등록신청서 다운로드 - Youth Kosta Toronto

Youth KOSTA Toronto 2015
5576 Yonge Street, P.O. Box 10039 North York ON M2N 5S2
416 275 4382 / youthkostatoronto2015@gmail.com / www.yktoronto.com /
2015 YOUTH KOSTA 등록안내
▶ 등록비: 1 차 $160 / 2 차 $180 / 당일등록 $200
▶ 등록마감: 1 차 마감 2 월 28 일 / 2 차 마감 3 월 15 일
▶ 참석하시는 교역자, 교사, 또는 인솔자는 등록금 $160 입니다.
▶ e 메일등록 (registrar.youthkosta@gmail.com) 가능. (참석인원과 등록인원이 변동이 없을 시 마감전)
▶ 교통이 필요하실 경우 등록 신청서에 표기 하시고 교통비 $30 을 더 하여 접수 하셔야 합니다.
(예약 관계로 교통편 예약은 3 월 9 일까지 부탁 드립니다.)
▶ 등록 문의: 행정팀장 정주현 간사 416-887-5787 / registrar.youthkosta@gmail.com
YOUTH KOSTA 등록비 지불방법
▶ 본 등록 신청서와 참가비용을 수표나 우편환으로 아래의 주소로 보내주시기 바랍니다.
수표 수취인: KOSTA CANADA
우편주소: KOSTA Canada 5576 Yonge Street,
P.O. Box 10039 North York ON M2N 5S0
▶ 3 월 15 일 이후 등록 취소 시, 참가비용은 반환되지 않습니다.
▶ 등록비에 대한 영수증은 행정팀이 등록하신 교역자에게 이메일로 보내드리도록 하겠습니다
▶ Register Mail 은 보내지 말아 주세요
Ex) Cheque
수표 수취인
등록학생이름 , 교회이름
Youth KOSTA (KOrean STudents All nations) Toronto is a Christian conference for teenagers in Toronto.
Youth KOSTA Toronto 2015
5576 Yonge Street, P.O. Box 10039 North York ON M2N 5S2
416 275 4382 / youthkostatoronto2015@gmail.com / www.yktoronto.com /
2015 Youth KOSTA Toronto 인솔자 (교역자, 교사, 인솔) 등록양식(#1)
* 인솔자께서는 Waiver form 을 작성해 주시길 부탁드립니다
교회 이름
교회
인원합계
교회전화
인솔자
명
남학생
명
여학생
명
스쿨버스이용
명
명
인솔자이름
직분
전화번호
Email
인솔자이름
직분
전화번호
Email
인솔자이름
직분
전화번호
Email
인솔자이름
직분
전화번호
Email
이름(Name)
서명(Signature)
*교역자 또는 인솔자 대표, 참가교회에 교역자 또는 인솔자가 없을 경우 학생대표
Check List *등록서류는 다음과 같은 순서로 정리해주세요
인솔자 등록양식
참석인원리스트 남,여 리스트
개인 등록양식
Individual Guest Waiver Form
Youth KOSTA (KOrean STudents All nations) Toronto is a Christian conference for teenagers in Toronto.
Youth KOSTA Toronto 2015
5576 Yonge Street, P.O. Box 10039 North York ON M2N 5S2
416 275 4382 / youthkostatoronto2015@gmail.com / www.yktoronto.com /
2015 Youth KOSTA Toronto 참가자 리스트 양식 (#2)
No.
교회 남학생 리스트 MALE
번호
학생이름
학년
KM / EM
조장추천(G11,12)
.
* Officer
*숙소
*비고
Youth KOSTA (KOrean STudents All nations) Toronto is a Christian conference for teenagers in Toronto.
Youth KOSTA Toronto 2015
5576 Yonge Street, P.O. Box 10039 North York ON M2N 5S2
416 275 4382 / youthkostatoronto2015@gmail.com / www.yktoronto.com /
2015 Youth KOSTA Toronto 참가자 리스트 양식 (#2)
No.
교회 여학생 리스트 FEMALE
번호
학생이름
학년
KM / EM
조장추천(G11,12)
.
* Officer
*숙소
*비고
Youth KOSTA (KOrean STudents All nations) Toronto is a Christian conference for teenagers in Toronto.
Youth KOSTA Toronto 2015
5576 Yonge Street, P.O. Box 10039 North York ON M2N 5S2
416 275 4382 / youthkostatoronto2015@gmail.com / www.yktoronto.com /
2015 Youth KOSTA Toronto 개인 등록 신청서 (#3)
*Language
preference
KM / EM
성별/Gender
Male / Female
한글:
이름 / Name
English:
주소 / Address
E-mail
전화 / Phone
출석교회/Church
담당목회자, 선생님
Youth Pastor
학년 / Grade
참석경험
Youth KOSTA
Yes / No
Food
Allergies
OHIP Number
*강사님과 상담을 하고싶습니다
Counseling request
Yes / No
교통편이 필요합니다.
Ride request
Yes / No
Special Comment
* requested by the student
Indemnity form
I/We the parent(s) or guardian(s) of giving my/our permission for the Youth to travel to
and reside at Youth KOSTA 2015 (hosted by KOSTA CANADA) premises. I/We hereby give
permission for the Youth to participate in any lawful activity associated with the Youth KOSTA
where in so ever that activity may occur. I/We hereby agree to indemnify and to keep indemnified
KOSTA CANADA and any member thereof and any other person who is lawfully assisting with
the camp, its objectives and activities, from all suits, actions, proceedings and legal liability
whatsoever arising from any act or omission howsoever arising which results in personal
injury or illness of or to the Youth or causes damage to or loss of any property of Youth or
any expanses or costs arising there from.
Date: _______ (day)/ _______ (month) / 2015
Signature: _________________________________________ Printed:__________________________________________________
Signed by the parent or guardian
Youth KOSTA (KOrean STudents All nations) Toronto is a Christian conference for teenagers in Toronto.
Youth KOSTA Toronto 2015
5576 Yonge Street, P.O. Box 10039 North York ON M2N 5S2
416 275 4382 / youthkostatoronto2015@gmail.com / www.yktoronto.com /
INDIVIDUAL GUEST WAIVER FORM
The guest group will be responsible to satisfy itself that the participants of any activities have the requisite skill, provided any
necessary supervision by responsible persons and see that all individual safety requirements are observed by participants, and
Muskoka Woods shall have no responsibility for accident or injury.
Without assuming any liability, and in the interests of safety, in the case of any use of any of these special facilities, Muskoka
Woods reserves the right, through any of its responsible employees, to insist upon all appropriate safety rules and procedures
being observed and upon any degree of supervision it considers advisable being provided by the guest group, and to limit or
terminate the use of any such special facilities as it may consider advisable.
In the event that a guest requires medication, X-ray, or treatment beyond that which is possible at Muskoka Woods, the guest
group will be charged with the additional expense of transportation and special care. It is the responsibility of the guest
group to notify the affected guest’s family.
I/We authorize the administration of any first aid treatment necessary at Muskoka Woods, and in the case of medical
emergency, give permission to the Physician selected by the guest group staff or sponsors to hospitalize and secure proper
treatment for my child as named above. Every effort will be made to contact parents or guardians before such action.
For valuable consideration, the receipt of which is hereby acknowledged, the undersigned hereby releases and forever
discharges Muskoka Woods, Muskoka Woods Youth Camp Inc., Gwitmoc Foundation (formerly John Albert Boddy Youth Camp
Foundation) and Lawrason Bay Foundation (formerly Marie Boddy Foundation) and their respective members, agents,
volunteers, employees, officers and directors (the "Releasees") from any and all actions, causes of action, claims and demands
resulting from any loss, injury or damage to person or property which has arisen or may arise from any and all use of the
Muskoka Woods including any programs or otherwise, unless any such loss, injury or damage may have arisen by reason of
the negligence of the Releasees.
The undersigned agrees that any and all actions arising out of this agreement or the use of the Muskoka Woods will be
governed by the laws of Ontario, Canada and consents to the exclusive jurisdiction of the courts in Ontario, Canada in any
and all such actions.
**Group members under 18 years of age require the signature of a Parent or Guardian**
** DO NOT remove bottom portion of waiver**
Name of School or Group: Youth KOSTA Toronto / Dates of Trip: March 17-19 2015
__________________________________________________________
________________________________________________________
NAME OF PARTICIPANT
DATE SIGNED
__________________________________________________________
_________________________________________________________
SIGNATURE OF PARTICIPANT
SIGNATURE OF PARENT/GUARDIAN (IF NECESSARY)
Youth KOSTA (KOrean STudents All nations) Toronto is a Christian conference for teenagers in Toronto.