Annapolis YRUU Presents: B.A.T.

(Being a Teenager)
November 13-15, 2009
YOUTH AND ADULT REGISTRATION FORM
After completing and reading the ENTIRE registration form, please mail the form with a check for the
appropriate amount, payable to “UUCA,” memo: YRUU B.A.T CON to:
Send Registration Forms to: YRUU B.A.T. CON, 314 Smith Ave, Severna Park, MD 21146
If you have any questions, contact the registrar at YRUU_Students@yahoo.com

Name __________________________________________________________________DOB: (MM/DD/YY) _____/_____/_____

Address ___________________________________________________________________________________________________
Email Address _____________________________________________________________ Telephone _______________________
Congregation You Attend (full name please) ____________________________________________________________________
Medical/Allergy Info: ____________________________ Medical Ins. Co./Policy: ____________________________________
In case of emergency contact: _________________________________________________ Telephone: ______________________
Dietary Preferences:  Omnivore  Vegetarian  Vegan

YOUTH: Every youth must have an advisor from his or her congregation at the Con unless special arrangements have been made with the Registrar in advance.
Youth Status:  YRUU  Guest
Name of Advisor attending the Con with you: __________________________________________________________

Parental Consent: I, __________________________ (print) am the parent/legal guardian of the youth named above. I hereby give my consent and authority for the
Con Staff to take any reasonable action to help ensure the safety, health and welfare of my child. I also give my consent for any necessary medical treatment, including
emergency surgical care if needed. I will cover the costs incurred. I understand that my child is required to follow the rules of the Con, and that a breech of those rules
may result in my child being sent home at my expense. I understand that some workshops may take place off-site and that only licensed, insured adult drivers 25 or
older will transport participants. I understand that throughout this conference, topics and issues related to teenagers, including sexual and lifestyle issues, will be
presented and discussed under the supervision of authorized youth advisors, medical professionals and/or other subject matter experts. I understand that the conference
may present portions of, or in whole, movies that are rated G, PG, PG-13 or R for the purpose of education and/or discussion.
Signature of Parent/Guardian: ____________________________________________________________________

ADVISORS: To ensure a maximum 5:1 Youth/Adult ratio, we ask that advisors list the youth they will accompany to the Con
(up to 5). Please list the names of the youth in your group:
1. 3. 5.
2. 4.

ADVISOR APPLICATIONS MUST BE POSTMARKED BY OCTOBER 30TH!!

Adult advisors must be approved by UUCA or be on the JPD approved list. They can contact , Fran Ateto, DRE (dre@uuca-md.org), to check their status.
All other applications are due by November 1st.

REGISTRATION FEES WHICH INCLUDES FOOD, SSSNA ACTIVITY AND WORKSHOPS:

Circle the Appropriate Fee

First Time Con Participants: $30 Regular: (Postmarked by November 1st):

$40
*Scholarships are available. Email the registrar at YRUU_Students@yahoo.com

NO Registrations Accepted after November 8th. No Walk-In Registrations (please)

Make checks payable to UUCA. Put a note on the memo line of: “YRUU B.A.T. CON”.
Con Rules:
• No sexual activity •
• Pre-registration is required for all participants. • One person per sleeping cover •
R-E-S-P-E-C-T people and property
“NO” means NO
• No possession or use of alcohol or drugs
•
• No use of tobacco if under 18 • No leaving con grounds •
No Energy Drinks
No Musical Amplifiers Please
• No violence or weapons • No walk-ins or visitors

Sleeping Arrangements: Male & female sleeping rooms, driver’s sleeping room and supervised communal sleeping room.

ALL PARTICIPANTS: I have read the above rules and acknowledge them as my guide for participation in this Con. I will follow any additional rules established by
the Con Staff and Host Church. I understand that if I break the rules I will be subject to the decision of the Conference Affairs Committee (CAC), including the penalty
of being required to leave the Con and possibly being excluded from future YRUU events.
Signature of Participant: __________________________________________________ Date: ___________________

DRIVERS: We ask that drivers take the responsibility to attain adequate sleep on Saturday night and to follow traffic regulations.
If you are driving, please sign below as your commitment to follow these guidelines.
Signature of Driver: ______________________________________________________ Date: ___________________