Step UUp, Meet and Greet Con

Junior Youth Con

May 2-3, 2009 at Auburn First Universalist Church

Northern New England District Youth Registration Form

(6-8th grades)

Send this completed form and payment of $15 (payable to NNED, memo ME junior youth con) to Joy
Blanchette at 10 Ferry St #318, Concord, NH 03301 or fax to 603-226-3011 by the deadline, April 17.

Name______________________________________Grade_____Gender____
Adress_____________________________________________________________
Street city state zip
Phones (H)_______________(cell)______________email______________________
Print legibly
Allergies/medical conditions/special
needs_____________________________________________________________
Your adult sponsor/advisor (at this
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?_________________
“I understand that this youth from my church is attending the stated event”
__________________________________________________________________
Signature of DRE, minister, or youth coordinator

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 parents’ expense. I also agree not to leave the set boundaries of
the event without permission.

Youth signature___________________________________________Date______

(one of two pages for youth)

Parents/guardians please read and complete

Liability release and emergency care authorization

MEDICAL EMERGENCY PARENTAL PERMISSION
The health history for my child is correct and complete to my knowledge. If an injury
or other medical condition occurs or arises, I hereby give permission to the NNED
staff or volunteers to provide routine health care and seek emergency treatment
including x-rays or routine tests. I agree to the release of any record necessary for
treatment, referral, billing or insurance purposes. I understand that I am financially
responsible for charges and hereby guarantee full payment to the attending
physicians or health care unit. In the event of an emergency where I cannot decide
for my child, I give permission to the physician/hospital selected by the District staff
or volunteer to secure and administer treatment for my child, including
hospitalization. _________initial __________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 your image and/or voice or the image and/or voice 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

ASSUMPTION OF RISK AND RELEASE OF LIABILITY (Please read carefully.)

I give permission for to participate in the NNED youth events. I
understand that NNED activities/events may involve certain risks of physical activity
and possible injury and that NNED will provide each participant with reasonable care,
but that NNED cannot guarantee that my child will remain free of injury. In addition,
some NNED youth events including but not limited to: winter sports, water activities,
and other sporting activities have a higher degree of risk. I nonetheless wish to have
my child participate in NNED youth ministry events and ASSUME the RISK of
participating. I agree to RELEASE from LIABILITY, INDEMNIFY and HOLD HARMLESS
the NED, the Board of Directors and their officers, employees and agents (hereinafter
the RELEASEES) from any and all claim and/or cause of action arising out of and
related to any injury, loss, penalties, damage, settlement, costs or other expenses or
liabilities that occur as a result of my child’s participation in the NNED youth
programs.

Parent or Guardian Signature Date

(Must be signed by the parent or guardian if the participant is under 18 years old)
 Step UUp, Meet and Greet Con
Junior Youth Con
May 2-3, 2009 at Auburn First Universalist Church

Adult Registration Form

Send this completed form and payment of $15 (payable to NNED, memo ME junior youth con) to Joy
Blanchette at 10 Ferry St #318, Concord, NH 03301 or fax to 603-226-3011 by the deadline, April 17

Name___________________________________________________________Gender____________
Address___________________________________________________________________________
Street city, state zip
Phones (H)__________________ (W)____________________ cell_____________________
Email_____________________________________________________________________________
Congregation_______________________________________________________________________
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 and has completed the
district’s or church’s screening process”
__________________________________________________________________________________
(Signature of religious educator, minister, 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

CODE OF ETHICS
Adults and older youth who are in leadership roles are in a position of stewardship and play a key role
in fostering spiritual development of both individuals and the community. It is, therefore, especially
important that those in leadership positions be well qualified to provide the special nurture, care, and
support that will enable children and youth to develop a positive sense of self and a spirit of
independence and responsibility. The relationship between youth and their leaders must be one of
mutual respect if positive potential is to be realized. There are no more important areas of growth than
those of self-worth and the development of a healthy identity as a sexual being. Adults play a key role
in assisting children and youth in these areas of growth. Wisdom dictates that children, youth, and
adults suffer damaging effects when leaders become sexually involved with young persons in their
care; therefore leaders will refrain from engaging in sexual, seductive, or erotic behavior with children
and youth. Neither shall they sexually harass or engage in behavior with youth that constitutes verbal,
emotional or physical abuse.
By signing below, the signer indicates s/he has been informed of this code and agrees to abide by it
before assuming their work with children and/or youth involved in District activities. In cases of
violation of this code, appropriate action will be taken.
Signed_______________________________________________________Date_________________

(continued below)
 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______________

Expectations of a Youth Advisor at District Sponsored Events

Be a member or affiliate in good standing with a UU congregation for at least six months (exceptions can be
discussed)
Have a good understanding of Unitarian Universalism
Complete a volunteer application with personal character references and agree to a background check
Be 25 years or older
Understand, follow and educate others about district safety policies
If transporting youth, provide proof of driver’s license and liability insurance
Be a kind, available compassionate, and friendly adult aware of appropriate personal boundaries
Collaborate and communicate with congregational leadership, YAC (youth-adult committee), and district staff
Promote general health and well being of youth at youth events through awareness and by following the events’ code
of conduct or youth behavior expectations
Attend orientations for youth advisors at your congregations and consider attending youth advisor trainings at the
district level
Agree to monitor overnight environment by taking two hour “awake shifts”
 Step-UUp Junior Youth Meet & Greet Con
Auburn First Universalist Church
May 2-3, 2009

Junior youth---6-8th grade--this is your con where you can Step UUp at
the junior youth con in Auburn--a safe, welcoming and fun time. It’s a
time for you to make new UU friends, have fun with games, share your
thoughts and talents, deepen your faith, worship and sing together, and
demonstrate your great leadership skills.

What to bring? Sleeping bag and pad, pillow, toiletries, snacks to share, a
change of clothing, a positive attitude, small games, musical instruments,
your ideas, an adult advisor from your congregation.

How to register? Complete the registration form and send it with payment of $15
(payable to NNED, memo ME junior youth con) to UU District Office, 10 Ferry St.
#318, Concord, NH 03301 or fax to 603-226-3011 by the deadline of April 17.

Questions? Contact Jeremiah Bartlett --jeremiahbartlett@gmail.com or

Clara Bolduc, dreuuauburn@myfairpoint.net or Benette Sherman,
bsherman@uua.org

Schedule of Activities
Tim Saturday Sunday

Time Event Time Event

1:00-1:30 PM Sign-in and Mingle 7:00 – 7:30 AM Wake Up/Get Dressed

Get Touch Group Info 7:30 – 8:00 AM Breakfast
1:30-2:00 PM Orientation/Church Tour 8:00 – 8:30 AM clean Up
2:00-3:00 PM Touch Groups/Covenant 8:30 – 9:30 AM Choir Practice
3:00-4:30 PM Social Activities Outside 9:30 – 10:00 AM Greeters/Socialize
4:30-5:00 PM Break/Snacks 10:00 – 11:15AM Church
5:00-6:30 PM Workshop 11:15-11:30 AM Coffee Hour
6:30-7:30 PM Dinner 11:30 -12:00 PM Touch Groups
7:30-8:00 PM Break/Clean-Up 12:00 – 1:00 PM Goodbyes/Leave
8:00-9:00 PM Touch Groups
9:00-10:00 PM Worship
10:30-11:00 PM Get Ready for Bed
111:00 PM-midnight Lights Out – Sleep