AYC Youth Animator Application Form

Are you a member of a school choir or an acappella group? Can you play a musical instrument ? Have you ever been in a theater production? Are you a part of a dance squad or cheer team? Do you want to be on stage in front of 2000+ people?

Then WE WANT YOU to be an animator for AYC 2014!

Archdiocese of Galveston-Houston
Office of Adolescent Catechesis and Evangelization
Brian K. Johnson, Director

July 2013 Dear Potential AYC Animator: Greetings from the Office of Adolescent Catechesis and Evangelization! The role of an animator is critical to programming of AYC. Through this role young people like yourself assist in helping their peers be drawn into the full conference experience. Through song, movement, and proclaiming the word of God in word and action, the animator challenges and encourages the other youth participants to be fully engaged and actively involved in the experience. If you are in a band, choir, drama troupe, or dance team at your parish or school, I need you to share your gifts with the larger Church of Galveston-Houston. It is recognized that many youth today are heavily committed in a variety of other extracurricular activities in school and family responsibilities. Please give consideration to this opportunity and the AYC production team will work with your busy schedule as much as possible. I am looking forward to sharing ministry with you if you are open to this call. In Christ,

Brian K. Johnson
Brian K. Johnson Director

AYC Youth Animator Formation Program

Preparation for the 2014 Archdiocesan Youth Conference

Purpose The continued growth of the Archdiocesan Youth Conference has posed unique challenges for staging and preparation of young people to lead the entire community in prayer and celebration. This formation program is designed to incorporate the gathering of young people of different cultural backgrounds to meet those challenges. Eligibility To participate, youth must be entering high school in Fall 2013 and planning to attend the 2014 Archdiocesan Youth Conference held at the Hilton Americas Hotel. Youth must be open to participate in selective areas of AYC ministry which include song, dance/movement, and oral proclamations. Dates of Importance Requiring Attendance October 26, 2013: Orientation Meeting and Rehearsal Intro at St. Dominic Archdiocesan Center (9 am12 noon) November: Date to be Determined December: Date to be Determined January: Date to be Determined February: Date to be Determined March: Date to be Determined April 20, 2013: Animator Rehearsals at St. Dominic Archdiocesan Center May 11, 2013: Animator Rehearsals at St. Dominic Archdiocesan Center June 15, 2013: Animator Rehearsals at St. Dominic Archdiocesan Center June 18-19, 2014: Overnight Formation Days at St. Dominic Archdiocesan Center July Rehearsal...to be announced July 25-27, 2014: AYC (Animators must be registered with their parish or Catholic high school)

Cost

Registration for the Overnight Formation Days is $25 and includes housing , dinner on Wednesday with breakfast and lunch on Thursday. All music and program materials will also be provided.

Housing for Overnight Formation Days

Youth will be housed in the dorms of the Cameron Retreat Center located on the property of St. Dominic Archdiocesan Center according to gender and age and will be chaperoned by local youth ministry leaders from the Archdiocese of Galveston-Houston.

Transportation Sponsor

Participants will have to provide their own transportation to all rehearsal sites in accordance with the Archdiocesan transportation policy. Office of Adolescent Catechesis and Evangelization of the Archdiocese of Galveston-Houston

Application Form No application will be considered complete without all required information Instructions
Completed applications must be received no later than October 21, 2013

AYC Youth Animator Formation Program

All potential participants must complete and send the following: Registration Form Liability/Medical Release Form All materials must be sent to: Office of Adolescent Catechesis and Evangelization 2403 Holcombe Boulevard Houston, Texas 77021

Registration Requirements
You do not need to be a professional in the areas you wish to participate in. Some young people who wish to serve as cantors/song leaders will be required to audition before Team Leaders.

Personal Information
Full Name: Parish or Catholic High School: Name of Parish Coordinator of Youth Ministry Leader or Campus Minister: Date of Birth: Street Address: City: Home Phone: Email: Parents/Guardians Names: State: Zip: Cell Phone: Age: Grade in 2013-2014 School Year: Male Female

Housing Information
All participants are required stay onsite for the entire program. No exceptions! THIS APPLICATION CONTINUES ON NEXT PAGE.

AYC Youth Animator Formation Program

Ministerial Information
Please check any and all that apply to you. Even if you are not primarily a singer, please check your vocal range Singer: Soprano Alto Tenor Bass Dance/Movement Lector Actor Instrumentalist: Type of Instrument Do you read music? Yes No Do you sing in a school or parish choir? Yes No Are you a cantor? Yes No Do you take dance lessons? Yes No Are you part of a school, parish, or private dance troupe? Yes No Are you part of a school, parish, or private band? Yes No All participants will be required to participate in a primary area of ministry. Please prioritize the following to indicate your top choice of ministry for AYC - #1 being first preference and #4 being least preferred. Please note that you will only be involved in one of the three ministries: Voice/Choral Proclamation of the Word Instrumentalist Dance/Liturgical Movement

Special Needs
Are there special dietary needs or physical requirements we need to be aware of? Please list them.

Archdiocese of Galveston-Houston

Office of Adolescent Catechesis and Evangelization

PARENTAL/GUARDIAN CONSENT FORM & LIABILITY WAIVER

Participants Name Home Address Parish or Catholic School Participants Email Address Participants Cell Phone: ( Parent(s)/Guardian(s) ) Home Phone (___) Cell Phone Number: (___) T-Shirt Size (Circle One): Small Medium Large XL XXL XXXL XXXXL Date of Birth City/Zip Code Grade (As of Aug. 2013) Male / Female

Important! To be filled out by the Parent/Guardian for youth under 18 years of age. If participant is 18 years of age or older, consent must be signed by the individual)
I (name of parent/guardian) ___________________________________, grant permission for my child, (participants name), ___________________________________ to participate in the Archdiocesan Youth Conference Animators Formation for the year 2013-2014. This includes the AYC Animators Overnight Formation on June 18-19, 2014) at the Cameron Retreat Center. I agree on behalf of myself, my childs other parent if known or living (name of parent), _________________________, my child named herein, or our heirs, successors, and assigns and defend the Archdiocese of Galveston-Houston, the sponsoring parish/school (its pastor, youth ministry leader, principal, other agents, etc.) or any representatives associated with the scheduled activity unless the parties involved were careless and negligent. In signing this form I certify that all information contained herein is true and accurate to the best of my knowledge. ___________________________________________________________ Signature (Parent/Guardian) ______________________ Date

CONSENT & LIABILITY WAIVER

YOUTH PARTICIPANT: In signing the line below I agree to abide by any/all policies and rules established for this event/activity (see Code of Conduct). Should I not be able to maintain the guidelines and expectations of the adults and my peers, I understand that there will be consequences for my actions, including being removed from the activity and being sent home at my parents expen se. _________________________________________________________ Signature (Youth Participant) _____________________ Date

As parent/guardian, I understand that promotional pictures and videos (individual and group) will be taken during this event. I give permission for my sons/daughters picture to be used for promotional materials (newsletter, web page, calendars, power point , video etc.) in highlighting the event. Signature (Parent/Guardian) ______________________ Date

VIDEO/PHOTOGRAPHY CONSENT

ARCHDIOCESE OF GALVESTON-HOUSTON

MEDICAL CONSENT FORM

Medical Matters I hereby warrant to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. Of the following statements pertaining to medical matters, sign only those in accordance with your wishes: Emergency Medical Treatment In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the even of an emergency and you are unable to reach me, contact: Name & Relationship _________________________________ Family Doctor ______________________________________ Phone ___________________________ Phone___________________________

Medications My child will bring all such medications, well labeled, that are necessary. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency are as follows My child is taking the following medication at the present time. Medication(s): ________________________________________________ Dosage: _____________________ Administer: _______________________________________________________________________________ _____I Grant Permission for nonprescription medication (such as Tylenol, throat lozenges, cough syrup) to be given to my child, if deemed advisable. I understand that Aspirin will not be given to my son/daughter. (Please initial) OR _____ I Do Not Grant Permission for medication of any type, whether prescription or nonprescription may be administered by my child unless the situation is life threatening and emergency treatment is required. (Please initial) Medical Conditions Information: (Archdiocesan personnel will take reasonable care to see that the following information will be held in confidence.) My son/daughter has: Allergic reactions to the following (foods, dyes, latex etc.) Has had a medical surgery within the last six months? Has a medically prescribed diet? The following physical limitations? Date of last tetanus/diphtheria immunization You should also be aware of these special medical conditions of my child (e.g. depression, anxiety, etc.):

Insurance Information: Insurance Carrier: Insurance Policy Number: Fathers Name: Mothers Name:

No, I do not carry medical insurance at this time. Name of Insured:

Day Phone: Day Phone:

In the event it comes to the attention of the chaperones associated with the activity that my child becomes ill with repeated symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called immediately. If this will be a long distance call, I want to be called collect (with phone charges reversed to myself). I fully understand the foregoing statements and sign this Parental/Guardian Medical Consent Waiver knowingly, freely, and willingly. Signature (Parent/Guardian) Parent/Guardian must sign for anyone under 18 years of age. Signature (Participant 18 years of age or older must sign own consent) Date Date