THE

2011 ERITREAN ORTHODOX

TEWAHDO YOUTH CONFERENCE
REGISTRATION FORM
1407 Sunbury Road · Columbus, OH 43219 · May 27-30, 2010 · http://www.tewahdo.info/

Please fill out all the information and return to the address above before the deadline

Name______________________________________________________________

Address____________________________________________________________

City_________________________ State _______ Zip Code ___________________

Phone Home ( ) Cell ( )

Email _____________________________________ Date of Birth _______________________

Church_______________________________________________________________________

Emergency Contact Information

Contact #1: _____________________________________ Relation: _______________

Telephone Home (_____) _____________________________

Cell (_____) _____________________________

Contact #2: _____________________________________ Relation: _______________

Telephone Home (_____) _____________________________

Cell (_____) _____________________________
Contact #3: _____________________________________ Relation: _______________

Telephone Home (_____) _____________________________

Cell (_____) _____________________________
Medical Information

List all prescription medications you will be taking:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

List any medical conditions/concerns:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

I, ________________________________ have certified that the information provided is correct.

 Tewahdo Youth Conference Policies and Procedures

The 2011 Eritrean Orthodox Tewahdo Youth Conference is a Christian fellowship program
and all activities will be consistent with Christian values.

The mission of the event is to help American and Canadian Eritrean Tewahdo Youth to learn
about their faith by various activities, meet other youth like themselves and begin to discover
what it means to be an Orthodox Tewahdo Christian.

Alcoholic beverages, illegal drugs, firearms are prohibited. Smoking is prohibited in any
buildings or facilities.

Cell phones may only be used during free times. At all other times, cell phones must remain
silent and put away.

We have a no graffiti policy. Minimum charge for cleaning is $25.

Attendees are expected to participate in all of the activities. Attendees must follow the
instructions of the leaders assigned to each group. Attendees should respect the 3 P’s:

Everyone’s Privacy Everyone’s Property Everyone as a Person

Any behavior that has been deemed inappropriate by the committee will result in disciplinary
procedures. In severe cases, a participant may be prohibited from attending the conference in the
future.

Agreement:

I am aware that this is an Eritrean Orthodox Tewahdo Church Conference and that all activities
will be consistent with Christian values. In addition, I have reviewed and agreed to abide by the
conference’s policies and procedures. I also give permission for health professionals to do what
is necessary for my mental and physical well-being in the event of an emergency.

Please check one of the following:

________I give permission for photographs/videos of me to be used in future conference

publicity.

________I do not give permission for photographs/videos of me to be used in future conference

publicity.

Signature__________________________________________ Date ______________________

Parent/Guardian Signature __________________________________ Date _______________

(Only if attendee is under the age of 18)