Registration Due February 6 th, 2017

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1 Registration Packet Tennessee Church of God State Youth Convention Message from TN State Youth Directors Registration Roster Event Schedule Counselor Registration Youth Registration Form with Consent Photo/Video Release T-Shirt Designs CONFERENCE DATES: MARCH 24 MARCH 26, 2017 LOCATION: PARKVISTA HOTEL 705 Cherokee Orchard Rd, Gatlinburg, TN (865) Send Completed forms and payment to: TN CHOG STATE YOUTH c/o Chris & Carie Ricketts 1633 Pineola Ave. Kingsport, TN 37664

2 TN Church of God State Youth 1633 Pineola Ave, Kingsport, TN Dear Pastors, Counselors & Students: It is time again for our Tennessee State Youth Convention! We are pleased to announce our worship leaders will be Calling Glory and Jonathan Lee with special guest speaker Pastor Michael J. Thigpen. In October 2015, the City Kingsport TN at Harvest Fest had the pleasure of worshiping with Calling Glory. These talented individuals shared the stage with Mandisa, Danny Gokey and NewSong. We are very pleased to host them at our event in Gatlinburg. All who hear will leave inspired and renewed. You can visit Calling Glory at soncured.com. It is a pleasure to have Jonathan Lee returning to lead worship during two of our sessions. Jonathan and his wife Laura serve as the worship pastors of Living to Go. Jonathan is an accomplished singer/songwriter and has written numerous worship songs heard all around the world. We will all be inspired by Jonathan s passion for worship and burden to see people connect with God. You can visit Jonathan at We are also pleased to introduce our keynote speaker Pastor Michael J Thigpen. Michael serves as the Director of the Cultural Resource Center at Anderson University. He serves as Lead Pastor of Celebration Church at Arrow Heights in Anderson Indiana. Michael has a great passion for the lost and those who have been disenfranchised or otherwise disconnected from local expression of the body of Christ. You can visit Michael at Please remember to fill out a convention registration form for each attendee, student or counselor, as well as filling in the room assignment sheet. There should be a counselor in every room with 3 students. Also, each registration form should be mailed with a $10 deposit per registration. The balance for each attendee will be due at check in. This does not include the $10 for t-shirts. If attendees are ordering t-shirts, then an additional $10 must be sent for a total of $20 due with preregistration. All t-shirt orders are PRE-ORDER & PRE- PAY. If students don t get in their order, they may simply not get a t-shirt. We put the registration date off as long as we possibly can in order to give you as much time as possible. We cannot push the deadline any further. It is imperative that t-shirt orders be sent in a timely fashion. We simply cannot hold off on ordering while we wait for those who haven t sent in their information. We do try to order some extra but they are sold at a first come first serve basis & there is no guarantee your size will be available. As you prepare your registration, please continue to be mindful of deadlines. You always do a great job with this. It is challenging to coordinate the wishes of all of you, but we do the best we can. It is so helpful to us when everything is completed on time as we are contractually bound to report the amount of rooms we need, as accurately as possible, one month before convention. Late fees will be applied. After February 6 th, 2017, we cannot guarantee the availability of rooms. We will do the best we can to accommodate your needs, but after our contract date, our hands are tied. Thank you all so much for your patience. You all are the best. We love you so much and can t wait to see you! In Christ, Chris & Carie Chris & Carie

3 Youth Convention Roster (Roster must accompany registration forms due by February 6 th, 2017) Church Room rates are based on 4 people per room at $110. Rates for rooms less than 4 per room are as follows: 3 = $120; 2 = $140; 1 = $280. Male Age Female Age counselor counselor Male Age Female Age counselor counselor Male Age Female Age counselor counselor Male Age Female Age counselor counselor

4 Registration Due February 6th, State Youth Convention Schedule Friday 4:00 7:00 7:00 7:45 8:00 9:30 9:30 11:00 11:30 8:00 9:30 10:00 11:30 11:45 12:30 11:30 6:30 6:30 7:30 7:30 9:30 10:30 11:30 11:30 7:30 8:30 9:00 9:30 9:30 11:00 11:30 Registration in Garden View Room C DO NOT REGISTER at HOTEL FRONT DESK! Counselor Orientation Garden View D Worship Service & Message Session 1 PIZZA BASH - Free Pizza for all! Curfew (youth leaders please help us enforce this) Saturday Breakfast (on your own) Worship Service & Message Session 2 Called to Ministry Conference Free Time Dinner & Prepare for Service Worship Service & Message Session 3 Communion with your group Free Time Curfew (youth leader please help us enforce this) Sunday Breakfast on your own Installation of New Youth Counsel Team Worship Service & Message Session 4 Check- Out

5 2017 TN COG Youth Convention Counselor Registration ATTENDEE INFORMATION Name: Age: Address: Gender: City/State/Zip: Home Phone: Church/Youth Group: address: Emergency Contact : Phone: CONVENTION COST & REGISTRATION INFORMATION Cost: $ per room $ per room $ per room $ per room Pre-registration forms and a fee of $10.00 are due no later than February 6 th, The balance is due at convention. Registrations postmarked after the deadline will be charged a $10.00 per person late fee. Make checks payable to: Please check with your Youth Pastor. She/He may want to write one check for all registrants to Tennessee Church of God State Youth. T-Shirt Pre-Order Information T-Shirt Cost $10.00 Paid for T-Shirt can be picked up at Convention. Size Range: Small XXXL Colors Available: Black or Blue please indicate size, color and quantity Size Color Quantity Size Color Quantity Deposit Amt. Paid T-shirt Amt. Paid Balance Due

6 2017 TN COG Youth Convention Youth Registration ATTENDEE INFORMATION Name: Age: Address: Gender: City/State/Zip: Home Phone: Church/Youth Group: address: Emergency Contact : Phone: YOUTH/PARENTAL CONSENT (COMPLETE ALL FIELDS) I,, parent /guardian of hereby give my permission to authorize medical treatment for if necessary. I am to be responsible for any damages to property, hotel or personal, caused by my child. Any attendee who does not abide by the policies set forth by the state youth council will be subject to dismissal from the youth convention. Parent/Guardian Signature Date Contact Numbers I will abide by the rules and guidelines of the hotel and convention center, and those set forth by the TN Church of God State Youth Council & Leaders. Convention Attendee Signature Date CONVENTION COST & REGISTRATION INFORMATION Cost: $ per room $ per room $ per room $ per room Pre-registration forms and a fee of $10.00 are due no later than February 6 th, The balance is due at convention. Registrations postmarked after the deadline will be charged a $10.00 per person late fee. Make checks payable to: Please check with your Youth Pastor. She/He has been asked to write one check for all registrants to Tennessee Church of God State Youth. Conference Opportunities Called to Ministry Conference Dwayne Pierce T-Shirt Pre-Order Information T-Shirt Cost $10.00 Paid for T-Shirt can be picked up at Convention. Size Range: Small XXXL Colors Available: Black or Blue Please indicate size, color and quantity Size Color Quantity Amt. Deposit Paid: T-shirt Paid: Amt. Owed Size Color Quantity

7 TN Ministries of the Church of God P O Box 1464 Murfreesboro, TN PERMISSION TO USE PHOTOGRAPH/VIDEO By signing this release form, I authorize Tennessee Ministries of the Church of God, to use the following personal information for the event and location listed below: 1. My picture including photographic, motion picture, and electronic (video) images. 2. My voice including sound and video recordings. Event: Tennessee State Youth Convention Location: Parkvista Hotel - Gatlinburg, TN from March 24 th March 26 th 2017 I grant to Tennessee Ministries of the Church of God, and its representatives the right to take photographs/videos of me and my property in connection with the above-identified Event. I authorize Tennessee Ministries of the Church of God, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Tennessee Ministries of the Church of God may use such photographs/videos of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above: Signature Printed name Address Date Signature, parent or guardian (if under age 18)

8 SYC T-Shirt Designs All t-shirt orders are PRE-ORDER & PRE- PAY. All shirts are ordered in Adult sizes (S,M,L,XL,2XL,3XL). Please indicate the desired color when ordering: Black or Blue.

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