2025 FDEE Youth@Region

1Youth@Region and Community of Faith Information

2Participant Info

3Health Information / Emergency Contacts

May 2-4, 2025 Corner Brook Civic Centre
What is YOUTH@REGION?
Y@R is a place of community and a place of faith where United Church youth, between grade 6 and grade 12, meet from across Newfoundland and Labrador. It takes place during the Annual Meeting of First Dawn Eastern Edge Regional Council (FDEE), which is a gathering of representatives who make decisions and set policies for The United Church of Canada. The group creates an inclusive, diverse and safe community for youth in the name of Christ. We provide a place for youth to explore their faith and to learn more about The United Church of Canada while sharing in music, worship and fun in a spirit-filled community.
COST AND FINANCIAL ASSISTANCE
The cost of Youth@Region is $100. This fee includes all activities, meals, and shared-room hotel accommodations. Travel expenses are in addition to this price. Don't let the cost frighten you from applying - most churches have funding available to help cover the costs! Your church, UCW and/or local community groups are good places to ask for support. Ask your minister about how these groups can help! If the local funding options are unable to help, please contact Catherine Stuart (cstuart@united-church.ca).
Confidentiality Statement
First Dawn Eastern Edge Regional Council (FDEE) Youth@Region collects the information contained in this application solely for registration purposes and respects the privacy of families. We do not provide this information to any other organizations or individuals. FDEE Youth@Region follows guidelines pertaining to applications set out by The United Church of Canada. Therefore, all documentation, whether the applicant has been accepted to Youth@Region or not, will be securely kept until the time at which it can be destroyed.
COMMUNITY OF FAITH
Community of Faith*
Please select your Community of Faith from the drop-down below. Wondering what Community of Faith you belong to? Ask your minister!
Your Minister

Participant Information
Legal Name*
First Middle Last
Preferred Name/Nickname
First
Gender*
We are asking about your gender for rooming purposes only.
Other*
Home Address*
Street Address Address Line 2 City Province Postal Code
Home Phone*
Date of Birth*
MM slash DD slash YYYY
Grade*
Age (at the time of Y@R)*
Email (Parents)*
Email (Youth)*
Primary Parent/Guardian Name*
First Last
Work Phone (including extension)
Cell
For emergency purposes, please provide a secondary cell/work number.
Secondary Parent/Guardian Name
If the adult you travelled with is not your primary parent/guardian please put their information here.
First Last
Work Phone (including extension)
Cell
For emergency purposes, please provide a secondary cell/work number.
Cell (Youth)
If the youth participant will have a cell phone with them at the event, please provide their number for emergency purposes.

CONFIDENTIAL HEALTH INFORMATION / EMERGENCY CONTACTS
This information will remain confidential but could help us offer appropriate support if needed.
Provincial Health #*
Health Card Expiry Date*
Province in which health card has been issued*
Emergency Contact Person*
In case of emergency, should we not be able to contact your parent/guardian, please provide an alternate person who we can contact.
Relationship to Youth
Phone Number 1*
Phone Number 2
Are there medical considerations? Explain. Also, please include any medications/dosages in case of emergency.*
Are there any developmental or behavioural considerations? Explain.*
Are there any factors that may be causing this participant stress (such as a death, separation, mental health issues in self or family member) that your child may still be coping with?*
All About You!
Have you ever attended a regional Youth event?*
Which year(s)?
Is there someone you would like to room with?
Please note that this is for information, we will do our best but can not guarantee.
Please take a minute to think about and answer the following questions about yourself and your interest in Youth@Region.
1. Tell us something about yourself! Do you have a special talent or skill? Do you play a musical instrument?*
2. If you're returning for another year, what made you apply to come back this year?
Registration Cost: $100 includes all activities, meals and shared-room hotel accommodations (Travel expenses are in addition to this price)*
Please choose one of the payment methods below:
- Send an e-transfer (fdee@united-church.ca. No password required)
- Mail a cheque (payable to First Dawn Eastern Edge Regional Council)
Do you have special dietary needs or food restrictions?*
- Yes
- No
Dietary Restrictions*
Social Media Consent*
There will be photos and videos taken during the event that may be posted to various church related online media. Indicate your preference.
- I give permission to be in photos and videos.
- I DO NOT wish to have images and videos posted. I will do my best to remove myself from photo/video situations.
Wellness*
I understand that if I show up at the event with an illness of any kind I will be sent home.
- Yes, I understand
Email
This field is for validation purposes and should be left unchanged.

May 2-4, 2025 Corner Brook Civic Centre

What is YOUTH@REGION?

COST AND FINANCIAL ASSISTANCE

Confidentiality Statement

COMMUNITY OF FAITH

Participant Information

CONFIDENTIAL HEALTH INFORMATION / EMERGENCY CONTACTS

All About You!

Please take a minute to think about and answer the following questions about yourself and your interest in Youth@Region.

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