Registration Registration Registration Registration Form Form Form

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Registration Registration Registration Registration Form Form Form Powered By Docstoc
					                                                                Rev 1.1 – updated 8 May 2009

                                                                    Registration Form
                                            Canadian Certificate in Youth Ministry Studies
                                                           (2009 – 2011)
                                                                        PLEASE PRINT

First Name: __________________________________ Last Name: _______________________________________

Age: ___________                 Date of birth :        _______/______/______
                                                         Year        Month      Day
Area of Involvement:         Youth Ministry Faith Education Clergy Parish Team/ Committee                                              Music Ministry
                              Family Life     other
Mother Tongue:           French       English    Other: ________________________________

Address: _______________________________________City: _____________ Postal Code: __________________
E-Mail Address: ________________________________________________________________________________
Telephone at home (_____) _____________ at work: (_____) ______________ Mobile :(_____) ______________
Diocese:_______________________ Parish :_______________________________________________________

Course(s) for                Nov. 21/22, 2009       Principles of Youth Ministry                                                              $ 250.00
which you are                Feb. 6/7, 2010         Practices of Youth Ministry                                                               $ 250.00
                             Mar. 13/14, 2010       Foundations of Youth Ministry                                                             $ 250.00
registering:
                             Apr. 24/25, 2010       Skills for Christian Leadership                                                           $ 250.00
                             Sept. 25/26, 2010      Fostering the Faith Growth of Youth through Evangelization and Catechesis                 $ 250.00
                             Nov. 6/7, 2010         Fostering the Faith Growth of Youth through Prayer and Worship                            $ 250.00
                             Feb. 5/6, 2011         Fostering the Faith Growth of Youth through Justice and Service                           $ 250.00
                             May 7/8, 2011          Fostering the Faith Growth of Youth through Pastoral Care                                 $ 250.00
                                                    Entire Program ($300 discount over paying for all 8 individual courses)                  $1700.00

Do you make use of a wheelchair?                                                                                 No                    Yes
Do you have other physical disabilities that require particular assistance?                                      No                    Yes
(If yes, please indicate on a separate sheet your specific needs)


Food Allergies: ________________________________________________________________________________

Person to contact in case of emergency : _____________________________ Telephone: (____) _______________




___________________________________________________________                                                             ________________
Signature of Participant                                                                                      Date
Deadline for registration: 2 months in advance of any course. In order to complete the registration process, please submit the above registration
form along with full payment for the desired course/weekend as well as non-refundable 40% deposit on all other courses/weekends for which you
wish to register at this time. Balance of payment for each individual course/weekend is required a minimum of 2 months in advance of the course.

In the case of full-program registration, please submit payment for 50% of all fees. Balance of payment for full-program registration is required by
April 24, 2010.

In order to complete registration, the following is required:
•     This Registration Form completed
•     A deposit per instructions above (made to the order of CACRM – Canadian Certificate in Youth Ministry Studies

Note that a maximum of 40 students will be permitted to register for each course on a first come first served basis. Students submitting a registration form after
the course has been closed due to numbers will be placed on a waiting list. Cheques will only be cashed once the Mission Jeunesse office can confirm your
spot in the course. For parishes, congregations or interest groups with 4 or more students registering at the same time, a discount of 10% may be applied to
each registrant’s fees for individual courses. This offer is not applicable to full program registration.
                Mission Jeunesse – Youth Ministry - Archdiocese of Montreal - 2000 Sherbrooke St. West, Montreal, Quebec, H3H 1G4,
                                (514) 925-4300 X 216 mjohnston@diocesemontreal.org www.diocesemontreal.org
                                              Canadian Certificate in Youth Ministry Studies (CCYMS)
                                                                 Rev 1.1 – updated 8 May 2009




                                                        TERMS AND CONDITIONS

Important notice: Your registration for the Canadian Certificate in Youth Ministry Studies involves an agreement between you and those who provide
the services. Please read all the information on this page since it sets out the conditions covering services offered.

The language of instruction is English.

                                                             REGISTRATION AND PAYMENTS

Upon submission of your registration form, full payment for the course desired (i.e. $250) must be submitted in order to reserve your spot. In addition, at the time
of registration, a deposit of $100.00 for all other courses for which you wish to register is required in order to guarantee a spot.

Fees include registration for course, course materials and lunch on Saturday and Sunday.



                                                                      Final Payment Due         Amount

                                           Principles                 September 24, 2009        $250.00

                                           Practices                  December 6, 2009          $250.00

                                           Foundations                January 13, 2010          $250.00

                                           Skills                     February 24, 2010         $250.00

                                           Evangelization and                                   $250.00
                                                                      July 25, 2010
                                           Catechesis

                                           Prayer and Worship         September 6, 2010         $250.00

                                           Justice and Service        December 5, 2010          $250.00

                                           Pastoral Care              March 7, 2011             $250.00

                                           Full Program Payment       September 24, 2009        $850.00
                                           #1

                                           Full Program Payment       April 24, 2010            $850.00
                                           #2



                                                                    CANCELLATION FEES

If cancellation is required 45 days in advance of the course, an administration fee of $100 will be retained for each course cancelled. If cancellation is done less
than 45 days prior to the course, no refund can be provided.

If you intend to cancel, please notify the program coordinator immediately.




                Mission Jeunesse – Youth Ministry - Archdiocese of Montreal - 2000 Sherbrooke St. West, Montreal, Quebec, H3H 1G4,
                                (514) 925-4300 X 216 mjohnston@diocesemontreal.org www.diocesemontreal.org
                                              Canadian Certificate in Youth Ministry Studies (CCYMS)