STUDENT CONFERENCE
Captivating Experiences
that Inspire and Equip
for the Gospel
SAN DIEGO, CA
Feb 21-23, 2014
Dates/Times: Feb 21st 8:30am – Feb 23rd 6:00pm Cost: $120 by Jan 22nd or $150 after Location: San Diego, CA Includes:  Transportation  Lodging at Courtyard Marriott/Liberty Station 2592 Laning Road, San Diego, CA 92106  Most meals (we cover breakfast and dinner, you cover lunches) bring $ for 3 lunches  Admission to Dare2Share Conference  Beach time Weekend Schedule
FRIDAY Feb 21st
8:30AM – Check‐in at ACC Youth Room 12:00PM – Lunch on the way 4:00PM – Arrive to Hotel 5:00PM – Dinner 6:00PM – Head to Conference 6:30PM – Session 1 starts 7:45PM – Break 8:15PM – Session 1 continues 8:45PM – Drama starts 9:00PM – Session 1 ends SATURDAY Feb 22nd
7:00AM – Breakfast 8:00AM – Head to Conference 8:30AM – Session 2 starts/YLS starts* 10:30AM – Break/YLS ends 11:00AM – Session 2 continues 12:00PM – Lunch 1:30PM – Session 3 starts 3:00PM – Session 3 ends/Outreach dismissal/Venue closes 5:00PM – Dinner 6:00PM – Doors open 7:00PM – Session 4 starts 9:00PM – Session 4 ends/Conference ends! SUNDAY Feb 23rd
7:00AM – Breakfast 8:00AM – Pack up and check out 9:00AM – Beach time 12:00PM – Lunch 1:00PM – Head home 6:00PM – Estimated time of arrival to ACC Dear Parents, One of my favorite things is to see our teenagers growing in and living out their faith. That’s why I’m so excited that we are planning on attending this year’s Dare 2 Share (D2S) student conference – Reverse. At the event, your teenager will discover what it means to live differently in our modern culture through the eyes of the Old Testament Daniel, a follower of God in his own pagan culture. Through dynamic training, worship, drama, and outreach opportunities your teenager will come away motivated and mobilized to live differently and change the world! They’ll explore 3 different sessions: Dream a different dream… a vision of Christ that propels them forward. Live a different life… a life of excellence and evangelism. Take a different stand... a refusal to compromise and bow to the false gods of the culture. There is also a special youth leader breakout session, which is designed to help youth leaders like me learn how to mobilize teenagers to reach their generation for Christ. Dare 2 Share’s evangelism principles and proven strategies are built upon over 20 years of experience working with youth ministries across the nation. They are committed to providing youth leaders and students with resources to help them in their walk with Christ and in their efforts to share Christ with others. Check out the D2S website at dare2share.org. You will find tons of free, culturally relevant resources there, as well as a variety of resources available for purchase to help deepen your teen’s walk with God and help them reach their friends for Christ. As our youth group prepares for this challenging training conference weekend, I am asking you to pray for us! Pray for the students to be prepared to take the message they will receive and use it to transform their lives through Christ. Pray for the impact on their schools and communities! Pray that we, as a ministry, will be used mightily in advancing His kingdom here in our community and beyond. Below are the details for the weekend. Cost: $120 by Jan 22nd or $150 after Dates/Times: Feb 21st 8:30am – Feb 23rd 6pm, 2014 Location: San Diego, CA In Him, Dan Knuff Pastor, Student Ministries  Dare2Share Conference Feb 21-23, 2014
Activity Registration & Participation Agreement
Activity Information (to be completed by the activity sponsor)
Name of sponsoring organization: ____AZ Community Church Student Ministries______________________________________________
Address: __9325 S Rural Rd, Tempe AZ 85284__________________________________Telephone: ___480-491-2210___________
Name of sponsor’s coordinator: ___Dan Knuff ________________________________Telephone: ___954-643-0124_______________
Description of activity: ____Various Events______________________________________________________________
Date(s) and location of activity: ___Various dates & locations___________________________________________________________
Participant Information (To be completed by participant or authorized guardian)
Name of participant: __________________________________________________________________________ Male
Participant Birth date: _____/_____/________
Female
Age: ______ Grade (this Fall): ______ School ___________________________
Participant Cell Phone: ____________________ May we text #? Yes No
Participant Email: _____________________________
Participant Home Church: ____________________________
Name of parent/guardians: __________________________________________________ Participant lives with: ___________________
Address/City/State/Zip: ____________________________________________________________________________________________
Home Phone: ________________________ Parent/guardian Cell Phone: _______________________ May we text #? Yes No
Parent/guardians Email (for communication purposes): ____________________________
Name of emergency contact (other than parent/guardians above): __________________________ Relationship: __________________
Phone (Day):__________________________ Phone (Evening if different from day phone):___________________________________
List allergies, medical conditions or other concerns: _____________________________________________________________________
__________________________________________________________________________________________________________________
Is sponsor authorized to approve medical treatment?
Yes
Is participant covered by personal/family medical insurance?
No
Yes
No
If yes, name of insurer: ___________________________________________________________________________________________
Policy or group number:_____________________________________________________________________________________________
Participation Agreement
I acknowledge that participation in the activity described above involves risk to the Participant (and to Participant’s parents or guardians, if
Participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, bodily injury, death,
emotional injury, property damage and financial damage.
In consideration for the opprtunity to participate in the activity described above (the “Activity”), the Participant (or parent/guardian if
Participant is a minor) acknowledges and accepts the risks of injury associated with participation in and trasportation to and from the
Activity. The Participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the
Activity or during transportation to and from the activity, as well as for any medical treatment rendered to the Participant that is authorized
by the Sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to hereinafter as the “Activity
Sponsor”). Further, the Participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the Activity
Sponsor for any injury arising directly or indirectly out of the described Activity or transportation to and from the Activity, whether such
injury arises out of the negligence of the Activity Sponsor, the Participant, or otherwise.
If a dispute over this agreement or any claim for damages arises, the Participant (or parent/guardian) agrees to resolve the matter
through a mutually acceptable alternative dispute resolution process. If the Participant (or parent/guardian) and the Activity Sponsor
cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution pursuant to the rules
of the American Arbitration Association.
Signature: ____________________________________________________________
Date: ___________________________________