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Phone Number. Alternate Phone Number. E-mail address. Name of emergency ... Allergies (with regard to host home). Will y
Registration Form

Name __________________________________________ Birth date ___________________________ Address ______________________________________________________________________________ Phone Number _______________________ Alternate Phone Number ___________________________ E-mail address ________________________________________________________________________ Name of emergency contact _________________________ Phone Number _______________________ Insurance Company _______________________________ Policy Number ________________________ How many children will be attending with you and what are their ages? __________________________ _____________________________________________________________________________________ ] Note: Teens and Tweens are allowed to join the conference as long as the parents think it is appropriate. Kids 11 and younger will be offered child care by 2 church approved care-givers at all times during the entire conference.

Cost:

Attending the conference: $30 per person. Attending childcare: $25 per person.

Dietary Restrictions_____________________________________________________________________ Allergies (with regard to host home) _______________________________________________________ Will you be tie-dying a T-shirt _____, Shirt size (s)_____________________________________________ Extra $5 to purchase T-shirt

Are you interested in being in one of the families to help set up and clean up and food prep? _________

Signature ____________________________ Mail to Kat Moseng at [email protected] or 8319 Overmont Rd., Parkville, MD 21234 Register by September 10th please.

Make checks payable to TUUC.

Expectations for All Participants 

I understand that CER events have commitments to congregations and our insurance company. I will seek to be in right relationship in these relationships and in right relationship in the covenant created within the event.



I will not engage in any form of physical, emotional or verbal violence or bring weapons of any kind.



I will create a culture of affirmative consent by asking others before touching them and will always respect “no.”



I will not possess or use alcohol, tobacco, illegal drugs, medication not prescribed to me.



I will follow the event procedures for safe storage of medication.



I will not engage in any form of sexual activity, meaning any action with intent to arouse.



I will respect the event site, all participants, and myself. This includes cleaning up my own stuff.



I will not bring peanuts or tree nuts.



I will follow additional site rules set by the host.