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AYC 2017 JULY 28-30 JULY 28-30, 2017 Cost: $225 $75 non-refundable deposit due at registration $75 due February 1st (will lose spot if not paid) $75 (final payment) due April 1st ALL PAYMENTS ARE NON-REFUNDABLE Steps for Registration: 1) Complete this packet 2) Submit deposit with packet 3) Receive instructions to complete Archdiocese online registration No payment due with online registration. All payments made to St. Elizabeth Ann Seton AYC is a 3-day celebration of the Archdiocesan-wide church with, by, and for high school-age young people. Its mission is to deepen the teen's Catholic faith by fostering a closer relationship with Jesus Christ. It engages the teen through prayer, music, the Word, evangelization and catechesis, sacraments, community life, and service. In this way teens can deepen their understanding and commitment to faithfully live the mission of Jesus Christ for others. Scholarships for financial need are available through Archdiocese. For an application form e-mail Donna Worley – [email protected] Youth Registration July 28-30 – Hilton Americas Hotel – Houston, TX Participant Name: ________________________________________ Parent Name: ____________________________________________ Address: ________________________________________________ City/Zip: ________________________________________________ Phone: ___________________________________ Parent E-mail: ___________________________________________ Participant E-mail: ________________________________________ Male or Female Year in School as of August 2017: 9th 10th 11th 12th Graduate Small Medium Shirt Size: Large XL 2XL 3XL Transportation Waiver – For Teens and Chaperones Voluntary Release Form – Liability Waiver Parish/Catholic School: St. Elizabeth Ann Seton Catholic Church and Schools Name of Participant: Description of Activity/Event: Archdiocese Youth Conference Date of Activity/Event: July 28-30, 2017 I understand that the Church does not control, own, or operate the transportation companies, the restaurants, hotels, or other service providers from which I may receive goods and services in the course of this activity. Each of these is an independent contractor and completely responsible in its own right for the safe and ethical delivery of goods and services it provides. To the extent I believe that any of them should be scrutinized prior to contributing toward this activity, I agree that I will personally undertake to perform such scrutiny and will not rely on the Church to do so. Furthermore, in consideration of my participation in the above described activity, I, the undersigned Activity Participant, including my agents, representatives, family members, heirs, and assigns, agree to hold harmless and defend St. Elizabeth Ann Seton Catholic Church and Schools Archdiocese of Galveston-Houston, its officers, agents, employees, or representatives associated with the field trip from any and all liability claims, loss or damage arising from or in connection with my participation in the activity. I HAVE READ THIS DOCUMENT. I UNDERSTAND IT IS A RELEASE OF ALL CLAIMS. I UNDERSTAND I ASSUME ALL RISK INHERENT IN THIS ACTIVITY. I VOLUNTARY SIGN MY NAME EVIDENCING MY ACCEPTANCE OF THESE PROVISIONS. Parent Signature: Date: Print Name: AYC 2017