2024 Fall Conference for Middle Schoolers

FALL CONFERENCE FOR MIDDLE SCHOOLERS is a weekend event designed to respond to the unique challenges and concerns of young people in grades 6-8. It was created by adults and young people to help participants grow in their love of themselves, others, and for Jesus Christ.

During the weekend, participants meet peers from across the diocese, enjoy skits, listen to talks, and participate in small group activities and discussions. These activities focus on self, friends, parents, siblings, school, God's love, prayer, and church. Free time is built in for young people and adult youth leaders to have an opportunity to fellowship with their newfound friends.

The event coordinator is Hannah Hutchens (Director of Youth Ministries, Christ Church, New Bern) and the event chaplain is The Rev'd Ashley Simpson (Associate Rector, St. Paul's, Beaufort).

Important: Team Members are required to attend a team meeting at Diocesan House (705 Doctors Drive, Kinston) on Saturday, October 26th from 10 AM to 3 PM. Questions regarding the team meeting should be directed to Hannah Hutchens at [email protected]

STOP: Please review the registration form prior to beginning to make sure you
have all the required information to complete.

REGISTRATION OPTIONS

Registration Options

Youth Participant ($175.00)
6th - 8th Graders come to Fall Conference s as participants. During the weekend, participants meet peers from across the diocese, enjoy skits, listen to talks, and participate in small group activities and discussions. Free time is built in for young people and adult youth leaders to have an opportunity to fellowship with their newfound friends. Deadline to register is October 30th.
Youth Team Member ($87.50)
Team members are High Schoolers. We are glad you are interested in serving on Fall Conference Team. Serving on team is a commitment of time, talent and treasure. Therefore, we ask you to prayerfully consider submitting your application. You are eligible to serve on team if you are a high schooler and have attended a youth event in the Diocese of East Carolina. To be considered your application must be received by the deadline - October 16th.
Adult Participant ($175.00)
During the weekend, participants meet peers from across the diocese, enjoy skits, listen to talks, and participate in small group activities and discussions. These activities focus on self, friends, parents, siblings, school, God’s love, prayer and the church. Free time is built in for young people and adult youth leaders to have an opportunity to fellowship with their newfound friends. The registration deadline is October 30th.
Adult Team Member ($87.50)
We are glad you are interested in serving on team for Fall Conference for Middle Schoolers. Serving on team is a commitment of time, talent and treasure. Therefore, we ask you to prayerfully consider submitting your application. You are eligible to serve as and Adult on team if you have attended a youth event in the Diocese of East Carolina and have the heart and desire to serve alongside young people who lead. Team application deadline is October 16th.

Scholarship/Coordinator Code (If applicable.)

All Fall Conference Fees are Non-Refundable!

About The Attendee

Please answer the following questions. When permitted, please do not answer, "On File" or "Already Answered" as this will put your application in an incomplete status.

Attendee First and Last Name

Name You Go By

Attendee Email (The one you regularly check!)

Primary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Attendee Address

Attendee Gender

Preferred Pronoun:

Attendee Date of Birth

Youth Participant School Grade

Youth Team School Grade

Attendee's Parish Name

Attendee's Parish City

Attendee's Youth Leader/Priest/Warden Name

Attendee's Youth Leader/Priest/Warden Email Address

Attendee's Youth Leader/Priest/Warden Phone Number

Attendee's T-Shirt Size

Date of Attendee's last Tetanus shot/booster

Please list any necessary medical/health information (i.e. allergies)

Please list any regularly taken medications and dosage

Other information about attendee that would be helpful for us to know

Please share any dietary, mobility, etc.

Admin Use Only

ATTENDEE'S COMMUNITY CONVENANT AGREEMENT

Please read the following and sign by using your mouse or finger (depending on your device). We also recommend that you download and print a copy for future reference.

Attendee's Signature Required (Youth)

I, the undersigned, agree to the terms above.

Attendee's Signature Required (Adult)

I, the undersigned, agree to the terms above.

Attendee Medical Insurance Information

Parents/Guardians are financially responsible for all costs incurred, regardless of whether medical insurance coverage information is provided. All medical forms are shredded following each youth event.

Name of Insured

Insured Relation to Attendee

Insurance Carrier

Policy Number

Authorization Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Prescription Card Information

Please upload a copy of your insurance card if. you are providing this information.

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PARENT/GUARDIAN/EMERGENCY CONTACT INFORMATION

1. Parent/Guardian/Emergency Contact First and Last Name

Relationship To You

Primary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Secondary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Regularly Checked Email Address

2. Parent/Guardian Information

Relationship To You

Primary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Secondary Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Regularly Checked Email Address

Parent/Guardian Signed Waiver

A signed waiver by the attendee's parent/guardian will be required before your registration is complete.

The waiver will be located at the very bottom of your email confirmation. Scroll down to the "red" area and click "SIGN NOW". Once you do this your registration is complete unless you have an outstanding check payment.

Running Total

$0.00

Total

$0.00

BILLING INFORMATION

Name

Payment Method

Credit Card
Check Payment

Credit Card

Visa
Mastercard
American Express
Discover

Address

Mobile Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.