KNOWN 2020 - High School Student Leader Registration

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OPTIONAL: CONNECT CREW

Upon registering for the weekend, all 10th, 11th, and 12th graders are automatically listed and set to serve alongside adult volunteers as Disciple Group Leaders or Assistant Disciple Group Leaders.

However, if you would like to serve in a 'behind-the-scenes' role during the weekend, please indicate "Connect Crew" below. Please know that we have a limited number of Connect Crew slots and cannot guarantee every position for every student requesting. We will contact you closer to Discovery Weekend with your role if you select this option. **Connect Crew is for 10th-12th grade students only.**

Instead of D-Group Leader, I would like to be considered for the Connect Crew.

Sleep rooms will NOT be available at Trinity UMC for high school students and they will need to sleep at home.

During Discovery Weekend, we understand that other events (sports, family activities, etc.) may already be scheduled. We don't want that to ever keep a student from participating in the rest of the weekend! Simply indicate if this is the case for your student and let us know any check out/in details.

Yes, student will be checking out/in. No, we do not anticipate checking out/in. Maybe.

Students must check out/in at the Welcome Center (located across from the large parking lot) throughout the weekend for any scheduled or unforeseen conflicts.

Yes No No, but we'd love to receive more information!

Yes No No, but they'd really like to get plugged in!

First Name Middle Name Last Name

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Street Address

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First Name Last Name

Grandmother, uncle, neighbor, family friend, etc.

Area Code Phone Number

First Name Last Name

Area Code Phone Number

The medications listed below will be available for use if needed. Please check the medications that you authorize the medical team or unlicensed staff member to administer to your student if needed. Any other medications your student should take must be provided by parent/guardian and the appropriate authorization form completed at Student Check-In.

Ibuprofen (Advil) 200mg. Use: Pain, headache, fever. Acetaminophen (Tylenol) 500mg. Use: Pain, headache, fever. Pepto-Bismol Tablets 262mg. Use: Upset stomach, heartburn, indigestion, diarrhea. Benadryl 25mg. Use: Runny nose, sneezing, itching of nose and throat, allergies. Please do not administer any medications without Parent/Guardian authorization.

Please list all relevant information.

I (We) give permission for our student to attend and participate in the youth activities of Trinity United Methodist Church. I (We) recognize that membership and participation in the youth program is voluntary, and while every reasonable precaution will be taken for the safety and well-being of the participants, there are certain risks inherent in trips away from home and at church youth activities.

Please type your full name as an electronic signature.

In the event of an emergency illness or injury to the youth member, the adult staff and volunteer leaders of Trinity will make every reasonable effort to contact me (us) for permission to obtain emergency medical and/or dental care. However, if the circumstances do not permit, I (we) authorize and consent to such emergency medical and/or dental care as may be necessary for the prompt treatment of the illness or injury. I (We) further agree to be financially responsible for the cost of emergency treatment and agree to reimburse Trinity and/or the adult leaders for any expenses incurred as a result of such treatment.

Please type your full name as an electronic signature.

Today's Date

I'd Like To Pay Online Now I'd Like To Pay Online Later I'll Send In A Check We Would Like To Receive A Matching Scholarship And Pay Online Now We Would Like To Receive A Full Scholarship I Would Like To Be An Adult Night Leader And Waive My Student's Fee

No problem! Whenever you're ready to pay online, head on over to https://elementdiscoveryweekend.com/onlinepayments.html to complete payment for your student. We will send a reminder email to the email address you provided as the weekend approaches. We can't wait to have your student a part of TIME 2022!

No Problem! Please drop a check by the main church office or mail to Trinity United Methodist Church, 1400 Oxmoor Road, Birmingham, AL 35209

MEMO: Student's Name & TIME 2022

No Problem! We never want financial burdens to keep our students from attending Discovery Weekend. We are so thrilled that your student is joining us!

Thank you so much for your interest in being an Adult Night Leader for Discovery Weekend! One student fee is waived per night that you spend during the weekend. By selecting this option, one of the Discovery Weekend Parent Coordinators will soon be in touch with you via the parent/guardian email you noted in the registration above. We are so grateful for your help!

DID YOU KNOW?

Each year, Element provides scholarships for over 100 students to participate in Discovery Weekend. We covet your help! Please see online contribution options below - we are so grateful for your partnership in this ministry.

Please visit www.elementstudentministry.com anytime to make a general donation or scholarship contribution.

High School Leader Registration Fee Regular Price Rate (Feb 8 - Mar 4)

$ 99.00

High School Leader Matching Scholarship Registration Fee Regular Price Rate (Feb 8 - Mar 4)

$ 50.00

Help Send A Student To Discovery!

Free Contribution

Total

$ 0.00

To prevent multiple charges, please only hit the submit button once. If you run into an error, please contact Robert at rsturdivant@trinitybirmingham.com before you try again. Thanks!

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Please click one of the PayPal options to complete payment and submit the form.

HIGH SCHOOL STUDENT LEADER REGISTRATION - TIME 2022

Student Info

STUDENT MEDICAL RELEASE FORM 2021-2022

In Case of Emergency

General Medical History

Medical Insurance Details

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