1. religion and spirituality
2. christianity
3. catholicism

To Register: h ps://www.regonline.com/Register/Checkin.aspx?EventID=1611981
For more info. contact Jen Leatham [email protected]; Scholarships are available.
C
alling all youth of St, Barbara parish! Interested in meeting other Catholic youth from all over the Archdiocese? Have a desire to learn more
about your faith? Want to hear nationally acclaimed speakers while
growing closer to Christ? The Catholic Youth Convention 2014 is happening November 1-2, so come check it out! There will be opportunities for Mass,
reconciliation, workshops, prayer experiences, music, fun, and much, much more.
To learn more about this great event, please talk to your youth minister or check
out the website at www.seattlearchdiocese.org/oyyae/youth/events!
Important Details:
Meet at the RE Center on Saturday, November 1 at 6:15 in the center rooms
Bring air mattress, sleeping bag, pillow, PJ’s, toiletries, change of clothes. Sorry no showers on site. It’s
cold, so bring warm pjs that fall in the modest category. We are all sleeping in one large open room with
chaperones.
Bring a sack lunch for Saturday afternoon, Dinner Saturday night will be treated by St. Barbara Church.
We will go to one of the local restaurants. Breakfast Sunday will be at St. Barbara before we head back to
Convention. Sunday, a light snack is provided by the Archdiocese in to go bags after we finish with Mass.
You may wish to bring spending money. There are vendors that sell really cool Catholic things and Mass
on Sunday. The money from the collection at Sunday Mass is used for scholarships. You are responsible
for keeping money and other personal possessions with you at all times.
Scholarships are available. Please contact Jen Leatham to make arrangements.
Register Online at the link above and turn in your paperwork on or before Wednesday, October 15 at 8pm.
We will collect all the money and send in one check from St. Barbara Church. Please make checks payable
to St. Barbara Church, with a notation of Convention in the memo section.
Mass is at 11:30. We anticipate to be back at the RE Center around 1. Teens are welcome to drive themselves to the church, but must ride to and from with the group and designated chaperones. For those who
will need for parents to pick up, we will call when we are leaving BC so you can meet us back at church.
Dear Parents,
The Archdiocese of Seattle will be hosting the annual Catholic Youth Convention (CYC) at Bellevue College on November 1-2, 2014. This gathering is a wonderful opportunity for youth from around the Archdiocese to grow closer to
Christ, deepen their knowledge of the faith, and grow in fellowship with one another. Last year, nearly 1500 youth participated in this gathering, some even
travelling from as far as Canada and Oregon.
Throughout the weekend, students will have the chance to listen to inspiring
Catholic speak- ers. We are excited to welcome APEX Ministries - Brad Farmer
and Gene Monterastelli. APeX Ministries (aka Gene and Brad) is an internationally
known comedy duo based out of Balti- more, MD and Casper, WY. Since 1996
they have traveled North America using a style they de- fine as Christian Vaudeville. This includes death defying juggling, sketch comedy, and personal testimony. In other words, they are evangelists, they throw things at each other, and
they are funny.
CYC is blessed to have faith-filled adults and youth who will keynote throughout the weekend. Archbishop Sartain will be one of the keynote presenters and
spending time with the youth through leading a time of Adoration before the
Blessed Sacrament. Youth will have opportunities for Reconciliation and Mass.
Throughout the weekend, youth will attend workshops and prayer experiences,
mingle with other Catholic youth, and be invited to grow as disciples of God. We
encourage you to consider sending your youth to the Catholic Youth Convention
2014. CYC is truly a powerful experience that will help our youth develop a deeper connection to Christ and grow as active participants in the Church. We hope
you will join us this year for another successful Catholic Youth Convention.
Peace and Joy,
Jen Leatham, Youth Minister
[email protected]
360.886.2229
Office Hours: Wednesday and Thursday 9am-2pm
Archbishop J. Peter Sartain D.D., S.T.L.
Archbishop Peter Sartain was born to Joseph and Catherine Sartain on June 6, 1952, in Memphis, Tennessee.
On July 15, 1978, he was ordained to the priesthood for the Diocese of Memphis.
Pope John Paul II appointed Archbishop Sartain Bishop of Little Rock, Arkansas, on January 4, 2000. He was ordained
on March 6, 2000, and took as his episcopal motto: “Of You My Heart Has Spoken” (Psalm 27:8). He was appointed
Bishop of Joliet, Illinois, by Pope Benedict XVI on May 16, 2006, and was installed on June 27. On September 16, 2010,
he was appointed Archbishop of Seattle and was installed on December 1, 2010.
Archbishop Sartain currently serves as a member of the Subcommittee on Hispanic Affairs and the Ad Hoc Committee for Religious Liberty for the United States Conference of Catholic Bishops. He is also the secretary of the USCCB.
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Gene Monterastelli
Brad Farmer
The person: Gene was born and raised in Casper,
Wyoming. The rumors that he was raised by a pack
of wolves are highly overstated. (It was only two, not
a pack.) Gene would consider his birth as the most
signiicant moment in his life. “I could not imagine
what my life would have been like if I would have
never been born.” His earliest memories are of playing
with Tonka Trucks and drinking cologne. (We think it
explains a lot). Brad taught Gene the basics of juggling
as a sophomore in high school. In his free time (like
he has any) Gene likes to write letters, drink tea,
have stories read to him, and roll down big grassy
hills. When he grows up (if it ever happens, our bet
is it won’t) he would like to be a teacher. As a small
child Gene acquired a taste for Cinnamon Life, which
is his favorite food to this day. Gene was a nerd (and
some would contest he still is) and loved being on the
Math team (from time to time he still likes to wear
his pocket protector). Jim Henson and Paul Simon are
Gene’s two greatest artistic inluences (which makes
very little sense for a juggler). In college Gene was
known for the fact that he only owned two pairs of
lannel plaid shorts and wore them all of the time.
(Now he is known for only owning one pair of green
corduroy pants which he wears all of the time. Don’t
worry though, he washes them once a week if they
need it or not.)
Brad Farmer was born and raised in Casper, WY,
where the Medicine Bow National Forest meets the
Great Plains. At an early age his father taught him
that “Farmers are out- standing in their ield,” and
Brad strives to be no exception. When he was young,
Brad dreamed of being an astronaut. Now he tries to
conquer gravity in a different manner. Brad met Gene
in seventh grade CCD class – who would have ever
guessed then that the seeds were being sown that
would eventually lead to the formation of APeX?
Brad & Joia Farmer were united in the holy Sacrament
widely known as “Marriage” in 1999. Together, they
ight the forces of evil, diapers & toilet cleanings, all
while taking care of their 4 beautiful children, Jack,
Ava, Caedmon & Simon. Brad & Joia are currently the
Co-Directors of Youth Ministry at 4 (that’s right,
f-o-u-r) parishes in downtown Denver.
BRAD and GENE COMBINED = APEX MINISTRIES
APeX is two Catholic men (Brad Farmer and Gene Monterastelli) who have made it their lives’ work since 1996
to criss-cross North America sharing the Truth and Joy of the Gospel of Jesus Christ. They have crafted a unique
style (they call it “Christian Vaudeville”) that engages an audience and creates rapport through telling “parables”
through sketch comedy, seamlessly integrating the use of juggling and street performer style skill and intensity.
Once an audience is thoroughly engaged, Brad and Gene share personal testimony of spiritual realities and take
them deeper in exploring the Catholic themes of their parables. Brad and Gene then challenge the audience to put
the concepts into practice in every day life.
In other words, Gene and Brad are evangelists, they throw things at each other, and are funny. Since 1996, they
have crisscrossed North America sharing the Gospel message in our own unique way. APeX has entertained,
evangelized, and inspired in 48 states, 5 Canadian provinces, China, and Peru at thousands of Catholic events.
They keynote large diocesan, regional, and national conferences, as well as lead retreats, parish missions, or share
evenings with youth groups, families, and/ or full parish communities.
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Saturday Evening
Parish Time
CYC is packed with speakers, prayer, workshops, music and more. The time lies quickly, so a
moment to take a breath, relect and reconnect with the parish group is truly a blessing.
Following Adoration, led by Archbishop Sartain, there will be time set aside for each parish
to gather. This time allows participants to share where they have ‘seen God’ throughout the
day, to pray together, and for leaders to give each participant a ‘tiny saint charm’ that includes
a synopsis of the Saint’s life. These ‘tiny saints’ are meant to be that concrete reminder that
each of us has a unique call to be witness to the light and love of our Lord. The charms will be
included in your parish packet at registration.
Please contact Joy ([email protected]) if you wish to have a classroom set aside for
your parish to use for this time on Saturday evening.
Saturday Social
This time is a chance to get to know other youth from around the archdiocese, relax from the
amazing full day, and have a great time! Teens will be invited to high energy activities from Laser
Tag to mini-competitions. Those hoping to relax a bit will ind a ‘chaplet making’ craft area related to our #saintsalive focus or even a movie. ‘God’s Got Talent’ is a chance for youth to share
their gifts of music, poetry, relection – or to simply appreciate the gifts of those who choose to
share. There’s something for everyone and we’re excited to share this time together!
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Catholic Youth Convention 2014
November 1-2, 2014
Bellevue College, Bellevue, WA
Schedule
Table of Contents
SATURDAY
7:30 am
7:45 am
8:45 am
CYC Essentials
3
Letter from the Archbishop
5
Meet the Emcees
7
Saturday Evening
9
9:00 am
Preparing & Registration
10
Get Involved
11
10:45 am
Noon –
1:15pm
2:30pm
3:30pm
Preparing Chaperones
12-13
Housing & Meals
15
Recognitions
16
Youth Keynotes & St. Timothy
17
Sharing the Experience
18
5:15pm
7:00pm
8:00pm
8:30pm
Registration & Doors Open
Optional Mass for feast of All Saints Day
Opening of CYC 2014 with Banner
Procession
General Session: #saintsalive with APeX
ministries
Workshop Round 1
Box Lunch Provided
Workshop Round 2
Prayer Experience
General Session: Called to Holiness
with Archbishop Sartain
Dinner Break
Adoration led by Archbishop Sartain
Parish Time
Saturday Social
SUNDAY
8:00 am
8:30 am
10:15 am
11:30 am
Doors Open
General Session: Set the World on Fire
Round Table/Panel Discussion Breakouts
Closing Mass
MISSION OF CYC
The Archdiocese of Seattle annual Catholic Youth Convention provides
youth the opportunity to grow as disciples, deepening their relationship
with Jesus Christ. Youth will encounter our Lord in prayer, Sacraments and
the gathered Church community of Western Washington, which relects
the richness of our faith tradition. Our young church will be strengthened
to serve as living witnesses to the light of Christ through their daily lives.
Registration Fee Scholarship
Scholarships are for 1/3 of the regular registration cost, and are not available after October 13th. Once all
scholarship requests have been received, parish leaders will be notiied by October 16th. Please submit the following to [email protected] in a WORD Document no later then October 13th:
Parish Name
Group Leader Name, Email & Phone #
Names of students needing a scholarship & Reason for scholarship request
Invite your participants to:
Set $5 Aside
Our Sunday Collection will go towards CYC Scholarships
Thank you for your support!
Get Involved
Read through the many ways your group can be involved and indicate on your parish leadership form
(www.seattlearchdiocese.org/cyc) how you would like to share your gifts!
Prayer Leaders
Sign your group up to lead a 5-minute prayer for CYC. Each year, the youth-led prayers are an amazing
experience of CYC. Youth have led some of the most memorable and impactful prayers of the weekend, and we
would like you to consider this opportunity.
Liturgical Roles for Mass
For Mass, we need many people to volunteer for various roles. Please consider signing up your group for any of
these roles or for any additional volunteer opportunities. More information on participating in Mass please ill
out the Parish Leadership Form online.
Saturday Night Social
This year’s social will include Laser Tag, Minute-to-Win-It competitions, God’s Got Talent Show, Movie Room,
Crafting Room, and other activities! This time is a chance to get to know other youth from around the
archdiocese, relax from the amazing full day, and have a great time! Would you like to help? Please indicate on
your leader’s form your willingness to pitch in, and encourage the youth of your parish to share their God given
gifts in the talent show. Details at www.seattlearchdiocese.org/cyc.
Banners or Parish Slide
Each parish is encouraged to make a banner or a digital slide for CYC. This is an excellent opportunity for CYC
participants to relect on the theme for the weekend. This year, we are offering the choice to either design and
create a banner for the processional or create a single slide to be projected on the jumbo screen. The banner
or single slide should depict their parish’s thoughts and interpretation on the theme. BANNERS SHOULD NOT
EXCEED 6 FEET IN HEIGHT OR 3.5 FEET IN WIDTH. However you can be very creative within these limits. If you
want your banner to be on display during Convention, please bring a pole and stand. Label your equipment so
that misplaced stands and poles can be claimed after CYC. Please indicate on your leader form if you intend to
participate in the banner procession.
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Workshop Round 1:
Understanding Priesthood
Dating With A Purpose
Understanding Religious Life
Understanding Missionary Life
Scripture Basics
Modesty and Why It Matters –
Ladies Only
Chivalry and Why It Matters –
Men Only
Servant Leadership
Evangelization and Service
Faith Stories
Jammin’ With Jesus
Good News Through
#socialmediaalive
Introduction to the Saints
Leading Retreats – Adults Only
Engaging Families and Parents –
Adults Only
Understand what makes the priesthood important to our Church. What is a calling?
Tackle the controversial questions such as why aren't priests married and why
women aren't called to the priesthood by the Church.
Relationships can be complicated and confusing. Explore the steps of healthy
relationships and what it really means to date with a purpose.
Learn the vows of religious life and how they help one grow in holiness. Explore a
day in the life of different religious communities.
Have you ever wondered what it means to become a full time foreign missionary?
Come hear from a family that has discerned the call to missionary life and chosen to
sell all they have to follow Christ in foreign missions. We are all called to be
missionaries, whether around the world or in our own neighborhoods.
What is Sola Verbum Dei? Come learn how reading the Bible as a Catholic is
different from reading the Bible as Sola Scriptura.
Why does modesty matter? Discuss the actual definition of modesty and how our
clothing, speech, and attitude give expression to our internal desires and personal
definitions of happiness.
Why does chivalry matter? Discuss the characteristics of chivalry and the
importance of respecting others.
Learn how servant leadership differs from secular leadership. Learn skills that you
can implement in your parishes.
How are service in the community and evangelization connected?
This workshop will provide the opportunity to celebrate the universality of the
Church by exploring the contribution of Catholics from different cultures, who have
made a contribution to society and Catholicism in the United States. This will be
done by exploring together how the lives of people such as Cesar Chavez, Katherine
Tekakwitha and Father Augustus Tolton continue to resonate with us today.
This interactive workshop invites you to BRING your instrument or your voice along!
We'll take a look at how to prayerfully select appropriate music/flow for various
praise and worship sessions.
Learn how to use the time you spend with social media to reflect the light and life of
the Gospel to your friends and family.
Discuss the basics of putting together a great retreat experience for your youth.
Discuss the best practices for engaging parents in the faith lives of their Youth.
Discuss the best practices for engaging families in faith development.
Workshop Round 2:
Understanding Intentional Single
Life vs. Marriage
Understanding Religious Life
Understanding Missionary Life
Single life isn't just a transitional decision - it can be an intentional lifestyle. Come
learn the difference between the single life in the Church and the single life the
world proposes. Marriage in the Church is a Sacrament, endowed with special
graces. Learn why the Church has so many "rules" around marriage and the
definition of marriage.
Learn the vows of religious life and how they help one grow in holiness. Explore a
day in the life of different religious communities.
Have you ever wondered what it means to become a full time foreign missionary?
Come hear from a family that has discerned the call to missionary life and chosen to
sell all they have to follow Christ in foreign missions. We are all called to be
missionaries, whether around the world or in our own neighborhoods.
Scripture Basics
Modesty and Why It Matters –
Ladies Only
Chivalry and Why It Matters –
Men Only
Servant Leadership
Evangelization and Service
Faith Stories
Jammin’ With Jesus
Good News Through
#socialmediaalive
Introduction to the Saints
Leading Retreats – Adults Only
Engaging Families and Parents –
Adults Only
What is Sola Verbum Dei? Come learn how reading the Bible as a Catholic is
different from reading the Bible as Sola Scriptura.
Why does modesty matter? Discuss the actual definition of modesty and how our
clothing, speech, and attitude give expression to our internal desires and personal
definitions of happiness.
Why does chivalry matter? Discuss the characteristics of chivalry and the
importance of respecting others.
Learn how servant leadership differs from secular leadership. Learn skills that you
can implement in your parishes.
How are service in the community and evangelization connected?
This workshop will provide the opportunity to celebrate the universality of the
Church by exploring the contribution of Catholics from different cultures, who have
made a contribution to society and Catholicism in the United States. This will be
done by exploring together how the lives of people such as Cesar Chavez, Katherine
Tekakwitha and Father Augustus Tolton continue to resonate with us today.
This interactive workshop invites you to BRING your instrument or your voice along!
We'll take a look at how to prayerfully select appropriate music/flow for various
praise and worship sessions.
Learn how to use the time you spend with social media to reflect the light and life of
the Gospel to your friends and family.
Discuss the basics of putting together a great retreat experience for your youth.
Discuss the best practices for engaging parents in the faith lives of their Youth.
Discuss the best practices for engaging families in faith development.
Prayer Experience:
Taize
Liturgy of the Hours
Scriptural Rosary With Personal
Reflection
Interactive Our Father
Praise and Worship
Prayer Through Journaling
Lectio Divina
Contemplative Prayer
Chanted Prayer
Examination of Conscience – Prep
for Reconciliation
Discerning Your Vocation
Taize prayer includes beautiful, simple, repetitive songs and music, offering
moments of quiet, common prayer, and the opportunity for veneration of the cross.
Join us for this historic prayer of the psalms. This prayer is prayed by all priests and
religious throughout the world and unites each of us in prayer every day.
Take time to reflect on the meaning behind the words of one of our most common
prayers.
Music touches our hearts and helps us to pray more deeply.
Journal your way to God - Have you ever wondered how journaling is a form of
prayer? Is there a "right" way to journal? Want to know how to get started? Join us
for a little education and a beautiful prayer experience.
Come and explore the incredible power of meditating on Scripture and see how the
Holy Spirit can transform your mind and heart.
In a world filled with noise and motion, take time to learn to be still and rest in the
presence of the Lord, even in the midst of daily life.
Take the first step of reconciliation by turning your heart toward God and reflecting
on where you have fallen short of living as a witness to His Light and Love.
Reflect on how God is inviting you to share your gifts.
Round Table/Panel Discussion Breakout:
Faith and Athletics
Faith After High School and In
Transition – Seniors Only
Faith At School
Faith With Your Family
Faith In Scouting – Adults Only
Faith With Your Friends
Faith In Music
Faith In Media
A Life of Sacrifice
Mis Quince and Beyond – Ladies
Only
Discuss how you can live your faith daily through athletics.
Discuss how you can live your faith daily as you leave high school and move into life
as a young adult.
Discuss how you can live your faith daily in the hallways of your school.
Discuss how you can live your faith daily in the relationships with your family.
Discuss how scouting can be a part of your ministry with the young church.
Discuss how you can live your faith daily through your friendships.
Discuss how you can live your faith daily through the music you listen to and create.
Discuss how you can live your faith daily through the media that surrounds you each
day.
Discuss how you can live your faith daily through serving others.
For girls only, perhaps you already turned 15 and have postponed your celebration,
have a sibling who is turning 15 soon, or would just like to better understand this
tradition. Either way, this workshop will give you the opportunity to explore and
deepen in your faith through an appreciation of the celebration of Quinceaneras.
This will be done by presenting some of the origins of this tradition as well as some
of the ways it continues to be celebrated here in the United States.
MEDICAL MATTERS
I hereby warrant that to the best of my knowledge, my child is in good health and I assume all
responsibility for the health of my child. (Of the following statements pertaining to medical
matters, sign only those that are applicable.)
Emergency Medical Treatment: In the event of an emergency, I hereby give permission to
transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised
prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are
unable to reach me at the above numbers, contact:
Name & relationship: _______________________________________________________________
Phone: ________________ Family doctor: _______________________ Phone: ________________
Family Health Plan Carrier: _________________________________ Policy #: _________________
Signature: _____________________________________________ Date: _____________________
Other Medical Treatment: In the event it comes to the attention of the parish/school, its officers,
directors and agents, and the Archdiocese of Seattle, chaperons, or representatives associated with
the activity, that my child is ill with symptoms such as headache, vomiting, sore throat, fever,
diarrhea, I want to be called collect (with phone charges reversed to myself).
Signature: ____________________________________________ Date: ______________________
Medications: My child is taking medication at present. My child will bring all such medications
necessary and such medications will be well-labeled. Names of medications and concise directions
for seeing that the child takes such medications, including dosage and frequency of dosage, are as
follows: _________________________________________________________________________
Signature: _____________________________________________Date: _____________________
No medication of any type, whether prescription or non-prescription, may be administered to my
child unless the situation is life-threatening and emergency treatment is required.
Signature: _____________________________________________Date: _____________________
I hereby grant permission for non-prescription medication (non-aspirin products such as
acetaminophen or ibuprofen, throat lozenges, cough syrup) to be given to my child, if deemed
appropriate.
Signature: _____________________________________________Date: _____________________
Specific Medical Information: The parish/school will take reasonable care to see that the
following information will be held in confidence.
Allergic reactions (medications, foods, plants, insects, etc.): ________________________________
Immunizations: Date of last tetanus/diphtheria immunization: _______________________________
Does child have a medically prescribed diet? ____________________________________________
Does child have any physical limitations? _______________________________________________
Is child subject to chronic homesickness, emotional reactions to new situations, sleepwalking,
bedwetting, fainting? _______________________________________________________________
Has child recently been exposed to contagious disease or conditions, such as mumps, measles,
chicken pox, etc.? If so, list date and disease or condition: ________________________________
You should be aware of these special medical conditions of my child: ________________________
________________________________________________________________________________
PHOTOGRAPH AND VIDEO CONSENT FORM:
From time to time, pictures and video may be taken of youth ministry events and gatherings. We would
like to be able to use these photographs and videos for flyers, parish and diocesan publications, and the ministry
website. Written consent of both the student and parent/guardian is required. Names will not be posted unless
written authorization is given by the student and parent/guardian, and then only first names will be used. If there
are concerns about pictures or videos posted on the website, please contact the ministry coordinator or
webmaster, and they will promptly be removed.
I/We, the parent(s)/guardian(s) of this youth (name)
authorize and give full consent, without limitation or reservation, to
(parish/school) to publish any photograph or video in which the above named student appears while
participating in any program associated with (parish/school)
ministry. There will be no compensation for use of any photograph or video at the time of publication or in the
future.
Student Signature:
Date:
Parent/Guardian Signature:
Date:
Parent/Guardian Signature:
Date:
PARENT/LEGAL GUARDIAN PERMISSION SLIP
PARTICIPANT INFORMATION
Full name: ________________________________________________________Grade_________
Date of birth: ________________________ M / F Social Security # ________________________
Parent/Guardian’s name (please print):________________________________________________
Street address: ___________________________________Home phone: ____________________
City/State/Zip: ___________________________________________________________________
PARENTAL AUTHORIZATION
Dear Parent or Legal Guardian:
The participant under your guardianship (named above) is eligible to participate in this parish/school
event that requires transportation to a location away from the parish/school site. This activity will
take place under the guidance and direction of parish/school staff from:
_______________________________________________________________
St. Barbara Church, Black Diamond, WA
(Name of parish/school)
DESCRIPTION OF ACTIVITY
Archdiocesan Youth Convention
Type of event: ____________________________________________________________________
Bellevue College St. Barbara Church, Black Diamond
Location of event: _________________________________________________________________
November 1, 2014
Date of event: ______________________________
Time of departure: ______________________
6:30am
1pm
Date of return: ______________________________
Time of return: _________________________
November 2, 2014
Person in charge: _________________________________________________________________
Jennifer Leatham, Youth Minister
Mode of transportation to and from event: ______________________________________________
Private automobile
If you desire your son/daughter/individual under your guardianship, to participate in this particular event, please complete,
October 15, 2014; 8pm
sign and return the following statement of consent and release of liability by _______________________________.
(date)
I hereby consent to participation by ________________________________, my son/daughter/individual
under my guardianship, in the event described above. I consent further to the conditions stated
above, including the method of transportation. I fully understand that this event will take place away
from the parish grounds and that my child will be under the supervision of the designated staff and/or
volunteers on the stated dates. I understand that such an undertaking involves an element of risk.
I assume all risks and hazards incidental to such participation and do hereby release, absolve,
indemnify, and agree to hold harmless the Corporation of the Catholic Archbishop of Seattle, staff,
volunteers, and drivers from any and all liability that may arise out of participation in this activity. I also
give consent for emergency medical treatment if necessary. I do request that, if possible, I be
contacted prior to treatment. As parent/legal guardian, I remain fully responsible for any legal
responsibility which may result from any personal actions taken by the named participant. Finally, my
child and I have read and understand fully the attached Code of Behavior for Youth Participants in
Events and Activities sponsored by the Catholic Archdiocese of Seattle.
Parent's/Guardian's Signature: ____________________________________ Date: ______________
Telephone #: Day_______________________________ Night_____________________________
Alternate Emergency Contact: _______________________________________________________
Telephone #: Day_______________________________ Night_____________________________
Allergies or Medical Concerns: _______________________________________________________
________________________________________________________________________________
Doctor's name: __________________________________ Phone #: _________________________
Medical Insurance Co.: ____________________________ Policy #: _________________________
Code of Behavior and Norms for Youth Participants
Events Sponsored by the Archdiocese of Seattle
In order to assure the safe and successful participation of youth and adults at gatherings
sponsored by the Archdiocese of Seattle, the following code of behavior is to be followed. You are
expected to represent your parish, school, and the Archdiocese during all gatherings. You are encouraged
to display the mature, responsible character which has for so many years been the trademark of Catholic
Youth Ministry within the Archdiocese.
SOME NORMS FOR PARTICIPATION:
1. Individuals are responsible for their own actions, and will be asked to assume the consequences
for their inappropriate behavior.
2. Parish leaders should screen youth participants for their own protection as well as others. This
screening must be used to identify areas of concern or special attention (i.e., health concerns,
disabilities/impairments requiring extra accommodations, history of violence, etc.)
3. The purchase and/or use of tobacco products by minors is not tolerated.
4. The purchase, possession, or consumption of beer, wine, or other alcoholic beverages is not
tolerated. Infraction of this means the immediate dismissal from the event.
5. The possession or use of illegal drugs by any individual is not tolerated. Infraction of this means
the immediate dismissal from the event, and further action will be taken.
6. For the protection and safety of all participants, acts of violence or harassment are not tolerated.
Such acts include fighting, physical or verbal assault/abuse, ethnic insults, and profane or obscene
language, gestures, or actions.
7. Possession of any weapon is strictly prohibited. Anyone who brings a weapon to an event will be
asked to surrender it to leaders and further action will be taken.
8. Disruptive behavior, language, clothing, or items are not acceptable at events. This includes any
which is obscene, profane, or inappropriate to the activities of the Archdiocese.
9. Appropriate clothing is expected.
10. Any form of gambling is strictly prohibited.
11. Participants are expected to take direction from their parish adult leaders.
12. In the event that behavior requires extreme action, it is to result in dismissal from the event.
Parents will be contacted and participants will be sent home.
The Archdiocese of Seattle does not insure personal property against theft or loss; please exercise
caution regarding your personal items.
You are expected to observe the guidelines above in light of Washington State statutes and definitions.
The Archdiocese of Seattle respectfully asks for your cooperation and hopes that you will have no trouble
adhering to this code of behavior. Keep in mind that you represent the Church at all times during the
event and are asked to demonstrate an image of Christian consideration, sensitivity, and respect to others
and to the property around you.
I HAVE READ AND UNDERSTAND THE CODE OF BEHAVIOR ABOVE AND WILL ADHERE TO THE
REQUIREMENTS DICTATED BY THIS CODE.
Participant’s signature
Group Leader’s signature
Date
Date
St. Timothy Award
The Archdiocesan St. Timothy Award will be presented to youth from throughout the Archdiocese of Seattle. Parishes
are invited to submit one recipient for this award.
Two of the Saint Timothy Award recipients, who through the application and interview process are recognized as
exemplifying the call to discipleship and are engaged in evangelization through lived witness, will be given a $500
scholarship.
The requirements are as follows:
1.
2.
3.
4.
5.
The candidate must be a senior in high school.
Lives as a disciple of Christ, setting a positive example for other youth.
Witnesses to their faith by exhibiting Catholic morals and integrity.
Demonstrates Gospel values through service to others
Exhibits Christian leadership in parish, school, and/or community settings.
To submit an application, a parish, faith community should:
1.
Submit the enclosed application form. ONLY this form should be used. Each parish, faith community may
propose ONE outstanding youth for this award.
2.
THE APPLICATION MUST BE ACCOMPANIED BY THE $10 FEE. Applications received without the fee will not be
considered. Checks made payable to OYYAE .
3.
Your nomination must be postmarked by October 13th, 2014. Any applications received after that date will not
be awarded at CYC..
4.
In addition to the application form, the candidate should write a statement about him/herself on a separate
sheet of paper.
5.
Each nomination must be accompanied by the written endorsement of the o i ee’s parish, faith o
u ity,
youth ministry leader or other parish, faith community leader and must be signed with comment by the parish
priest or pastoral coordinator.
6.
Letters of recommendation from teachers, employers, members of the parish, etc. may also be submitted
(please do not submit more than two additional letters of recommendation).
Final decisions regarding the Office for Youth and Young Adult Evangelization Scholarship will be made by a panel of
judges. Each candidate will be contacted regarding an appointment for an interview. Those who cannot appear in
person will be interviewed by telephone, or digital meeting software. Please be sure to notify us if your candidate
cannot appear in person before the panel.
For questions regarding this process, please call Michelle Fischer at 206-274-3175.
PLEASE RETURN APPLICATION FORM, LETTERS, AND FEE TO:
St. Timothy Award
Archdiocese of Seattle - OYYAE
710 9th Ave
Seattle, WA 98104
Application Form
St. Timothy Award 2014
1.
2.
3.
4.
Please PRINT or TYPE.
Nominations must be submitted on this form by October 13th, 2014. No other forms will be accepted.
Each nomination must include a 1-page statement from the candidate.
Ea h o i atio
ust i lude a writte e dorse e t fro the o i ee’s parish youth i ister a d e sig ed
with
comment by the parish priest.
5. Nominations must be accompanied by the $10.00 fee.
6. Each nominee must be a senior in high school.
7. A maximum of 2 letters of recommendation may be submitted from teachers, employers, parish members, etc.
NAME ____________________________________________________________________________________
ADDRESS _________________________________________________________________________________
CITY ____________________________________________ STATE _____________ ZIP ________________
PHONE: day (_____) ____________________________
evening (_____) ____________________________
PARISH ___________________________________________________________________________________
PARISH CITY ______________________________________ BIRTHDATE _________ ____________________
E-MAIL __________________________________________
PERSON MAKING THE RECOMMENDATION ______________________________________________________
ROLE OR TITLE ________________________________________ Phone (_____) _______________________
ACTIVITIES IN YOUTH PROGRAMS:
PARISH (youth activities as well as liturgical or social activities)
DEANERY and/or ARCHDIOCESAN ACTIVITIES
SCHOOL ACTIVITIES and/or OFFICES HELD
COMMUNITY ACTIVITIES
EDUCATION
[ ] high school senior School
Grad. date
(continued on next page)
GPA
.
PAST AWARDS AND OTHER RECOGNITION
(List medals, certificates, plaques, scholarships, etc.)
EMPLOYMENT
If currently employed, give name of employer, duties, etc.
List former employment, duties and length of service (if applicable)
ENDORSEMENTS
Comment by parish youth ministry leader/CYC coordinator:
Signature of youth ministry leader/CYC coordinator:
.
Comment by parish priest or pastoral coordinator:
Signature of parish priest or pastoral coordinator:
Return nomination to:
St. Timothy Award
Archdiocese of Seattle/OYYAE
710 9th Ave
Seattle, WA 98104
.