UUOKC Church Steeple
First Unitarian Church of Oklahoma City Presents...

CongrUUity

Middle School Social Action Conference
February 22-24, 2008

Adult Registration Form

Fill this form out on-line or print this page, fill it out and fax it back off-line.

Event

Name

Home Phone

Cell Phone

E-mail

Street Address

City

State

ZIP

Diet

Allergies or Dietary
restrictions

Other Special Needs

Emergency Contact
(Name and Relationship)

Emergency Phone Number

Church (select from list)

Church (if other)

Number of years with Church

Shirt Size

Previous Experience
with Youth

RE Teacher	District Event
Youth Advisor	SWUUSI
Overnights	YAC chruch or district
Youth Advisor Training	Other

List other previous experience
involving children and/or youth

I will be sponsoring the following
youth: name (and congregation
if different from adult's)

List two personal references

Reference 1 Name

Reference 1 Address

Reference 1 Phone

Reference 2 Name

Reference 2 Address

Reference 2 Phone

First Unitarian Church of Oklahoma City Code of Ethics and
Agreement for Work with Children and Youth

Statement of Position: Adults and older youth in leadership roles in this congregation are in a position of stewardship and play a key role in fostering the spiritual development of both individuals and the community. It is, therefore, especially important that those in leadership positions be well qualified to provide the special nurture, care, and support that will enable children and youth to develop a positive sense of self and a spirit of independence and responsibility. The relationship between young people and their leaders must be one of mutual respect if the positive potential of their relationships is to be realized. Respect on the leader’s part must include recognition of the absolute right of children and youth to the privacy of their bodies and minds.

Statement of Expectation of Behavior: As specified in the First Unitarian Church of Oklahoma City Child and Youth Protection Policy, all compensated and volunteer staff is expected to adhere to the following behavior:

Religious Education workers shall not engage in behavior with children or youth that constitutes verbal, emotional, or physical abuse; this includes behavior or language that is personally threatening or demeaning.
Religious Education workers shall neither indulge in sexually harassing behavior nor engage in sexual, seductive, or erotic behavior with children or youth.
Religious Education workers shall not allow the use of tobacco, illegal drugs, or alcohol or any illegal activities among children or youth, nor shall they use them while acting in the role of Religious Education worker.

Statement of Action: In the case of paid or volunteer workers failing to meet the above expectation, First Unitarian Church of Oklahoma City will take appropriate actions.

Statements of Agreement:

I have read and understand the First Unitarian Church of Oklahoma City Code of Ethics. I agree to abide by the provisions of this Code of Ethics and to honor and preserve the trust placed in me by the members of this congregation.

Name (printed): ________________________________________

Signature: ____________________________________________

Date: ________________________________________________