NOTE: This file is text only therefore it does not include the FYE poster or map to Pilgrim Hills Camp. You may download and print those separately by linking to them from the online FYE Registration page (the page where you got this document). FALL YOUTH EVENT 2011 LET JUSTICE ROLL NOVEMBER 18 – 20 PILGRIM HILLS “let justice roll down like waters, righteousness like an ever-flowing stream” Amos 5:24 REGISTER ONLINE NOW: http://ocucc.org/YouthYA/FallYouthEvent.htm All registrations must be entered online or postmarked by November 4, 2011. No late registrations. Cost is still only $110 / person; includes meals, snacks, and 2 nights lodging. (such a deal!) IN THIS PRE-EVENT PACKET Yes, that means there will be an AT-EVENT PACKET as well. This is just to get you started, whet your appetite, etc. :) Loads more information will be available online soon and at FYE. Page 1 EVENT POSTER [SEE NOTE ABOVE ON PAGE 1] Page 2 PACKET INDEX (What you’re reading right now) VERY IMPORTANT REGISTRATION NOTE (Contact info) WHAT TO BRING / WHAT NOT TO BRING Page 3 FALL YOUTH EVENT 2011 TENTATIVE SCHEDULE Page 4 SPECIAL GUESTS (meet Andra & Stephen!) Page 5 RETREAT GUIDELINES FOR YOUTH Page 6 & 7 REGISTRATION FORM FOR YOUTH (Need not be completed if registered online) Page 8 RETREAT GUIDELINES FOR ADULT ADVISORS Page 9-12 REGISTRATION FORM FOR ADULTS (Need not be completed if registered online) Page 13 PILGRIM HILLS INFORMATION (Location, Directions & Map) VERY IMPORTANT REGISTRATION NOTE: FYE is for those who are in Sr. High school, grades 9 - 12. We encourage middle schoolers to go to their Association's Jr. High / Middle School Youth Event, sponsored locally by each Association. However, if you have an 8th grader who is part of your Sr. High group, she / he is welcome to come with the rest of the group. Youth may not register as an individual. If you are the only person coming from you church, you must be in touch with a planning team member before the registration deadline, November 4th, so you can be hooked up with a group. Here are the planning team members and their contact information: * Breeann Lee (blee001@defiance.edu) * Margaret Mills (mmills@wraucc.org) Please be in touch with a member right away. Individual registrations received, where arrangements with a planning team member have not been made, cannot be accepted and will be returned. WHAT TO BRING / WHAT NOT TO BRING What to Bring Sleeping bag, pillow, flashlight, personal toiletries, towel, washcloth, several changes of casual clothes, cold weather attire, rain coat or poncho, mud boots, shoes, shower flip flops, Bible, money for offering taken during the event, your favorite board game, respect for yourself and others, an open mind, a desire to fully participate in the event! WE’RE AT CAMP -- BE PREPARED FOR A MORE RUSTIC, OUTDOOR EXPERIENCE IN NOVEMEBERrrrrrrr! What NOT to Bring The camp cannot withstand the overload from electrical equipment --- please don’t bring hairdryers, curling irons, plug in CD players … you get the idea! FALL YOUTH EVENT 2011 TENTATIVE SCHEDULE Full schedule will be available at FYE. Changes are always announced too. Friday 7:00 p.m. Sign in [Ad Building] / Settle in Cabins / Welcome Activities [Lodge / Meeting House] 9:00 p.m. Welcome & Introduction to “Let Justice Roll” [Lodge] 9:30 p.m. Small Groups / Adult Gathering 10:30 p.m. Vespers with Andra & Stephen 11:00 p.m. Snacks (i.e. Food!) & Games Midnight In Cabins 12:30 a.m. Lights Out Saturday 7:45 a.m. Hoppers 8:00 a.m. Breakfast 8:45 a.m. Group Singing / Music 9:00 a.m. Andra & Stephen 10:30 a.m. Video 10:45 a.m. Small Groups – Youth: Discussion of Video and Keynote / Adults: Tour 11:45 a.m. Hoppers Noon Lunch 1:00 p.m. Workshops – Round #1 2:15 p.m. Workshops – Round #2 First-time Youth Leaders Gathering 3:15 p.m. Afternoon Activities / Camp Store Open (until 3:45 p.m.) / Sign up for Talent Show 5:15 p.m. Hoppers 5:30 p.m. Dinner 6:15 p.m. Church Time 7:15 p.m. Video 7:30 p.m. Small Groups 8:30 p.m. Vespers with Andra & Stephen 9:15 p.m. Talent Show 10:15 p.m. Snacks & Games Midnight In Cabins 12:30 a.m. Lights Out Sunday 8:45 a.m. Hoppers 9:00 a.m. Breakfast / Clean Cabins / Pack Cars 10:00 a.m. Worship with Andra & Stephen 11:15 a.m. On the Road for Home – Drive Safe & See you at FYE 2012! SPECIAL GUESTS {NOTE: Photos of Andra & Stephen are online) We welcome back Andra & Stephen! (excerpt from http://andramoran.com/ - used with permission) All about Andra by Brandon Gilvin I can’t tell you how many times I’ve seen Andra play. But I can tell you it’s been different every time. Gathered together in grand worship spaces, huddled around small intimate campfires, sipping bourbon in a smoky bar, or sitting in the sunshine, talking about what makes music of all kinds so sacred. I can also tell you her shows remind me of the same thing every time: Sitting in a dorm room, debating our favorite bands. When I tried to convince her that I was a bigger R.E.M fan than she was, Andra pulled out a vinyl copy of R.E.M.’s Reckoning, complete with a price tag from a used record store in Germany. She won the argument. Then she gave me the LP. For keeps. That’s the sort of person Andra is. The kind who will disarm you with her wit and intelligence, but who radiates both a resilient hope and an understanding that life is very, very complicated. That’s the sort of artist she is, too. Andra studied music formally at Belmont University in Nashville, TN, all the while apprenticing in Nashville’s bars and clubs, swapping songs and stories. Her honest, passionate writing won her respect and friendship—and those friendships helped her hone her skills as a writer and performer. Andra’s music expresses both a deep sense of faith and a mature sense of self. She attributes that to being the daughter of two insightful, progressive ministers, one of whom worked as an Army Chaplain whose calling took the Moran family all over the world. She grew up making friends from all sorts of backgrounds, seeing people at their best and their worst, and discovering that she was able to call both Liepzig and Leavenworth home. In Small Things, the follow-up to 2005's critically acclaimed studio release Listening, Andra partners with some of Nashville's most accomplished musicians. In Small Things was mixed by Grammy winning engineer Neal Cappellino. Andra has been a big fan of Neal's work-- especially what he's done for Allison Krauss, Dolly Parton, Mindy Smith, Gabe Dixon and Joan Osbourne-- so having Neal on board to mix this project was a big treat! (READ THE REST ONLINE) RETREAT GUIDELINES FOR YOUTH Please treat yourself, others, and their property with respect. Please report any illness or injury to an adult. Please report anything that is damaged or needs to be fixed. Please follow the schedule of activities. There are signs all around that give directions and locations of activities. Plan to be there and ready to begin by that time. Please attend each activity ready to participate. Everyone is expected to be at each and every event. Register your Talent Show entry with a PT Member by 5:15 pm on Saturday (just before Dinner). Entries should be in good taste and kept along appropriate lines. The Adult Advisors are here to help make this a wonderful and safe weekend for you. Please follow their instructions (even if they are not your leader or with your group). No alcohol, weapons, drugs, inappropriate language or behavior will be tolerated. Any questionable behavior observed or reported will be handled by the FYE PT. Please try your best to leave an area/building in better shape than you found it. The Lodge provides plenty of spaces to visit with other FYE participants. You may visit other cabins during free time, but only if you are invited and at least one adult is present. If you are asked to leave, please do so. Make sure your Adult Advisor knows where you are at all times. Everyone is asked to remain on site during the entire FYE weekend. Please observe “In Cabin” and “Lights Out” times each evening. Please do not take food or drink from the dining areas. YOUTH PARTICIPANT REGISTRATION FORM (2 pages) ONLINE REGISTRATION IS AVAILABLE. This registration form is for youth attending FYE. Please note, if you have already completed the form online YOU DO NOT NEED TO COMPLETE AND SEND IN THIS FORM. This is intended only for those who may not have online registration access. Although all information is helpful for us to have, the lines given in BOLD are critical. If you are an Adult, please complete the ADULT PARTICIPANT REGISTRATION FORM. Stuff you need to know: 1) BRING OUTDOOR CLOTHES. Saturday morning will be an outdoor activity and November is cold. 2) DO NOT REGISTER AS AN INDIVIDUAL. You must be connected with a church, or you must contact a planning team member to connect you with a group. Individual registrations will be returned. 3) BRING A FAVORITE BOARD GAME. For fun & activities on Friday and Saturday. Participant Information Name: ____________________________________________________________________ Parent’s / Guardian’s (P/G) Name: ________________________________________ Home Address: ____________________________________________________________ City: _____________________________________ State: _____ ZIP: __________ P/G Preferred Phone: ______________________Home Cell Work Other (circle 1) Second Phone: ______________________Home Cell Work Other (circle 1) Participant’s Email Address: ___________________________________________ Gender: M F (circle 1) T-Shirt size: Sm Med Lg Xlg XXLg (circle 1) All sizes are adult; shirt is short-sleeve Church Information Church Name: _____________________________________________________________ Church City & State: _____________________________________________________ Local Church Contact (Adult Advisor): ____________________________________ Church Contact’s Email: __________________________________________________ Continued on next page Emergency Contact (if P/G cannot be reached) Name: ____________________________________________________________________ Address: _________________________________________________________________ City: _____________________________________ State: _____ ZIP: __________ Preferred Phone: ______________________Home Cell Work Other (circle 1) Second Phone: ______________________Home Cell Work Other (circle 1) Insurance & Healthcare Provider Information (if you have no insurance, please write in “no insurance”) Health Insurance Co: _____________________________________________________ Policy / Member #: ______________________Group / Policy #: _______________ Physician's Name: ________________________________________________________ Special Needs Please enter any and all special needs you may have. This would include medications, both prescription and non-prescription; medical conditions, mobility restrictions, and special dietary requirements. If you need additional space, please attach a separate piece of paper. Medications: _____________________________________________________________ Medical Conditions: ______________________________________________________ Mobility Restrictions: ___________________________________________________ Dietary Requirements: ____________________________________________________ Comments (Anything else we should know?): ________________________________ __________________________________________________________________________ After you have completed this form: 1. Make a copy to keep for your records. 2. Send the original, signed form to: Carol Klumb 4 Olde Stone Court Oxford, OH 45056-9779 along with $110 / person. You may send 1 check for all in your group. Checks made payable to the Ohio Conference. REGISTRATION DEADLINE IS NOVEMBER 4,2011. ANY RECEIVED AFTER THE DEADLINE WILL BE RETURNED AND NOT PROCESSED. WE CANNOT ACCEPT LATE REGISTRATIONS! Planning Team Contact Information: * Breeann Lee (blee001@defiance.edu) * Margaret Mills (mmills@wraucc.org) 216•749•3116 RETREAT GUIDELINES FOR ADULT ADVISORS Thanks for being here! Your leadership and ministry with the youth are greatly appreciated. Your role as an advisor is important. Being present with the youth and building positive relationships with them is what we value. Some supervision will be required for those youth you brought with you, as well as for any youth who are lodged in the same dorm room as you are. * Please do head counts at night and monitor lights out time. * Any problems (youth not accounted for, disrespectful/inappropriate behavior, property damage, etc.) should be shared immediately with Margaret Mills or a member of the PT. We know that the youth you brought with you are your primary concern, but we trust you will strive to be a presence for all the youth in attendance. The youth staying in a cabin may not all be from the same church, so please be intentional about introductions the first night and about encouraging inclusion of one another throughout the event. There may be opportunities throughout the event when you can help youth process what they have experienced. In a relaxed, casual manner, ask youth what the high points have been, what problems, if any, arose, and how they are thinking/feeling about the event. ANY WAY THAT YOU CAN ENCOURAGE YOUTH LEADERSHIP IS IMPORTANT. ANY MOMENTS OF FAITH SHARING YOU MIGHT OFFER THE YOUTH WILL HAVE PROFOUND IMPACT. Please “talk up” and help youth make plans for the Talent Show on Saturday evening. Evaluation forms will be provided. Please take time before leaving to complete one and encourage the youth to do so as well. We are always seeking youth and adults who would be interested in serving on future PTs. If you are interested please talk to Margaret Mills or any of the adult PT members. You will have received this contact information when you registered. Your talent and time will be greatly appreciated. ADULT PARTICIPANT REGISTRATION FORM (4 pages) ONLINE REGISTRATION IS AVAILABLE. This registration form is for adult leaders attending FYE. Please note, if you have already completed the form online YOU DO NOT NEED TO COMPLETE AND SEND IN THIS FORM. This is intended only for those who may not have online registration access. Although all information is helpful for us to have, the lines given in BOLD are critical. If you are a Youth, please complete the YOUTH PARTICIPANT REGISTRATION FORM. Stuff you need to know: 1) BRING OUTDOOR CLOTHES. Saturday morning will be an outdoor activity and November is cold. 2) YOUTH MAY NOT REGISTER AS AN INDIVIDUAL. Youth must be connected with a church, or you must contact a planning team member to connect you with a group. 3) BRING A FAVORITE BOARD GAME. For fun & activities on Friday and Saturday. Participant Information Name: ____________________________________________________________________ Home Address: ____________________________________________________________ City: _____________________________________ State: _____ ZIP: __________ Preferred Phone: ______________________Home Cell Work Other (circle 1) Second Phone: ______________________Home Cell Work Other (circle 1) Participant’s Email Address: ___________________________________________ Gender: M F (circle 1) T-Shirt size: Sm Med Lg Xlg XXLg (circle 1) All sizes are adult; shirt is short-sleeve Church Information Church Name: _____________________________________________________________ Church City & State: _____________________________________________________ Local Church Contact (Adult Advisor): ____________________________________ (may be “self”) Church Contact’s Email: __________________________________________________ (if different than above) Continued on next page Emergency Contact (if P/G cannot be reached) Name: ____________________________________________________________________ Address: _________________________________________________________________ City: _____________________________________ State: _____ ZIP: __________ Preferred Phone: ______________________Home Cell Work Other (circle 1) Second Phone: ______________________Home Cell Work Other (circle 1) Insurance & Healthcare Provider Information (if you have no insurance, please write in “no insurance”) Health Insurance Co: _____________________________________________________ Policy / Member #: ______________________Group / Policy #: _______________ Physician's Name: ________________________________________________________ Special Needs Please enter any and all special needs you may have. This would include medications, both prescription and non-prescription; medical conditions, mobility restrictions, and special dietary requirements. If you need additional space, please attach a separate piece of paper. Medications: _____________________________________________________________ Medical Conditions: ______________________________________________________ Mobility Restrictions: ___________________________________________________ Dietary Requirements: ____________________________________________________ Comments (Anything else we should know?): ________________________________ __________________________________________________________________________ Continued on next page Adult Background Check Information We wish to continue our efforts to intentionally and consistently protect the young people and adults who attend our events. All of those who are working as Adult Leaders must complete these forms and send them in with their registrations. 1. Have you ever been found guilty of, or pled guilty or no contest to, a criminal charge alleging actual or attempted sexual harassment, exploitation, misconduct, physical abuse, or child abuse by you? No Yes (Circle 1) If "Yes", give a short explanation of the charge: ________________________ __________________________________________________________________________ 2. Has a formal complaint in a civil, ecclesiastical, educational, or employment setting ever been made against you alleging actual or attempted sexual discrimination, harassment, exploitation, misconduct, physical abuse, or child abuse by you? No Yes (Circle 1) If "Yes", give a short explanation of the charge: ________________________ __________________________________________________________________________ 3. Is there any other fact or circumstance involving you or your background that would call into question your being entrusted with responsibilities in this youth event? No Yes (Circle 1) If "Yes", give a short explanation of the charge: ________________________ __________________________________________________________________________ Continued on next page ADULT REFERENCES Please list three adult references who are, preferably, not family members. These persons need to be familiar with your work and / or your volunteer activities. * If you are a Lay Person the list must include a church professional (Minister / Christian Educator / Youth Advisor) and either your Employer or Teacher / Professor. * If you are a Church Professional the list must include your Church Moderator or person serving in a similar capacity. First Reference: Pastor / DCE / Moderator Name: ____________________________________________________________________ Relationship: ____________________________________________________________ Preferred Phone: ______________________Home Cell Work Other (circle 1) Second Reference Name: ____________________________________________________________________ Relationship: ____________________________________________________________ Preferred Phone: ______________________Home Cell Work Other (circle 1) Third Reference Name: ____________________________________________________________________ Relationship: ____________________________________________________________ Preferred Phone: ______________________Home Cell Work Other (circle 1) After you have completed this form: 1. Make a copy to keep for your records. 2. Send the original, signed form to: Carol Klumb 4 Olde Stone Court Oxford, OH 45056-9779 along with $110 / person. You may send 1 check for all in your group. Checks made payable to the Ohio Conference. REGISTRATION DEADLINE IS NOVEMBER 4,2011. REGISTRATIONS MUST BE POSTMARKED BY THIS DATE. ANY RECEIVED AFTER THE DEADLINE WILL BE RETURNED AND NOT PROCESSED. WE CANNOT AND WILL NOT ACCEPT LATE REGISTRATIONS! Planning Team Contact Information: * Breeann Lee (blee001@defiance.edu) * Margaret Mills (mmills@wraucc.org) 216•749•3116 PILGRIM HILLS INFORMATION ADDRESS Pilgrim Hills Camp and Conference Center 33833 Township Road 20 Brinkhaven, OH 43006 740-599-6314, Fax 740-599-9790 DIRECTIONS & MAP (NOTE: MAP IS ONLINE) Located between Millersburg and Danville, Ohio From the North: * Take I-71 south to Rt. 83. * Take Rt. 83 into Millersburg. * From Millersburg, follow Rt. 62 SW about 18 miles to Rt. 206. * Turn left (south) and go 2 miles to the Pilgrim Hills sign. * Turn right onto Twp. Rd. 20. The camp is 1 mile down on the left. From the South: * Take Rt. 62 into Danville. * From Danville, follow Rt. 62 northeast about 8 miles to Rt. 206.  * Turn right (south) and go 2 miles to the Pilgrim Hills sign. * Turn right onto Twp. Rd. 20. The camp is 1 mile down on the left.