signature | ___________________________________________ |
| Date: | ___________________________________________ |
| Adult sponsor: | ___________________________________________ |
| My child
may
may not
sleep in coed sleeping quarters (check one) | |
| Emergency Contact: | |
| Name: | ___________________________________________ |
| Phone: | ___________________________________________ |
| Prescription medications or other health issues: | |