Youth Empowerment Summer CAMP 2016

May 19-22, 2016

San Pablo Youth Commission

Host: District 2 Youth Commission
LAKBAYAN ATBP

LAkad Kabataan BAgo YAN, Alis

Tawid sa Bagong Pagdating

Participants
Qualifications:
o 15 years old and
above
o Must be an active
youth minister
o Must be physically
fit and must have
personal discipline
Things to Bring:
o Personal Belongings
(Clothes for 4 days,
Toiletries, Medicine
etc.)
o Rubber Slippers and
Shoes
o Blindfold
o Writing Materials
o Tumbler
o Plastic Bag
o Insect Repellant
o Dark-colored
Clothes
o Token for Foster
Families
Registration Fee:
Php 600.00

PARTICIPANTS REGISTRATION FORM

PHOTO

Deadline of Online Registration and Registration Fees: May 9, 2016

Individual Registration Forms must be handed to the YES Camp 2016 Secretariat on the
first day of the event.

District:

Vicariate:

Parish:

Nickname (ID Name)

NameName)

Last Name

First Name

Date of Birth

Middle Name
Age

Mobile Number
Landline Number
INVOLVEMENT IN THE YOUTH MINISTRY
Position:
Seminars/ Trainings Attended:

Gender

Civil Status
E-mail Address

Formation Programs/Courses Conducted:

Any Medical History: (Check the Appropriate Box, if YES please specify)
NONE

YES, ______________________________________________

Do you have a special diet (e.g. vegetarian, less salt, etc.)? If YES, please provide details

T-shirt Size:
Recommended by:

Have you suffered any kind of allergy (e.g. medicine, food etc.)? If YES, please provide
details

Parish Priest
PARENTAL/ GUARDIAN CONSENT
I am allowing my son/daughter to join the Youth Empowerment Summer (YES) CAMP 2016 on May 19-22, 2016.
______________________________________
Parents /Guardians Signature
(Signature over Printed Name)

AGREEMENT/DECLARATION
I express my sincere intention to join the Youth Empowerment Summer (YES) CAMP 2016. I will follow all the Rules and
Regulations. Further, I will participate to the best of my ability. I hereby state that the information contained here is true and
_____________________________
correct.
Parents
/Guardians Signature
___________________________________
_____________________________
(Signature over Printed Name)
Participants Signature
Date
(Signature over Printed Name)