Spring Con Reg. 09
Spring Con Reg. 09
Youth Name_________________________________________Grade_____Gender_______________
Address___________________________________________________________________________
Street city state zip
Phones (H)__________________(cell)________________email______________________________
(Print legibly)
Diet (circle one) omnivore vegetarian vegan
Allergies or medical conditions________________________________________________________
Other special needs_________________________________________________________________
Your adult sponsor/advisor (at this
event/con)___________________________________________________________
Your congregation__________________________________________________________________
Emergency contact (name and relationship to you)_________________________________________
Emergency phone # of above (H)_________________(w)_________________cell_______________
How many cons have you attended?_________Who is driving you?___________________________
Minors driving themselves or other minors need to send the district office a permission form.
“I understand that this youth from my church is attending the stated event”
_________________________________________________________________________________
Signature of DRE, minister, or youth coordinator with emergency phone #
o Check here if you’ve already given the district information on insurance policy #s within the last school
year. (Sept 09-present)
If not, please complete
INSURANCE INFORMATION, MEDICAL CONSENT & LIABILITY RELEASE
MEDICAL INSURANCE
I understand each youth conference community strives to be inclusive, healthy and spirit-centered.
Realizing that what I do and how I act affects other youth, adult advisors, parents, religious educators,
ministers, the district and the UU movement I promise to observe the following guidelines.
o Usage of, holding or distribution of illegal substances such as alcohol, drugs, or tobacco or
weapons is not allowed
o Appropriate, non-violent, and respectful language and behavior is expected
o Respect for others, the physical premises and others’ personal property
o No sexual intercourse of any kind and no overt sexual behavior which suggests an exclusive
relationship and diminishes community.
o Abide by sleeping arrangements (one blanket/bag: one person)
I understand that failure to follow these guidelines could include my removal from the event at my
parents’ expense and could jeopardize the continuation of cons. I also agree not to leave the set
boundaries of the event without permission.
Youth Signature_________________________________________________Date__________________
PUBLICITY/IMAGE/VOICE PERMISSION
The District staff or volunteers may wish to take photographs, video, and/or tape recording of youth events.
During activities, a photograph or video/audio recording may be taken of you or your child. Unless you request
otherwise, your initial below will be considered permission for NNED to photograph, film, audio/video tape,
record and/or televise the voice and /or image of your child for use in any publications or promotional materials,
in any medium now known or developed in the future without any restrictions. If you object to NNED using
you or your child’s image or voice in this manner, please notify the NNED program consultant.
_________initial __________date
(Must be signed by the parent or guardian if the participant is under 18 years old)
Democratic Process in UUtopia?
Maine Spring Con, Bridging and YAC elections
May 29-31 at UU church of Saco and Biddeford
Complete this form and return with payment of $25 payabe to NNED (memo: Maine youth con) to Joy
Blanchette, UU district office, 10 Ferry St. #318, Concord, NH 03301 by May 4. You can fax forms to 603-226-
3011 Adult Registration Form
(one of two pages)
Name___________________________________________________________Gender__________________________
Address_________________________________________________________________________________________
Street city, state zip
Phones (H)___________________ (W)___________________________ cell__________________________
Email___________________________________________________________________________________________
Congregation_____________________________________________________________________________________
Diet (circle one) omnivore vegetarian vegan
Emergency contact information (name and relationship_____________________________________________________
Phones (W)___________________________(H)____________________________cell___________________________
How many cons have you attended?________________
“I recognize that this adult will be sponsoring youth to the stated event”
_______________________________________________________________________________________
(Signature of religious educator, minister,or youth coordinator)
I will be sponsoring the following youth (name and congregation* if different from yours)
1. ___________________________________________2.________________________________________
3. ___________________________________________4. _______________________________________
5. ___________________________________________6. ________________________________________
* Parents and DREs/staff must understand that you are sponsoring a youth from their church
(Continued)
(adults continued)
Community Covenant
I understand each youth conference community strives to be inclusive, healthy and spirit-centered.
Realizing that what I do and how I act affects other youth, adult advisors, parents, religious
educators, ministers, the district and the UU movement I promise to observe the following
guidelines.
o Usage of, holding or distribution of illegal substances such as alcohol, drugs, or tobacco
or weapons is not allowed
o Appropriate, non-violent, and respectful language and behavior is expected
o Respect for others, the physical premises and others’ personal property
o No sexual intercourse of any kind and no overt sexual behavior
o Abide by sleeping arrangements (one blanket/bag: one person)
I understand that failure to follow these guidelines could include my removal from the event at my
expense. Adult smoking is discouraged.
Adult Signature_________________________________________________Date______________
Hold a pre-conference meeting for youth, parents and the adults who will be attending the conference. Discuss the event,
conference code, local arrangements, leadership, and travel.
Transportation is the responsibility of the churches and parents, however the following district safety policies must be
followed:
• Drivers must have licenses and insurance coverage must be current. If the driver of youth is not 25 years or older
then parents must complete and submit a special permission form to the district stating they give permission for
their youth to travel with the driver.
• Vehicles must be safe and have working seatbelts for all occupants.
• Youth driving youth is not allowed. This practice presents a huge liability risk for the church, church leadership,
district and district leadership. The practice of youth driving themselves is also strongly discouraged. The only
way this can happen is for parents to complete a special permission form and send it to the district before the
event. It is the parents’ responsibility to contact the district program consultant for this form.
• Concerns about adult driving behavior will be reported to the church coordinator.
• YAC members at the conference may be involved in discussion of action to be taken and may recommend actions
(consequences) up to and including expulsion from activity (ies) at the participant’s expense.
• Focus is on the specific incident, although history of past behaviors may be a factor.
• The need for and the implications of actions are discussed with the individual involved
• The conference coordinator has the authority to dismiss participants/arrange transportation from the event.