2024 Everlasting Girls' Conference Registration Form for Northwest Georgia

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Please complete this entire form in order to register for the Everlasting Girls Conference to be held at Pigeon Mountain Crossing (395 Dixon Springs Road, Lafayette, GA 30728) March 22nd - March 24th, 2024.

The cost to register is $50. Scholarships are available and can be applied for at: https://forms.gle/agjXiC8EGuDUrnU99.

Space is limited.

Registration is still open but we cannot guarantee a t-shirt in the attendee's preferred size after March 10th. (Extra t-shirts have been ordered and will be available in a size as close as possible to the attendee's preference.)

In order to facilitate a peaceful and distraction-free learning environment, cell phones and electronic devices that connect to the internet will not be allowed at the conference.

Feel free to email us with questions: everlastingconference@gmail.com

Email *

Attendee's Information

First Name

Preferred Name *

Last Name *

Age

Current School Grade *

Address

Street, City, State and Zip Code

Street *

City

State

Zip Code

T-shirt Size *

YOUTH L

YOUTH XL

Adult S

Adult M

Adult L

Adult XL

Adult XXL

Adult XXXL

About the Attendee

Is the attendee allergic to anything? (If yes, explain) *

Any special dietary restrictions? (Gluten-free, vegan, etc.) (If yes, explain) *

Is there any medication that will need to be taken during the weekend? (If yes, list all medications and instructions for taking them. In order for us to administer medications over the weekend, they must be brought in the original prescription bottle with the attendee’s name & instructions.) *

Is the attendee active in a church? (if yes, include Church Name, City and State *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address (for receiving registration confirmation and additional information

If you do not have an email address, please provide a mailing address.

In case of emergency during the conference, contact: Name, Phone Number and Relationship

Photography Waiver

Please choose an option and print your name as a signature.

Do you, parent/guardian of registrant named above, give permission for pictures during the Conference to be used in future printed material, websites, and social media posts promoting the Conference?

Yes, I give permission

No, I do NOT give permission

Clear selection

Please sign your name as parent/guardian, indicating your response to the photography permission question above.

I, parent/guardian of registrant named above, give permission for the people named below to pick up attendee at the conclusion of the Conference on Sunday, April 2nd. (Person picking up attendee , including parent/guardian, will be required to show ID.)

Pick Up Person #1: Name and relationship to attendee:

Pick Up Person #2: Name and relationship to attendee:

Pick Up Person #3: Name and relationship to attendee:

MEDICAL RELEASE WAIVER

I, parent/guardian of registrant named above, give permission for her to participate in the Everlasting Conference and activities. I also agree to any emergency medical treatment as considered necessary by the medical authorities if I cannot be contacted. If yes, please type your name (parent/guardian).

Parent/Guardian Signature *

Date *

YYYY

Roommate Request

Attendees can request to be assigned to the same cabin with 1 or 2 other girls in the same grade. (Cabins are kept together by grade in school.) **NOTE: We will do our best to accommodate these requests but we cannot guarantee to fulfill them. Girls need to request each other - for example, if Sally Smith asks to room with Sarah Jones, Sarah Jones must also ask to room with Sally Smith.

Roommate Request #1 (must be in same grade in school)

Roommate Request #2 (must be in same grade in school)

Cell Phone Policy

In order to help the girls develop relationships with those around them and eliminate distractions during the sessions and activities, girls are NOT permitted to have any electronic device that connects to a network (for example: cell phones, iPads, watches, etc.) at the conference. We ask that young ladies leave these items at home over the weekend. The Conference Leadership Team members and counselors will have cell phones on them at all times and contact numbers will be given to parents/guardians at Conference check-in in case a parent needs to reach their daughter in the case of an emergency. Please note: If the "no cell phone" rule is violated, the attendee will be asked to leave the conference.

I, parent/guardian, have read and understand the "no cell phone" policy and have discussed this with the registered attendee. *

Yes

No - please contact me so I can get further information

Check-in Location

We will be offering two different check-in locations for the Conference Weekend. Check-in at the Conference Location in LaFayette or check-in at Central Avenue Baptist Church in Trion. Girls who check-in at the church in Trion will then ride a bus to the Conference location.

All girls MUST be picked-up on Sunday from the Conference Location - Pigeon Mountain Crossing in LaFayette.

Please select the check-in location you plan to use. (If your preference changes, you can let us know by calling 706-599-9347.)

What is your preferred check-in location?

Pigeon Mountain Crossing - 395 Dixon Springs Rd LaFayette, GA (Check-in from 5:00 - 5:30pm)

Central Avenue Baptist Church (bus will be driven to Conference Location) - 14074 Hwy 27 Trion, GA (Check-in from 4:15-4:45pm)

Clear selection

Payment *

I am paying $50 through Venmo (@Everlasting-MinistriesInc)

I am paying $50 through PayPal (http://paypal.me/loved313) ( Please use the "Send to Friends" to avoid fees) option

I am mailing a $50 check payable to "Everlasting Ministries" P.O. Box 232 Eastanollee, GA 30538

I am giving a $50 check payable to "Everlasting Ministries" to an Everlasting Leadership Team Member.

I am applying for a full scholarship. I have completed the scholarship form as well as this form.

I am I am applying for a partial scholarship. I have completed the scholarship form as well as this form.

Required

Scholarship Application

The Scholarship Application can be found online here.

Policies & Rules

Both parents and attendees should read the following:

Clothing

All attendees are asked to wear modest clothing. Please do not bring super-short shorts, tank tops or sheer tops.

Basic Rules:

• All attendees are required to attend the various camp activities and stay with their cabin group for the entire weekend (this is your small group).
• At “lights out” all girls will need to be in their cabin on their own bunk (everyone will have their own bunk) and quiet (there will be random dorm checks).
• Every girl is required to conform to the camp schedule and will not be permitted to leave camp without permission from the camp director.
• No cell phones or any other device that can access the internet/cell phone network will be allowed (includes watches, tablets or other devices).
• Do not draw, write or carve on camp buildings, equipment or natural surroundings.
• If the property of the camp, staff or other attendees is damaged, it is the responsibility of the youth doing the damage to repair and / or replace the property.
• Cabins are under the supervision of the Counselors. Any directives they provide are considered rules and should be followed.
• No tobacco, JUULs, vapes, alcohol, illegal drugs, or CBD (cannabis) products.
• No profane or vulgar language.
• Sickness or injury must be reported to the Camp Nurse immediately.
• All music, plays and skits need to have a “G” rating.
• No excessive touching such as hand holding, caressing, cuddling, or other public displays of affection will be allowed.

• No bullying.

• No fighting kind of any kind. (Physical violence or bullying toward another attendee or counselor will result in immediate dismissal from the conference.)

• No disrupting a program.

Discipline Procedures

When a conference attendee does not follow the behavior guidelines, we will take the following steps:

1. Counselors will redirect the attendee to more appropriate behavior.
2. If inappropriate behavior continues, the attendee will be reminded of behavior guidelines and conference rules by a leadership team member, and the attendee will be asked to decide on action steps to correct her behavior.
3. If an attendee’s behavior still does not meet expectations and is affecting the experience of other attendees, she will be referred to the Conference Director.
4. If inappropriate behavior continues, as a final action step, the attendee may be dismissed from the conference.
5. The Leadership Team may also be called upon to work with entire cabin groups who need additional support and behavior guidance.

*Attendee fees are non-refundable if an attendee is sent home for disciplinary reasons.

Acknowledgement of Policies

I, parent/guardian, and my daughter (attendee) have read and understand the cell phone policy, basic rules, and discipline procedures and attendee agrees to abide by them.

Yes or No: *

Yes

No (please contact me for further information)

Parent / Guardian Signature *

Attendee Signature *

Date *

YYYY

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