Clone of Breathe May 3-5, 2024 - Home Team Leader Registration

ABT Synod Youth Gathering: BOUNDLESS - Leader Registration

May 2-4, 2026 - Camp Kuriakos at Sylvan Lake
For youth in Grades 7-12 and home team leaders: $240 per person (by March 1), $260/person (after March 1)

Access the planning letter here.
HOME TEAM LEADER REGISTRATION FORM
Full Name*

First NameLast Name
Preferred Name:
Rostered MinisterHome Team Leaderinterested in being a Home Team Leader
Birth date:*

MonthDayYear
Gender: *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Cell Phone Number*
Format: (000) 000-0000.
Congregation/Parish Name*
Congregation/Parish Location:*
Congregation/Parish Phone:*
Format: (000) 000-0000.
Synod/Diocese:*
Evangelical Lutheran Church in CanadaAnglican Church of CanadaOther
SmallMediumLargeX LargeXX LargeXXX Large
Home Team members:

(Please list the names of the youth you will be responsible for during the gathering.)
Youth #1

First NameLast Name
Youth #2

First NameLast Name
Youth #3

First NameLast Name
Youth #4

First NameLast Name
Youth #5

First NameLast Name
Youth #6

First NameLast Name
Youth #7

First NameLast Name
Youth #8

First NameLast Name
Youth #9

First NameLast Name
Alternate/Secondary Home Team Leader:

First NameLast Name
Emergency Contact Information:

Please provide the following information for your (personal) Emergency Contact Person (ECP)
Day time ECP:*

First NameLast Name
Day time ECP phone:*
Format: (000) 000-0000.
Day time ECP cell phone:*
Format: (000) 000-0000.
Night time ECP (if different from day time person):

First NameLast Name
Night time ECP phone (if different from day time/cell):
Format: (000) 000-0000.
Next of Kin:*

First NameLast Name
Next of Kin phone:*
Format: (000) 000-0000.
Next of Kin relationship to you:*
If Next of Kin is other, please indicate:
Medical Information:
Health Care Number:*
yesno
List allergies:
yesno
yesno
yesno
Food allergy comments (if necessary):
Please note: all dietary requirements must be identified on the registration form. No late/additional arrangements will be made at the event.
yesno
If yes, list type or care requirements:
yesno
Other allergy/medical condition comments (if necessary):
Mobility Issues - do you require assistance? If so, specify here:
With my signature I acknowledge that my registration as HTL is not complete until my Waiver and Covenant forms have been signed and submitted.*
Access and download the waiver and covenant form for HTL here.

Access and download the youth waiver form here.

Access and download a covenant form for youth here.

Camp Kuriakos asks that, in addition to the BOUNDLESS waiver being signed, a separate Camp waiver also needs parent/guardian’s signature for the various camp activities being offered. Eg) high ropes course, low ropes and archery.

Access a Kuriakos Risk Awareness document here.
Access a fillable Kuriakos Waiver for Kids and Youth here.
Access a fillable Kuriakos Waiver form for Adults or Families here.
If you are finished with your registration form, you may print it for your records. After you have printed it, click submit to send it to the registrar. You will receive a copy of your submission at the email address you use to register with.

Accommodations:

Home Team Leaders are responsible for their Home Teams and will be roomed with them in cabins. You may be sharing a room with other Home Teams, according to gender.

Early Bird Cost: $240 per person (by March 1)

Registration: $260/person (after March 1)

HTL: please collect all fees from your youth, and then send one group payment for the total amount. Payments may be made by e-transfer to abtfinance@elcic.ca or by cheque. Indicate the number of people the payment is for in the message section of the e-tranfer or on the cheque (i.e. 1 HTL, 5 youth).

Cheques should be made payable to Alberta Synod - ELCIC) and dropped off at or mailed to:

Synod of Alberta and the Territories
10014-81 Avenue NW
Edmonton, AB T6E 1W8

Privacy Statement: Information collected within this registration form is for the use of the ABT Synod Youth Planning Team for the 2026 Synod Youth Gathering. All information will be treated as confidential.
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ABT Synod Youth Gathering: BOUNDLESS - Leader Registration