2020 SESLYO Assembly

CHOSEN. 

John 15: 16-17  "You did not choose me but I chose you. And I appointed you to go and bear fruit, fruit that will last, so that the Father will give you whatever you ask him in my name. I am giving you these commands so that you may love one another."

March 13-15 2020
LUTHERANCH
2017 St James Way 
Tallapoosa, GA 30176


The Southeastern Synod Lutheran Youth Organization (SESLYO) Assembly is a gathering of youth leaders from all the congregations of the Southeastern Synod. This year our assembly will be at Lutheranch in Tallapoosa GA.
Your SESLYO board has planned a full weekend of discussion, workshops, and mission!

Voting Delegates to the Assembly
Delegates should be active members of their congregation. They can be in 9th-12th grades. Each congregation should elect 2 voting delegates (unlimited number of youth visitors are allowed). The delegates shall attend all the sessions of the assembly, prepare and present a report on the actions of the SESLYO Assembly to their home congregations, and act on any resolutions submitted by youth delegates. 

Youth Visitors and Adults at the SESLYO Assembly
The SESLYO Assembly is an open meeting of the church, as are all board meetings and events. This means that youth and adult visitors are welcome to come and observe the SESLYO members in action. Youth visitors may be in 8th-12th grades. Adult visitors are welcome to observe and participate but will have to have to bring proof of a background check run by their church. Adult visitor’s costs are the same as the youth delegates and youth visitors, SESLYO board, and SESLYO adult advisors.

 How will Registration work in 2020?
        Registration opens on November 1st 2019 and ends February 21st 2020 
                - Please complete this online registration form, mail or email SIGNED consent forms along with registration fee.
        Cost is $125 per person. Make checks out to ELCA Southeastern Synod. - this includes housing, meals, and t-shirt.
 
                                Kari Pitchko
                               159 Kensington Drive
                                Madison Al 35758

If you have registration questions please email, call or text 
        Kari Pitchko  
        tkpitchko@gmail.com  
        (256) 698-186

Participant Information
*First Name
*Last Name
Preferred Name
*Address 1
*City
*State
*Zip
*Phone
*Email
*Gender
Male
Female
Other (please specify below)
Other Gender (please specify)
*Type of Registration
Youth - VOTING - only 2 from each congregation must be HIGH SCHOOL age
Youth - VISITOR - all other youth not voting
current SESLYO Board Member
Adult - ADVISOR
Adult - VISITOR - cost includes meal, T-shirt, and relaxing time at Lutherranch
*T-Shirt Size
Small
Medium
Large
X-Large
2X-Large
3X-Large
*Grade/Adult
*Congregation Name
Congregation City/State
*Conference
Conference 1 - Ebenezer
Conference 2 - Good N.E.W.S.
Conference 3 - Trinity
Conference 4 - Magi
Conference 5 - Mission
Conference 6 - Life Together
Conference 7 - Diaspora
Conference 8 - The King
Conference 9 - Gulf Coast
I really don't know!
*Are YOU wanting to run for a board position 2020-2021?
Yes
No
What position(s) are you interested in?
Conference Representative
Secretary
Director of Communications
Chaplain
Multicultural Representative
Disabled Representative
Vice Chair - 2 year term
I want to run, but no clue what position!
*Emergency Contact

Parent/Guardian/Emergency Contact Names and Numbers who can be reached in the event of an emergency.

*Do you take any medications?
Yes
No
What medications and how often?
Medication Allergies

Please list any and all medication allergies.

Dietary Needs/Restrictions

Please elaborate on any dietary restrictions or concerns.

*Insurance Card

Please upload a copy of your health insurance card. 

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

*Release Of All Claims In consideration of being accepted by the Southeastern Synod, ELCA for participation in youth ministry events, I (we) do for myself (ourselves) and on behalf of my child/participant do hereby release, forever discharge, and agree to forever hold harmless the Southeastern Synod, ELCA, the employees, and agents thereof, from any and all liability, claims and demands for personal injury, sickness and death, as well as property damage and expenses of any nature whatsoever which may be incurred by me or my child/participant resulting from said child’s participation in the synod- sponsored youth events, including travel, recreation and all associated activities. Further, I (we) (and on behalf of our child/participant under 18 years of age) hereby assume all risk of said personal injury, sickness, death, damage and expenses as a result of participation as above set forth. I also understand that staff and volunteers are not responsible for the administration of prescribed medication and I (we) have made private arrangements for any medication taken on a daily schedule by my child/participant. I (we) am (are) the parent(s) or legal guardians(s) of this participant, and hereby grant my (our) permission for him/her to participate fully in said youth events, and give my (our) permission to take said participant to a doctor or hospital, share the above medical information and authorize medical treatment, including, but not limited to emergency surgery or medical treatment, and assume responsibility of all medical bills incurred by my child. I (we) give permission for my child to receive over the counter medication such as Tylenol, ibuprofen, antidiarrheal medication, antibacterial ointment, throat lozenges, eye wash solution, and the like. I (we) also release the participant’s name as part of an information database for the Southeastern Synod and ELCA related entities, and grant the Southeastern Synod and ELCA unrestricted rights to use, alter, and reproduce any images (still and video) from the event, in any medium without compensation.

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*SESLYO Covenant A covenant is an agreement between God and God’s people in which God makes certain promises and requires certain behavior from them in return.Our Covenant is our promise to each other. I understand that part of my responsibility of attending this event is to act in a way that adds positively to this Christian community and the church.Participants/Adults who break any of the following guidelines will be asked to leave. Parents, Pastors, and Youth leaders will be notified. Therefore as a participant in the 2020 SESLYO Assembly I understand and I will: 1. Participate fully in all aspects of the life of the 2020 SESLYO Assembly, including large and small group activities, meals, worship,and sleep. 2. Share my gifts through active participation. 3. Not devalue anyone or call anyone names. I will not curse or use offensive language. I will respect and appreciate the differentgifts, cultures, and perspectives encountered at this event. 4. Maintain physical and mental well being through adequate diet and rest and to respect “quiet hours.” 5. Not bring or participate illegally in the use of alcohol, or other non-prescription drugs, smoking or lighters. (prescription drugs must be written on the release form) 6.Not bring or possess any form of weapon including knives, firearms, or fireworks. 7. Not abuse my own body or strike or hit anyone or anything at any time. 8. Stay within designated areas of the above-mentioned event. 9. Respect and Care for leaders and other participants as sisters and brothers in Christ. 10. Not visit the designated living areas of the opposite sex.  I will sleep in my designated bed. 11. If I drive my car, will park in the designated area, and turn in my car keys to an adult leader upon arrival to the event.  No youth isto drive during the course of the event. 12. Not have sexual relations with anyone, youth or adult. Inappropriate displays of affection (flirting, etc.) will not be tolerated. 13. Dress appropriately for a Christian event.  Participants will be asked to change their clothes if the SESLYO Board deems theirattire in appropriate. If you’re not sure, don’t wear it! Casual is recommended. 14. Respect the property of others, including fellow participants, and the camp. I will pick up trash, clean up, and do my best to be agood steward of God’s creation. I agree and have read the above covenant. Should I break this covenant, I agree to accept the consequences determined by the SESLYOBoard. If it is determined that my behavior warrants my leaving this event, travel to my home will be at my own expense or that of my parentsor guardians.

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*Event Cost ($125)

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