How to Register for The Disciple Project June 23-27, 2014 Texas Lutheran University, Seguin, Texas Most registrations for The Disciple Project are done as a group. The Primary Adult Leader registers all participants from their congregation following the steps at right which include collecting a signed Registration Worksheet from each person. If you are registering as an individual adult, you do not need to complete the Registration Worksheet before entering your data online. Youth/Adult Safety Ratio is 8 to 1 of same gender. Individuals must be age 21 or older to be an adult leader. Housing is gender-specific in the university dorms. Your congregation will be assigned to a suite (or suites) and the adult leaders will designate specific rooms within those suites after check-in. In accordance with our Safe Haven Policy, youth may share a suite with an adult, but not a room. It is imperative that groups with both male and female youth have both male and female adult leaders since they may be housed in different locations on campus. All participants will need to bring bedding & towels, however linens are available from the university for an additional fee. First Give a copy of the Disciple Project Registration Worksheet, (available on the following pages in English or Spanish), to each participant to gather the information you will need to register online AND signatures on the Covenant and Releases. Note: parents must sign releases if participant is under 18. Next Collect the completed, signed Worksheets from each person. Go to http://lead.wildapricot.org/Events, select Disciple Project, and register the Primary Adult Leader first. Then, one by one, enter each additional person’s data from their worksheet. Pay by credit card online or mail in a check. Finally Make a copy of each person’s completed worksheet for yourself, and mail the originals with ONE check payable to LEAD (or enclose a copy of credit card payment receipt) to: LEAD 12941 I-45 North Frwy, #210 Houston, TX 77060-1243 by the deadline listed below. A confirmation email goes to the primary adult leader upon registering. Additional info is sent via email and available at waytolead.org in the weeks leading up to the event. Cost: $395 per person (includes meals, housing & program) Deadline to register online Saturday, May 31, 2014. Late Registration: An i cros ntention sa Lead generati l o e n r s a for p h eopl ip Schoo l e in l 8 thro ugh th grade adul ts. Registration Fee includes housing, food, trainers, materials, projects & fun! After May 31, registrations will be accepted on a space-available basis for $415. Cancellation Policy: Cancellations can be done online by the Primary adult leader until May 31st. Once online registration has closed, email your cancellation request to [email protected]. Cancellations received on or before Monday, June 2 will receive a refund (credit card fees will not be refunded). No refunds will be made after that date; however, substitutions may be made for $20 per person. A TLU Health Form (available at waytolead.org) is required for every participant. Bring the completed and signed Health Forms to the event (do not mail). The TLU Health Forms will be collected at registration check-in by the school nurse. Please note that youth are required to turn in all medications to the school nurse at registration check-in. Questions: Contact Amy Gulliksen, Registrar at [email protected] or call 281-873-5665. Last Gender:  Male  Female City & State  Follow to LEAD  Sports & Fitness  21st Century Communication Have you been to Disciple Project before? If so, which track did you take? ________________________________________  Preaching  Music & Worship  Photography I would like a Linen Pack (sheets, blanket pillow, towel) additional cost of $15 Choose One Track:  Art  Camp Hope  Dance  Special Needs or Limitations:___________________________________________ Food or Environmental Allergies:_________________________________________ Safety Information Cell Phone: __________________________ Work Phone:_________________________ Relationship: ________________________ Name: _____________________________  Youth (under 18 years of age)  Young Adult (18 to 21 years of age)  Adult (over age 21) Year Home Phone:_________________________ Day In case of emergency, contact Check One: Month Date of Birth: _______/______/_______ E-mail address:______________________________________________________ Home Phone: ________________________ Cell Phone: ______________________ City, State & Zip: ____________________________________________________ Participant’s Mailing Address: ___________________________________________ Congregation Name Congregation: _______________________________________________________ Current Grade in School: ________ ________________ Preferred Name For Nametag: __________________________ First Name:____________________ Personal Information—PLEASE PRINT Please fill out this worksheet and sign where indicated. Give to your group’s Primary Adult Leader who will enter all information online and enclose with the Confirmation email. June 23-27, 2014 at Texas Lutheran University Date Parent or Participant (if age 18 or over ) Date ___________________________________________________________ Media Release: I, the undersigned, hereby give permission for LEAD and the TX-LA Gulf Coast Synod to use, publish, or disclose in newsletters, brochures, periodicals, posters, websites or other media related vehicles, any photographs, videos, audios, and any other material in which either I, or my minor child named at left, may have appeared, spoken, written, or otherwise been represented. I understand that a copy of this release will be kept on file to indemnify LEAD and the synod for use of the materials indicated. Medical Release: I hereby authorize my congregation’s adult leader and/or an event staff member to consent to and authorize the administration and performance of all treatments that may be considered advisable or necessary in the judgment of attending physicians, in the event that I, or my minor child named at left, should be admitted to any hospital, or be in need of medical treatment. Liability release: I certify that the information described in this registration form is accurate and complete to the best of my knowledge. I hereby release LEAD, the TX–LA Gulf Coast Synod, and the sponsors from any legal or financial responsibility with respect to participation in this event, or any known element associated with the event, including transportation by charter bus, rented van or private vehicle. I give permission for the distribution of the participant’s address, e-mail addresses and phone numbers to others (LEAD, synod teams, & TLU use only). I understand the implications of the Participant Covenant. Participant ___________________________________________________________ Participant’s Covenant: MUST BE SIGNED BY EVERY PERSON ATTENDING EVENT! By registering I am participating in an event which has as its purpose: Christian worship, fellowship and growth. As a minor (under age 21), I will refrain from using alcohol, tobacco or illegal drugs and I understand that no smoking is allowed. As an adult (21 or over), I will show good judgment and serve as a responsible role model in all aspects especially in regards to alcohol consumption. Adult alcohol consumption is not allowed in the presence of minors attending this event (other than for sacramental purposes). I will not bring anything that could be considered dangerous (fireworks, knives, lighters, etc.). I will participate fully in the event, honor time commitments and respect the rights of others. I understand that failure to abide by this covenant will result in consequences; one of which includes being sent home immediately at my own expense. LEAD 12941 I-45 North Freeway #210, Houston, TX 77060-1243 The Disciple Project Registration Worksheet/Covenant/Releases Apellido   Grado Actual en Escuela: ________ Género: Masculino Femenino Ciudad y Estado  Predicando  Música y Culto  Fotografía  Como seguir para ser líder  Deportes & Acondicionamiento Físico  Comunicaciones del siglo 21 ¿Ha asistido el Proyecto de Discípulo en años anteriores? Si es así, ¿cuál pista eligió?______________________________ Elige una pista:  Arte  “Camp Hope”  Baile  Me gustaría tener un juego de ropa de cama (sábanas, almohada, toalla) costo adicional de $ 15 Necesidades Especiales o Limitaciones:____________________________________ Información sobre seguridad Alergias a Comidas o Ambientales:_______________________________________ Celular: ____________________________ Teléfono de Trabajo:__________________ Relación: __________________________ Nombre: ___________________________  Joven (menor de 18 años de edad)  Joven Adulto (18 a 21 años de edad)  Adulto (Mayor de 21 años de edad ) Año Teléfono de Casa:____________________ Día En caso de emergencia, contactar a Marque uno: Mes Fecha de Nacimiento: ______/___/_______ Correo Electrónico:__________________________________________________ Teléfono: ________________________ Celular: __________________________ Ciudad, Estado y Código Postal: __________________________________________ Dirección del Participante: _____________________________________________ Nombre de la Congregación Congregación: _______________________________________________________ Nombre preferido para etiqueta: _________________________ Nombre Nombre:____________________ ________________ Información Personal—EN LETRA DE MOLDE Por favor, llene este formulario y firme donde se indica. Dar a su líder adulto que entrará toda la información por internet, y luego incluirlo con la confirmación de registro. LEAD 12941 I-45 North Freeway #210, Houston, TX 77060-1243 23-27 de junio de 2014 en Texas Lutheran University Fecha Padre o Participante (mayor de 18 años) Fecha ___________________________________________________________ Comunicado de prensa: Yo, el abajo firmante, doy permiso a LEAD, el Sínodo de la Costa del Golfo TX-LA de utilizar, publicar, o divulgar en los boletines, folletos, revistas, carteles, páginas web u otros medios relacionados con los vehículos, las fotografías, videos, audios y cualquier otro material en el que yo, o mi hijo menor de edad nombrado a la izquierda, puede haber aparecido, hablado, escrito o de otra manera presentado. Entiendo que una copia de este comunicado se mantendrá en los archivos para indemnizar a LEAD y el sínodo para el uso de los materiales indicados. Exención Médica: Por la presente autorizo al líder adulto de mi congregación y / o un miembro personal del evento de dar consentimiento y autorizar a la administración y el rendimiento de todos los tratamientos que se pueden considerar conveniente o necesario, a juicio de los médicos asistentes, en el caso de que yo, o mi hijo menor de edad nombrado a la izquierda, deba ser admitido en cualquier hospital, o estar en necesidad de tratamiento médico. Exención de Responsabilidad: Yo certifico que la información descrita en este formulario de inscripción es correcta y completa a lo mejor de mi conocimiento. Yo libero a LEAD, el Sínodo de la Costa del Golfo TX-LA, y los patrocinadores de cualquier responsabilidad legal o financiera con respecto a la participación en este evento, o cualquier elemento conocido asociado al evento, incluyendo el transporte en autobús, alquiler de furgoneta o vehículo privado. Doy permiso para que la distribución de la dirección del participante, las direcciones de correo electrónico y números de teléfono a los demás (uso único de LEAD, equipos del sínodo, y TLU). Entiendo las implicaciones del pacto de participantes. Participante ___________________________________________________________ Pacto del Participante: ĺDEBE SER FIRMADO POR CADA PERSONA ASISTIENDO AL EVENTO! Al registrarme estoy participando en un evento, que tiene como propósito: el culto cristiano, la comunión y el crecimiento. Como menor de edad (menores de 21 años) me abstendré de consumir alcohol, tabaco o drogas ilegales y entiendo que no se permite fumar. Como un adulto (de 21 años o más) voy a mostrar el buen juicio y servir como modelo de conducta responsable en todos los aspectos, especialmente en cuanto al consumo de alcohol. El consumo de alcohol para adultos no está permitido en la presencia de los menores que asisten a este evento (que no sean para uso sacramental). No voy a traer nada que pueda considerarse peligroso (fuegos artificiales, cuchillos, encendedores, etc.) Voy a participar plenamente en el evento, cumplir los compromisos de tiempo y respetar los derechos de los demás. Entiendo que el no cumplir con este pacto dará lugar a consecuencias; uno de los cuales incluye ser enviado a casa de inmediato por mi cuenta. Pacto, Extensiones, y Registro del Proyecto de Discípulo