Presbyterian Youth Triennium 2013 is an event for high school youth (entering freshman through graduating seniors) from the Cumberland Presbyterian Churches and the Presbyterian Church (U.S.A.).

Participants experience the event as a part of a presbytery or a church group.Currently seeking volunteer registrars for Presbyterian Church (U.S.A.) presbyteries and

congregations. Contact Heather Leoncini for more information: heather.leoncini@pcusa.org

Cumberland church registration information available from Susan Groce: scg@cumberland.orgCost: $469.00 per person

Full website launch in May! Website will include:Registration information, registration forms, promotional tools, videos and much more.

To: Youth Ministry Contacts From: Jan Tyson, Registrar for Presbytery of Western New York Re: 2013 Youth Triennium Date: February 15, 2013 Friends, I have been absorbing the information sent from Louisville about the 2013 Youth Triennium and have done some training on the registration process. I know you and your youth are excited for it, so let’s get started! Registration: I am attaching the registration and medical forms to this letter. I will need the forms and a $100 deposit returned to be able to register participants. All registration with the denomination will be online and I will be sure that all participants will get a confirmation, either directly from PYT or from me. Payment: We can pay in installments but all registrations must be paid by May 17, 2013. That gives us a little time to meet the denomination deadline of May 31. If funds are not all paid by then there will be a late fee of $40 assessed. Please make checks payable to the Presbytery of Western New York and put “Triennium” in the memo line. The total price is $469 for registration, room, board and transportation. Adult Advisors: The Adult Advisor ratio requirement is 1 adult per 10 youth of the same gender. No exceptions to this rule. Adult Advisors will have to pay the full $469 registration fee. All adult advisors must have current background checks to be submitted to the national registrar. No exceptions. They will keep them on file. I am able to provide those from the Presbytery office – please have the advisors contact me for the consent form required. Dates to watch: All payments must be to me by May 17. All registrations must be paid to the national triennium by May 28. There will be a $40 late fee assessed beyond May 28.

-2- Transportation: Presbytery is providing the transportation – we will let you know where and when the buses will be departing at a later date. Orientation: There will be a mandatory orientation on Sunday, June 9, 2013, 2pm at Kenmore Presbyterian Church. Pizza and beverages will be provided. NOTE: This is a mandatory meeting. If your youth register they MUST be at this meeting. No exceptions. Triennium Community: Join the Presbyterian Youth Triennium Facebook group! http://www.facebook.com/Triennium ; if someone from your church is interested in starting a local page for our delegation please let me know so I can share that information. T-shirts & Trading Pins: Start coming up with ideas for t-shirts and/or trading pins! We have received a resource for producing pins; all we need are ideas of what it should look like! Rev. Bronwen Boswell is a co-registrar and will be attending Triennium as an Adult Advisor; I will not be able to attend this year. If you have more questions, please contact me at the Presbytery office. If I can’t answer your question right away, I will find the answer and get back to you. Jan Tyson Presbytery of Western New York 2060 Union Road West Seneca, NY 14224 jant@pbywny.org 716-668-1995 (presbytery office) 716-668-5336 (fax)

PYT  Participant  Information  Form  (Registrars  will  need  the  following  information  on  each  participant  in  order  to  register  each  participant.)  

 Check  One:   _____  Youth          _____  Work  Crew          _____  Adult  Advisor  (21  or  older)          _____  Caregiver  

Name:  (First)  _____________________________          (Middle)  ____________________________          (Last)  _________________________________                                                                                      (Not  used  on  name  badge)    

Name  to  Appear  on  Name  Badge:  _____________________________  

Address:  ______________________________________________________  City/State:  _______________________________  Zip:  _______________  

Home  Phone:  (______)_________________________   Cell  Phone:  (______)_________________________  

Email:  _______________________________________________________                    Gender:    F  or  M                          Are  you  on  Facebook?    Y  or  N  

Ethnicity  (optional;  for  statistical  purposes  only):    

_____  African  American            _____  Asian          _____  Caucasian          _____  Hispanic          _____  Native  American          _____  Other:  _____________________    

 Preferred  Roommate:  ______________________________________________       [For  Registrar  Use  Only—Assigned  Roommate:  _______________________________________________]      Would  you  like  to  participate  in  the  choir?    Y  or  N                  If  yes,  which  voice  part  do  you  sing?  (Check  One)  _____  Soprano          _____  Alto          _____  Tenor          _____  Bass    Are  you  able  to  speak  another  language?    Y  or  N            If  so,  which  language(s)?  ______________________________  Are  you  able  to  translate  another  language?    Y  or  N            If  so,  which  language(s)?  ______________________________    T-­‐Shirt  Size  (circle  one):        S          M          L          XL          XXL          3XL          4XL          Special  Needs:  (Please  Check  All  that  Apply)  

_____  Wheelchair  or  Motorized  Chair          _____    Diabetic          _____  Celiac  Disease    _____  Vegetarian/Vegan          _____  Asthmatic  (serious  consistent)  _____  Other  Needs  Not  Listed?  ______________________________________________________________________________  

 Please  List  Any  Allergies:  _____________________________________________________________________________    

Please  List  Daily  or  Necessary  Medications:  _________________________________________________________________    

Do  You  Need  a  Refrigerator?    Y  or  N    

Do  You  Require  a  Caregiver?    Y  or  N    If  yes,  name  of  caregiver:_______________________________________      Community  Guidelines  Acknowledgement:  (presbyterianyouthtriennium.org/participants/guidelines)  I  have  read  the  Presbyterian  Youth  Triennium  Community  Guidelines  and  understand  what  is  expected  of  me,  how  my  attitude,  actions  and  participation  affect  the  Triennium  community  and  agree  to  abide  by  the  community  guidelines.    I  also  understand  that  if  it  is  articulated  by  the  sponsoring  delegation  and/or  the  Triennium  staff  that  I  may  be  sent  home  from  the  event  if  it  is  determined  that  I  am  not  able  to  abide  by  the  guidelines.    Participant  Signature                   Date  

For  Adult  Participants:    

Would  you  like  to  participate  in  the  Youth  Worker  Training  instead  of  participating  in  a  small  group?      

Y  or  N    

For  Youth  Participants:                                                Age  as  of  July  16,  2013:  _____________        Parent/Guardian  Information:                Name:  _______________________________________________________________                    

             Cell  Phone:  (______)_____________________          Home  Phone:  (______)______________________        

             Work  Phone:  (______)_________________________              

             Email:  _____________________________________________________________    

 Participant  Medical  and  Event  Release  Form  

 In  order  for  your  registration  to  be  considered  final  a  signed  form  must  be  on  file  with  the  PYT  

national  registrar.    Please  review,  sign,  return  to  your  registrar.    

*Youth  participants  must  include  parent/guardian  signature.    

Participant’s  Full  Name  (Print)_____________________________________________________    Emergency  Contact  Name  (Please  Print):_____________________________________________    Relation  to  participant:__________________________________________________________    Phone  Number  of  Emergency  Contact:  _________________________________________  

 PYT  Community  Guidelines  and  Covenant  I  have  read  the  guidelines,  understand  them  and  by  signing  this  indicate  that  I  will  live,  in  community,  with  fellow  PYT  participants  and  staff  by  following  the  guidelines  as  they  are  presented.    I  understand  that  if  I  break  the  covenant  or  am  unable  to  follow  the  guidelines  I  can  be  sent  home,  at  my  own  expense.        Signature  of  participant:__________________________________________________________    *The  Community  Guidelines  can  be  found  online  at  www.presbyterianyouthtriennium.org/registration    Critical  Medical  /  Health  Information    Allergies  (please  list):_________________________________________________________    Physical  Conditions  affecting  mobility/hearing/sight/etc.:                        

Medications  requiring  special  dispensation  or  storage:                      Health  issues  pertinent  for  PYT  volunteers,  leaders,  housing  staff  to  be  aware:                        Mental  or  Emotional  issues  for  PYT  volunteers,  leaders,  housing  staff  to  be  aware:                        Any  other  information  regarding  your  health  or  your  child’s  health  that  would  be  helpful  for  us  as  we  care  for  you/them  during  PYT?                        

Primary  Care  Physician’s  Name:  _________________________________________________    Primary  Care  Physician  is  located  in:  (City  and  State)_________________________________    Medical  /  Health  Insurance  (Name  of  Insurer):_________________________________________    Medical  Insurance  Policy#:_____________________________________________________    Medical  Insurance:    The  Triennium  purchases  a  secondary  medical  insurance  policy  in  order  to  cover  any  injuries  or  illnesses  of  participants/staff  that  occur  while  onsite  at  the  event.    This  is  a  secondary  policy  only  and  is  meant  for  medical  issues  which  occur  during  the  event  and  to  assist  with  incidents  where  the  participant  is  un-­‐insured  or  underinsured.    Media  Waiver  By  signing  below  I  understand  that  my  photo,  video  interview,  electronic  image  might  be  used  for  PYT  promotion,  national  youth  ministry  promotion,  education  and  future  publication.        Event  Liability  Waiver  By  signing  below  I  acknowledge  that  I  release  the  Presbyterian  Youth  Triennium  event  and  the  two  sponsoring  denominations,  from  liability  and  legal  action  stemming  from  my  own  actions,  or  my  child’s  behavior,  injury  and/or  activity  during  the  event.        Signature  Intent    I,  __________________________________________________________________________,  acknowledge  that  I  have  read,  understand  and  have  signed  this  form  in  preparation  to  attend  and  participate  in  the  2013  Presbyterian  Youth  Triennium.    By  signing  I  also  give  my  permission  for  my  child  /  minor  charge  to  be  given  medical  treatment,  medical  assistance,  assessment  and  surgery  or  life  saving  measures  if  needed:      Parent/Guardian  Signature:      ____________________________________________________________________________  *All  youth  participants  must  have  a  parent/guardian  signature.    For  the  Registrar:  

• Please  make  sure  this  form  has  been  signed  by  the  participant  and  parent  (if  participant  is  a  youth  participant).  

• Please  make  two  copies  for  you.    One  for  you,  one  for  your  lead  traveling  adult  advisor.      • Please  alphabetize  your  set  of  signed  forms  and,  using  the  envelope  in  your  Registrar  

Kit,  return  to  the  national  PYT  office  by  May  31,  2013.    Registration  not  complete  until  medical  forms  have  been  returned  to  the  PYT  office.  

Community Guidelines

Please read the Guidelines for Community Life at the Presbyterian Youth Triennium. In order to attend the Triennium you must read, understand, and agree, by checking the “I agree” box on your participant information form.

This week we will be living together, youth and adults, in Christian community. Christian community is based on love, respect, trust, and support. Each of us as a member of the community is important. By signing the Triennium Covenant, we promise to abide by the following guidelines for the life of this community.

1. Respect the rules and property of Purdue University. 2. Refrain from the use of alcohol and other illegal drugs during the Triennium. 3. Refrain from smoking in residence halls and prohibited areas of other campus buildings. 4. Refrain from sexual behavior including sexual intercourse or other inappropriate sexual activities

(to the spirit of the Triennium) with a partner other than your spouse. 5. Participate in all scheduled Triennium activities and honor all meeting times. 6. Wear name badges and wristbands at all times. 7. Meet daily with my assigned residence hall group. 8. Follow the curfew rules as they are communicated in the schedule or by community

announcements. 9. Sleep in my assigned room so that I may be reached in case of an emergency. 10. Play audio equipment with the consideration of others in mind. 11. Do not travel off the university campus unless accompanied by an adult and only during official

“free” hours. 12. Understand that weapons of any type are prohibited on campus, at the airport, or in transit to and

from the event. 13. Refrain from using cell phones and MP3players in any scheduled event (worship, small group,

covenant group) and covenant to silence cell phones during scheduled events unless invited otherwise by the leader.

14. Covenant to FIRST contact assigned Adult Advisors or PYT Community life staff in the event of an illness or injury.

15. Covenant to demonstrate the depth and width of Christ’s love and mercy to my fellow Triennium participants; listening with interest, behaving kindly toward others, casting aside judgment, sharing my thoughts and faith and working to be compassionate and full of grace.

16. Using “downtime” to sleep, rest, reflect on the day’s events and my relationship with others, with the church and with God.

17. Worship with the posture of eagerness and readiness; listening for the Spirit’s movement and seeking to understand how God’s word as spoken and proclaimed at the Triennium might connect with me and my life.

18. Refrain from using hateful language, profanity, racial slurs, profane terms and words that hurt or emotionally injure another Triennium participant or Purdue staff person. In a community based on Christian love, respect, trust, and support, each Triennium participant is responsible for their own actions. However, if any member of the community continually demonstrates a lack of love, respect, trust, and support for themselves, others, or the property of the community, then they may be sent home at the sole discretion of the Triennium leadership and at their own expense or the expense of their parent or guardian if they are a minor.

 

   

PYT  Participant  Packing  List    

• Re-­‐fillable  water  bottle  • Your  Bible  (put  your  name  and  address  inside)  • 1-­‐3  pairs  of  comfortable,  casual  walking  shoes  • Clothing  that  will  keep  you  cool    • A  lightweight  jacket  or  rain  jacket  • Your  personal  prescriptions  /  medicines  • Sunscreen  • Toiletries  (shampoo,  soap,  deodorant,  razor,  etc.)  • A  robe  or  cover  up  (for  going  to  and  from  the  bathroom)  • Shower  shoes    • A  fan  • Pillow  (for  bus  riders  or  car  riders)  • A  journal  • A  pen  or  pencil  • $$  for  the  PYT  Offering  • $$  for  snacks  and  drinks  during  free  time  • Your  medical  insurance  card  and/or  Insurance  ID  #  and  name  of  your  insurance  

company.  • Your  cell  phone  

Program  your  adult  advisors  into  your  phone  Program  your  roommate  into  your  phone  

• A  camera  if  you  choose  • An  instrument  if  you  can  tote  it  (guitar,  harmonica,  bagpipe,  etc.)  • A  copy  of  your  signed  Parental  /  Medical  Release  Form  • Your  driver’s  license  and/or  student  photo  ID  • A  picture  ID  for  the  airport  • Passport  if  you  are  a  Global  Partner