“Come, and you will see.” John 1:39

REGISTRATION FORM  

2008 CHALDEAN AND ASSYRIAN YOUTH CONVENTION OF ST. PETER CHALDEAN CATHOLIC DIOCESE

hosted by

St. Mary’s Assyrian Chaldean Catholic Church

Campbell, California

JULY 3^rd - 6^th                         AGES 15-30

My PARISH _______________________________________________

Last Name ____________________________  First Name ______________________  Age _______

Street Address ______________________________  City ______________  State _____  Zip _________

HOME Telephone # (        ) _____________  CELL Telephone # (        ) _____________

EMERGENCY Contact Name _______________________  Telephone # (        )________________

E-MAIL Address _______________________________     OCCUPATION_____________________

____High School          ____College     ____University ____Graduate

GENDER _____Male  ____Female               STATUS:        ____Single       ____Married

T-SHIRT SIZE:         ___S                ___M               ___L                ___XL             ___XXL

Do you wish to participate in any of the SPORTS ACTIVITIES during the convention? __Yes            __No

If yes, please indicate which sport you will be participating in and complete/sign the Sports Disclaimer.

          ____Basketball         ____Soccer         ____Volleyball         ____Tennis         ____Table Tennis

MAIL REGISTRATION FORM BY MAY 15^th 2008 To your local church

SIGNATURES

By signing below registrant understands that any misconduct may result in elimination from the entire convention. Furthermore, attending orientation on Thursday is mandatory in order to receive a convention badge & T-shirt, which must be worn at all times for admittance into religious and sports activities. Only after attending all religious programs will registrant receive a pass to the Saturday night banquet.

________________________            ____________________________                  ________________

    REGISTRANT  NAME                                 SIGNATURE                                                DATE

…………………………………………………………………………………………………………………

MANDATORY INFORMATION FOR EVERYONE

The estimated registration fee for this event is $250.  This fee will cover transportation from San Diego to San Jose and back. Also included will be room and board for 3 nights and 4 days.  Food and beverages will be provided by the hosting church, St. Mary’s.  If you need to cancel your reservation after you have registered, you must notify the church as soon as possible. If you cancel on June 5^th, 2008 or later, we regret to inform you that we will not be able to refund your registration fee of $250.  As our fundraising efforts persist, the $250 registration fee will be reduced & will be announced by the end of May.

SPORTS DISCLAIMER

SPORTSMANLIKE CONDUCT

All participants are expected to abide by the stated policy, and shall conduct themselves in a sportsmanlike and suitable behavior in connection with sporting events, and related functions in accordance with the standards herein. In addition, each participated member should fully participate in all scheduled activities.  Failure to appear will result in elimination from attending this event.

We realize that the reason of this agreement is to ensure the safety of all the participants at the Convention. This is to ensure conduct and actions that will result in each participant receiving the full benefits and enjoyment of the enlightening experience from this event.

DEADLINE

In order to participate in this tournament, this form must be received no later than May 15^th 2008.  NO TEAMS WILL BE ALLOWED TO PARTICIPATE IF THEY HAVE NOT REGISTERED BY THIS DATE.  Hurry and register, as there is a limit on the total number of teams allowed to participate.

MEDICAL CONDTIONS: ____________________________________________________________

ALLERGIES: _______________________________________________________________________

SIGNATURES

By signing below, you, as a team member agree to abide by the rules outlined above. Inappropriate behavior will result in disqualification. Neither St. Mary’s Church nor its affiliated locations are responsible for any injuries that may result. In addition, each registrant wishing to participate in sports must attend all religious programs. Failure to do so will result in elimination from entire convention.

_________________________________      ________________________________           _________

      SPORTS PARTICIPANT NAME                          SIGNATURE                               DATE

GENERAL PARENTAL CONSENT (if under 18)

I, the undersigned parent/guardian, hereby authorize my child (name) ____________________________ to:

Please initial in the space(s) below:

• _____ Participate in the Assyrian Chaldean Youth Convention in Campbell at St. Mary’s Church. I am solely responsible for the actions of my child. I also understand and agree to the conditions listed in the SIGNATURES section.
• _____ Participate in the convention sport activities. I also understand and agree to the conditions listed in the SPORTS DICLAIMER section.

_____________________________________          ____________________________          _________

PARENT/GUARDIAN NAME IF UNDER 18                                SIGNATURE                         DATE