accym registration form - 2011

8/6/2019 ACCYM Registration Form - 2011

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Sponsored by

Archdiocese of Galveston-HoustonOffice of Youth Ministry

For More [email protected] or 713.741.8723

A Conference for all adults

who minister to, with, and

for adolescents

Conference Location:

Intercontinental Houston2222 West Loop SouthHouston, Texas, 77027

Phone: 713.627.7600



Bob RiceBob Rice received his MA theology and Christian ministry with aspecialization in catechetics from Franciscan University in 1997. Beforecoming to teach at Franciscan, he was a youth minister for seven years atSt. Ambrose Catholic Church in Latham, NY. While there he led a LIFETEEN program (one of the nation's hub parishes), confirmation preparation,

teen catechumenal preparation, and other ministries within the parish. Bobis a highly sought-after, internationally recognized speaker for youth andyouth ministers, sharing the Good News to tens of thousands of peopleevery year. He is also an accomplished musician who leads worship at theSteubenville Summer Conferences and has released many CDs (you canfind out more at bob-rice.com). Bob has authored a book through ServantPublications titled Basic Spiritual Workout. He lives in Steubenville with hiswife Jennifer and five young children.

Keynote speaker

bios

Mike Patin

Mike has been a speaker in over 115 dioceses in the U.S. and Canada, togroups ranging from 10 to 10,000, addressing youth, adult andintergenerational audiences in diocesan, regional, national and internationa

settings. He has led youth and adult retreats, parish missions, leadershipinstitutes, and in-services.

Mike has worked in the high school setting (six years), and thirteen years indiocesan youth ministry (CYO/Youth Ministry Office for the ArchdioceseNew Orleans, 1990-2003). Since 2003, Mike has worked full time as aspeaker and “faith horticulturist.”

Mike holds a Masters degree in Pastoral Studies from Loyola University of the South in New Orleans.

Weaver and Keynote speaker



Tentative Schedule

Friday, October 28, 2011

9:30am Registration Check-inExhibitor’s Showcase Open

10:30am General SessionOpening Prayer

11:00am Seminar 112:30pm Lunch2:00pm Seminar 23:30pm Social/Free Time

4:30pm Networking – White PaperPresentations

6:00pm Dinner7:30pm General Session - Keynote8:30pm Closing Prayer9:00pm Entertainment

Saturday, October 29, 2011

9:30am Registration Check-inExhibitor’s Showcase Open

10:00am Opening PrayerGeneral Session - Keynote

11:30am Seminar 312:30pm Lunch2:00 pm Seminar 43:30pm General Session

EvaluationPrayer & Praise

4:00pm Liturgy (with Cardinal DiNardo) 5:00pm Closing

SCHEDULE SUBJECT TO CHANGE

Is this For me?

If you’re one of the

following, this conference

is for YOU:

Clergy

Director/Coordinator of

Youth Ministry

Director/Coordinator of Religious Education

Director of High SchoolCampus Ministry

Core Team Member

Catechists

Volunteers

Coaches

Parents

Teachers

ANYONE who works with6th-12th grade students!!!



Conference Facts

Conference Dates: Friday Oct 28, 2011Saturday Oct 29, 2011

Registration Deadlines:

Registration: Thursday, September 22, 2011(No registrations accepted after Tuesday, Oct. 11, 2011)

Conference Location: Intercontinental HoustonNear the Galleria

2222 West Loop SouthHouston, Texas, 77027Phone: 713.627.7600

Hotel Rates: The hotel is offering a special room rate of $105.00, single or double, for reservations madeno later than October 6, 2011.

Must mention that you want the Archdiocese of Galveston-Houston Adult Conference Rate

Parking: Day parking is $8.00Overnight parking is $16.00

What is included in

Registration:

• Keynote Addresses

• Seminars

• Prayer

• Friday: Lunch ANDDinner

• Saturday: Lunch

• Social

• Entertainment

• An opportunity to meet

fellow Youth Ministers

• A chance to share ideas

Tentative Seminar Topics:

Spiritual • Being a Minister of Prayer: Finding Jesus in the

Midst of your Paperwork • Finding Quiet in the Business of Ministry • Spirituality: What saint speaks to your

spirituality?

Professional • Lection Divina and Creative ways for teens to

experience Scripture

• Jeremiah 1:7— Creating a culture of care• Pastoral Care and Protocol after disclosure• Bridging Older Adolescents and a Young

Adult Faith• Understanding the Revised Roman Missal• Making Scripture Alive for Younger

Adolescents• Empowering Volunteers for Success and

Continuity in Youth Ministry • At Risk Youth 101• Catholic Social Teachings: A focus on

solidarity • Vocations: Helping Teens Discern the Call• Faith and Media: the “how” and “when” to

effectively use media• Helping teens understand Christian Moral

Norms of Sexuality • Current issues facing Younger Adolescents• A Framework for Life-Long Catechesis• “Green” Youth—a Call to Stewardship

• Moral Issues of Teens in a Social Media age

• Rural Ministry

Personal

• The Balance Act: Ministry, Family, Friends andSelf

• How to Minister to your own teen

Conference Information



Conference Registration

Intercontinental Houston Near the Galleria Hotel * Oct 28-29, 2011

Please complete one registration form per person (you may copy additional forms) and return to:

Archdiocese of Galveston-HoustonOffice of Youth Ministry

ATTN: Archdiocesan Conference on Catholic Youth Ministry2403 Holcombe BlvdHouston, TX, 77021

Name: Last: First:

Address:

City: State:

Zip: Daytime phone:

Email:

Parish:

Diocese:

Regular Registration Fee(must be postmarked by Thursday September 22, 2011)

Individual Rate: $115 per person Parish Rate*: $100 per person

*Parish Rate...10 or more from the same parish: all participants must register at the same time

*No Parish Rates after Thursday September 22, 2011

Late Registration Fee (must be postmarked by Tuesday, October 11, 2011)

Individual Rate: $125 per person

* No Refunds, substitutions allowed * No parish Rates allowed

Please make Checks Payable to Office of Youth Ministry

This conference experiences is sponsored by the Office of Youth Ministry of the Archdiocese of Galveston-Houston and is designed to offer formation andenrichment opportunities in youth ministry in cooperation with the Diocesan Directors of Youth Ministry within the Metropolitan Province of Galveston-Houston:

We warmly extend an invitation to the all Dioceses of Texas, Oklahoma, Arkansas, and Louisiana to attend as well



Special Clergy Registration Offer

Friday, October 28, 2011

Can’t attend the entire conference but still want to participate? The Office of Youth Ministry isoffering special clergy hours on Friday from 9:00a.m. - 5:30p.m.

• Cost is $50.00 and includes lunch and Both seminars for Friday.

• This special pricing is for all priests and deacons.

• Join your parish staff and volunteers as we come together to learn more about

Comprehensive Youth Ministry

For more information contact The Office of Youth Ministry: 713-741-8723

Please complete one registration form per person (You may copy additional forms) and return to: Archdiocese of Galveston-Houston

Office of Youth Ministry ATTN: Archdiocesan Conference on Catholic Youth Ministry

2403 Holcombe Blvd.

Houston, Texas 77021

Name: Last: First:

Address:

City: State: Zip:

Daytime phone:

Email:

Parish:

Diocese:Registration fee $50.00 (must be postmarked by Thursday, September 22, 2011)

Please make checks payable to Office of Youth Ministry

This conference experiences is sponsored by the Office of Youth Ministry of the Archdiocese of Galveston-Houston and is designed to offer formation andenrichment opportunities in youth ministry in cooperation with the Diocesan Directors of Youth Ministry within the Metropolitan Province of Galveston-Houston

We warmly extend an invitation to the all Dioceses of Texas, Oklahoma, Arkansas, and Louisiana to attend as well



Archdiocese of Galveston-Houston

Adult Medical Release and Liability Form

I, , do hereby release, hold harmless and discharge the Archdiocese of Galveston-Houston, the parish, its staff and volunteers from any and all liability, claim, loss, damage, cost or expensearising from my participation in this event. I waive such claims against such organization or any such person, arising directly or indirectly from or attributable in any legal way, to any action or omission to act of any such organization orperson in connection with execution of this event. I authorize treatment by a licensed medical physician or licensedmedical team in case of any accident or illness that may so arise, or any hospitalization necessary.

Print Name: Date:

Address

City Zip

Parish

Home Phone (___) Work Phone (___)

Physician's Name Phone (___)

(The following request is pertinent information if you rendered unconscious)

Date of Birth (including year): Age:

Date of last Tetanus shot:

Please list ALL medical conditions / allergies / special health information including bouts with depression and anxiety

Please list ANY medications (prescription or non-prescription) you would like us to be aware of:

Do you have Medical Insurance: □ Yes □ No

If Yes, Please provide the following information: Insurance Company:

Policy in the name of: Policy Number:

Name of Emergency Contact: Phone Number: ( )

In the event the participant does not have insurance, payment in full for medical care becomes theresponsibility of the patient.

X

Signature

In signing the line above I agree to abide by any/all policies and rules established for this event/activity.Should I not be able to maintain the guidelines and expectations as a ministry leader/volunteer of the CathoChurch, I understand that there will be consequences for my actions, which could include being asked to leathe event.



Exhibitor/Vendor Information

Intercontinental Houston Near the Galleria Hotel * Oct 28-29, 2011

Exhibitor/Vendor Information• Cost for Exhibiting/Vending: Area located outside of meeting space—$200• One table will be provided per exhibitor/vendor• White Table Cover will be provided• Free standing signs must be provided by vendor as there are no places to hang

banners or signs• Space is limited

Exhibitor/Vendor Participation

Exhibitor/Vendor Name:

Type of Vendor (i.e. clothing, books, ministry, etc):

Contact Name:

Address:

City: State:

Zip: Daytime phone:

Alternate Phone:

Email:

Please mail this form to the following:

Office of Youth Ministry

Attn: ACCYM/Exhibitors2403 Holcombe Blvd, Houston, TX, 77021

Make Checks Payable to: Office of Youth Ministry

Must be postmarked by Thursday , September 22, 2011

accym registration form - 2011

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