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1825 Orleans Avenue • New Orleans, Louisiana 70116-2825 National Office: 504.821.4225 • Facsimile: 504.821.4253 • Website: http://www.kofpc.org

DR. CHRISTOPHER PICHON CHERYL FLOTTE

Director General of the Junior Knights National Counselor of the Junior Daughters

REGISTER ONLINE! www.kofpc.org/conventions

Thursday, March 21, 2019

MEMORANDUM FOR: COMMANDERS, COUNSELORS, GRAND KNIGHTS, AND GRAND LADIES

SUBJECT: 23rd BIENNIAL JUNIOR NATIONAL CONVENTION

The Twenty-Third Biennial National Convention of the Junior Knights and Junior Daughters will be held July 11 - 14, 2019 at the Westin Galleria Houston Hotel – 5060 W. Alabama Street, Houston, Texas 77056. A phenomenal opportunity to exchange ideas, share programs and projects, and to enrich the minds of our Juniors and their contribution to the Knights of Peter Claver, we enthusiastically invite participation from each of our Junior Branches and Junior Courts in this worthwhile endeavor. Our theme for this convention is “Juniors’ Faith and Belief in Christ!”

We request units read the entire communication and follow all rules, regulations, guidelines, and deadlines. Because the Order is responsible for the safety and well-being of our young people to and from the National Convention, it is imperative that there is ample adult supervision through approved chaperones at all times. Further, if any Juniors are known to have physical and/or emotional problems that would prevent them from adhering to the guidelines and regulations as set by the Order, then they should not be brought to the convention without specialized supervision.

CONVENTION INFORMATION

1. UNIT ELIGIBILITY. All Branches and Junior Courts must be financial to participate in the convention. Because no inactive unitwill be allowed to participate, Grand Knights, Grand Ladies, Commanders, and Counselors are responsible for ensuring thateach respective unit is financial by contacting the National Office if deemed necessary. The membership in either JuniorDivision is limited to those members ages 7-18 only. While guests are allowed to register for the convention, they will notbe allowed entry into the business sessions.

2. HOTEL RESERVATIONS. Reservations can be made directly with the Westin Galleria Houston Hotel by calling toll-free number1-800-937-8461 or online at www.kofpc.org/westin by clicking on the Junior Convention link. In doing so, please ask yourattendees to request the group rate for Knights of Peter Claver, Inc. Reservations must be made on or before June 19, 2019at 5:pm CST - the cut-off date for the special convention rate. Please be aware that the hotel reservation must beaccompanied by an advance deposit of one night for each room requested. The deposit for any room canceled after theJune 19, 2019 5:00 pm CST cut-off date is non-refundable. The Westin Galleria Houston Hotel accepts major credit cards;please contact them in advance if you are pre paying by check or money order. The room rates are $129.00 plus sales andoccupancy taxes, yielding approximately $150.93 per night. Check-in time is 3:00 p.m. and check-out time is 12:00 p.m. Forunits utilizing buses, please check with the hotel concerning bus parking. Remember, there must be at least one (1)Commander/Counselor and/or Chaperone assigned to each room occupied with Juniors. Rooms cannot be guaranteed Onceyour reservations are made please email Henry Honoret at [email protected] to have multiple room bookingsgrouped together.

BUS PARKING: Units are responsible for arranging parking details for their buses. Information regarding bus and oversized vehicle parking can be found on the convention website: www.kofpc.org/conventions.

http://www.kofpc.org/westin

http://www.kofpc.org/conventions


3. CREDENTIALS FORMS. Commanders and Counselors must forward complete credentials forms with his/her signature asfollows:

Junior Knights - one copy should be forwarded to the Director General, one copy forwarded to the National Office.

Junior Daughters - one copy should be forwarded to the National Counselor, and one copy forwarded to theNational Office.

Online Credentials Form Submissions. Commanders and Counselors may submit online credentials by accessing the events sections of the MMS/Billpay section of www.kofpc.org. Each unit is to retain one copy of the credentials for presentation to the Credentials Committee. Each unit is entitled to four (4) delegates: the Junior Grand Knight/Junior Grand Lady and three other (3) delegates. For more specific guidelines, please refer to the included Credential Form.

4. REGISTRATION FEES AND FORMS. The fee for registrations submitted online or postmarked and received by the NationalOffice by May 15, 2019 is $150.00. Registrations received between May 16 – 31, 2019, will be subject to a $25.00 LateFee. There will be no on-site registration. Commanders, Counselors, and chaperons must register for the convention inorder to accompany the Juniors. Registration includes the convention breakfast, convention banquet, donation to theCharity Fund, and the convention t-shirt.

Units are encouraged to register online at www.kofpc.org/conventions. Delegates, members, and guests may be registeredonline as a group and paid for with credit/debit card or e-check. Senior Division members have the additional option ofregistering online individually with a credit card / debit card or e-check.

An alternative to online registration is completing the paper registration packets and mailing them to the National Office(1825 Orleans Ave., New Orleans, LA 70116. Unit checks, money orders, and cashier’s checks must be made payable to“Knights of Peter Claver” with Junior Convention Registration in the memo area. Under no circumstance will personalchecks be accepted. The National Office will email receipts and confirmations for all registrations to the email addressesprovided by at the time of registration.

Forms may be downloaded from the Convention website: www.kofpc.org/conventions. Only upon request willprinted copies of the registration and competition forms be mailed from the National Office. Paper forms may berequested by calling 504.821.4225 or emailing [email protected].

5. CONVENTION PERMISSION, RULES, AND ACKNOWLEDGEMENT. Parents / legal guardians must read and accept the

convention and competition rules, regulations, policies, and code of ethics in order for their children to register and

attend the convention. The terms of the convention and competitions are included on the forms and are also

available online: www.kofpc.org/policies. The original Rules signed forms should be retained by the unit’s Commander /

Counselor and brought to the Convention in the event that they need to be utilized. You may upload copies of the form

for each attendee when completing the online registration process. Alternatively, completed paper forms may also be

mailed to the National Office. These forms must be completed and submitted without exception. These signed forms

must be obtained from the parents or guardians of ALL Junior Knight and Daughter registrants, including those that

register online. The parent’s or guardian’s signature must be accompanied by the signatures of the Commander/

Counselor and Senior Council/Court’s Grand Knight/Grand Lady as verification that the signature is valid. The

original copy of each signed permission form must be mailed to the National Office. A copy must be retained by the

Commander, Counselor, and/or Chaperone traveling with the youth. Please ensure the permission form is completed in its

entirety.

6. ONSITE CONVENTION CHECK-IN. Only Commanders, Counselors or chaperones can obtain registration packets onsite at theJunior convention registration desk. On-site check-in instructions will be emailed by our registration teamapproximately one week prior to the convention. All attendees including chaperones must have a visible registration badgein order to gain access to all events and meeting chambers.

7. MEALS. Other than the Convention Breakfast and the Convention Banquet, both on Saturday, meals will be the responsibilityof each individual person.



mailto:[email protected]


8. RULES AND REGULATIONS. Enclosed is a copy of the Rules and Regulations Governing the 2019 Junior Convention, to includethe dress code which will be strictly enforced. Please ensure that each Junior, Commander, Counselor and chaperone beapprised of the rules and regulations. Parents of Juniors shall be informed of all rules and regulations. Commanders,Counselors, parents and chaperones must present a copy of their (arch)diocesan youth protection certification informationas well as agree to the Knights of Peter Claver Child Protection Policy, which is enclosed. Anyone accompanying Juniors musthave these certifications on file. THE RULES AND GUIDELINES FORMS MUST BE READ, AGREED TO, AND SIGNED IN ORDERFOR INDIVIDUALS TO REGISTER. All chaperones attending the convention must be at least twenty-one (21) years of age.Smoking and alcohol are prohibited.

9. CONVENTION SCHEDULE. Enclosed is a tentative schedule of activities for the convention. All meetings, workshops and thevarious activities are mandatory for all Juniors. Each Commander, Counselor, and chaperone is to ensure there is maximumattendance of each respective delegation at each scheduled activity.

10. CANCELLATIONS. All requests for refunds due to cancellations must be received in writing by the National Office no laterthan June 11, 2019. There will be no exception to this policy.

11. CONVENTION SHIRTS. A T-Shirt will be provided to each registrant.

12. SOUVENIR BOOKLET. This year’s Souvenir Booklet will be printed in full color! Please support the convention by solicitingadvertisement for the Souvenir Booklet from local businesses in your area. We are appreciative of your support, and all unitsof the Order are encouraged to participate. All advertisements must be submitted electronically to the National Office [email protected] on or before May 31, 2019. Please see the enclosed ad form for additional details.

13. HOTEL TRANSPORTATION. Participants may make airport transportation arrangements with SuperShuttle and receive a 10%discount using code HYHUZ online at: www.kofpc.org/txshuttle or by calling 1-800-258-3826 (NOTE: There is an additional$3 for reservations made by phone).

14. JUNIOR COMMUNITY SERVICE PROJECT. All Juniors are asked to participate in the “Brown Bag Project” on Thursday, andcontribute to the Homes for Haiti and Diabetes Awareness projects.

15. ADA ASSISTANCE. If ADA accommodations are needed for meetings / events, please mark on registration page. ADA hotelroom accommodations should be requested at the time reservations are made.Mobile Scooters are available from: Houston Medical Supplies (Medical Supply Company)

Phone: (713) 777-2244Website: www.hms-tx.com

Again, we look forward to seeing you all at the 2019 National Junior Convention in Houston, Texas. If you are no longer the Grand Knight, Grand Lady, Commander, or Counselor, please assist us by immediately forwarding this packet on to your successor and assist him/her as needed. The convention packet is also available on the National website. Please do not hesitate to contact us if you have any questions or concerns.

//original signed// //original signed//

Dr. Christopher Pichon Cheryl Flotte Director General of the Junior Knights National Counselor of the Junior Daughters

Enclosures

Convention Schedule (2 Pages)National Service Projects FlyerSocial Justice Rally/Banner Flyers (2 Pages)POLICIES (2 Pages): Code of Ethics, Travel, Child Protection, Parental Media Release, Dress CodeCompetition Awards Rules and Regulations (2 Pages)

FORMSREQUIRED: - Registration Packet Cover Sheet Submit only 1 per Jr. Branch or Jr. Court)

- Credentials Form (Submit only 1 per Jr. Branch or Jr. Court)- Youth Registration Form (2 Pages) (Submit 1 for EACH youth registrant)- Adult Registration Form (Submit 1 for EACH Adult registrant)

Remember: !!!ONE Adult Chaperone (21+) required for every 3 youth registrants!!! IF APPLICAPLE: - 24th Biennial Souvenir Program Ad Form

- Resolution Form (Submit only 1 set per Jr. Branch or Jr. Court)- Junior Charity Committee Request Form (Submit only 1 per Jr. Branch or Jr. Court)- High School Junior / Senior Emerging Leaders Reception (Submit only 1 set per Jr. Branch or Jr. Court)- - Candidates Profile and Permission Form- Junior to Senior Division National Convention Transfer List (Submit only 1 set per Jr. Branch or Jr.

Court)(PLEASE BRING COMPLETED SENIOR DIVISION MEMBERSHIP APPLICATION AND FEES TO CONVENTION)


mailto:[email protected]

TENTATIVE SCHEDULE OF EVENTS

Thursday, July 11, 2019

10:00 a.m. – 6:00 p.m. Hospitality Room 11:00 a.m. – 7:00 p.m. Registration 12:00 p.m. – 2:00 p.m. Service Project 12:00 p.m. – 7:00 p.m. Competition Display Set-up 2:00 p.m. – 3:00 p.m. Joint Board Meeting 3:00 p.m. – 4:00 p.m. Junior Daughter Board Meeting 3:00 p.m. – 4:00 p.m. Junior Knight Board Meeting 4:00 p.m. – 5:30 p.m. Junior Daughter Guards Committee 4:00 p.m. – 5:30 p.m. Junior Daughter Steering Committee 4:00 p.m. – 5:30 p.m. Junior Daughter Nomination / Election Committee 4:00 p.m. – 5:30 p.m. Junior Knight Guards Committee 4:00 p.m. – 5:30 p.m. Junior Knight Steering Committee 4:00 p.m. – 5:30 p.m. Junior Knight Nomination / Election Committee 4:00 p.m. – 6:00 p.m. Junior Daughter Credentials 4:00 p.m. – 6:00 p.m. Junior Knight Credentials 4:00 p.m. – 6:30 p.m. High School Junior & Senior Reception &

College/Vocation Fair (Hosted by the Emerging Leaders) 6:30 p.m. – 8:00 p.m. Dinner (on your own) 8:00 p.m. – 11:00 p.m. Talent Show I (Song, Dance, Instrument, Step)

Talent Show II (Poetry, Speech)

Friday, July 12, 2019

8:00 a.m. – 4:00 p.m. Registration 7:00 a.m. – 8:30 a.m. Junior Knight Credentials 7:00 a.m. – 8:30 a.m. Junior Daughter Credentials 8:00 a.m. – 9:45 a.m. Prayer Service/Joint Session 10:00 a.m. – 11:30 p.m. Junior Knight Business Session 10:00 a.m. – 11:30 p.m. 11:30 a.m. – 12:30 p.m.

Junior Daughter Business Session Lunch (on your own)

11:00 a.m. – 12:30 p.m. Competition Judging 12:30 p.m. – 2:00 p.m. Science Fair Judging 12:30 p.m. – 2:00 p.m. Junior Knight Candidates’ Forum 12:30 p.m. – 2:00 p.m. Junior Daughter Candidates’ Forum 2:00 p.m. – 4:00 p.m. Set-Up Campaign Displays 2:00 p.m. – 4:00 p.m. Quiz Bowl Competition 2:00 p.m. – 4:00 p.m. Spelling Bee Competition 2:00 p.m. – 4:00 p.m. Committee Meetings 2:00 p.m. – 4:00 p.m. Choir Practice 2:00 p.m. – 4:00 p.m. Liturgical Dance Practice

TENTATIVE SCHEDULE OF EVENTS (Continued)

Friday, July 12, 2019 - Continued:

4:00 p.m. – 7:00 p.m. Houston Galleria Exploration 7:00 p.m. – 8:30 p.m. Dinner (on your own) 8:30 p.m. – 11:00 p.m. Convention Dance 8:30 pm – 11:00 p.m. Game Night 8:30 pm – 11:00 p.m. Movie Night

Saturday, July 13, 2019

7:00 a.m. – 8:00 a.m. Junior Daughters Voting 7:00 a.m. – 8:00 a.m. Junior Knights Voting 7:00 a.m. – 8:30 a.m. Breakfast 8:30 a.m. – 9:45 a.m. Scripture Rosary/Joint Session 10:00 a.m. – 12:30 p.m. Junior Knight Business Session 10:00 a.m. – 12:30 p.m. Junior Daughter Business Session 12:30 p.m. – 1:30 p.m. Lunch (on your own) 1:30 p.m. – 3:00 p.m. Debate Competition 3:30 p.m. – 6:00 p.m. Social Justice Rally 6:00 p.m. – 8:00 p.m. Free Time 8:00 p.m. – 11:00 p.m. Convention Awards Banquet

Sunday, July 14, 2019

8:00 a.m. – 10:00 a.m. Convention Mass 10:30 a.m. – 12:30 p.m. Senior Knights’ Initiation 10:30 a.m. – 12:30 p.m. Senior Ladies’ Initiation 11:00 a.m. Check-Out

SAVE TIME, MONEY, AND PAPER! Complete Your Registration ONLINE: www.kofpc.org/conventions

--- DO NOT MAIL KEEP THIS SHEET. ---

JUNIOR SUPREME KNIGHT CARRINGTON GUILLORY: HOUSES FOR HAITIDonate to Build Homes in Haiti. www.kofpc.org/jrskMake a donation to help build a KPC-named home for a

needy family in Haiti! All monies collected will go to

Catholic Charities working with this initiative. We have

already built 1 home, and seeking to build more.

Branch/Court Checks or money orders are to be

submitted to the Houses for H aiti Booth at the Jr.

Convention by 4 p.m. o n Friday, July 12, 2019. Each

participant will receive a certificate and a ribbon pin for

charitable donations. Note: Individuals who donate

$5.00 or more will receive a Lapel Pin.

2019 JUNIOR NATIONAL SERVICE PROJECTS

JUNIOR SUPREME LADY KENNEDY WILTZ: NATIONAL SERVICE PROJECT: FIGHT DIABETES“If you obey the Lord your God and carefully keep all His commands that I am giving you

today…. Wherever you go and whatever you do, you will be blessed.” - Deuteronomy Chapter 28: 1, 6

Fight today to raise $10,000 by July 12th 2019! www.kofpc.org/jrslMillions of Americans are affected by Diabetes. Raising money to help find a cure will help bring a positive change to our world. Therefore, by donating to this cause, you will not only be a part of a movement to find a cure, but you will be a blessing to the world.

Make a donation to help find a cure for the Diabetes Disease. All monies collected will go to the KPC National Diabetes Fund. Branch / Court Checks or money orders are to be submitted to the Diabetes Awareness Booth at the Jr. Convention by 4 p.m. on Friday, July 12, 2019, submitted online at www.kofpcorg.org/jsdonate, or mailed to the National Office at the address below. Each participant will receive a certificate and pin for diabetes awareness. The top three (3) units will receive an award during the Awards Banquet.

DONATE TODAY!

Houses for Haiti (Junior Supreme Knight): www.kofpc.org/jkdonate

Fight Diabetes (Junior Supreme Lady): www.kofpc.org/jsdonate



K N I G H T S O F P E T E R C L AV E R J U N I O R N AT I O N A L C O N V E N T I O N

GUIDELINES



Junior Knights and Junior Daughters

2019 Social Justice RallySaturday, July 13, 2019 at 3:30 – 6:00 p.m.

What is the Social Justice Rally all about? The purpose of “2019 Social Justice Rally” is to empower our youth to get involved in social justice issues that are relevant to them. Our noble order has targeted social justice topics that plague our society, and the junior division is equally committed to target social justice issues that impact their lives. The focus of this year’s rally is “Bullying.” Bullying is repeated physical or verbal aggression that harms and humiliates others. The rally will focus on education, awareness, strategies, and solutions to bullying.

How will the Social Justice Rally be structured? The plan for the “2019 Social Justice Rally” is for juniors and chaperones to convene in the large hotel ballroom for an introduction with their “No Bullying” banners and signs. We will process through the mall to bring greater awareness to others. We will return to the hotel ballroom to continue the rally, comprised of youth speakers and real-life stories regarding the harmful effects of bullying. The goal is for all juniors to depart from the rally with a new or renewed commitment to help stop bullying.

BANNER COMPETITION To support Rally efforts, this year’s Banner Competition will focus on a “No Bullying” theme rather than the traditional Convention theme. Following the regular Banner Competition specifics, units are to design their banner on a no bullying theme, and judges will select the best/most authentic banner for the Banner Competition. See Banner Competition Page for more details. Note: Juniors can also make individual posters or signs for the Rally.

Attire: Refer to the Convention Dress Code

--- BANNER GUIDELINES --- Banner Entries must illustrate a focus on stopping or eliminating bullying. There will be only one Banner Entry from a Junior

Branch or a Junior Court.

Judging shall include the following:

Originality

Creativity

Neatness

Banner can be made of any type of material that measures 30 inches in height and 18 inches wide, and represent your state/

district color.

Judging will take place at the Rally on Saturday, July 13, 2019. To participate in the Banner Competition, units must:

Prepare a banner to be displayed during the Rally parade.

Report to the Rally check-in table at 2:00 p.m.

Receive a competition number that will be assigned to each banner.

Ensure that Branch/Court numbers do not appear anywhere on the banner.

KPC Convention Permissions, Policies, and Releases

CODE OF ETHICS (Rules and Regulations) 1. All attendees must be pre-registered. There will be no on-site registration.2. All attendees must wear convention name badge at all times.3. Juniors are expected to attend all Convention functions. Curfews must be followed and Juniors and their chaperones

should be in their rooms immediately after the close of evening events. Security will monitor the hall and other areasof the hotel. Chaperones are to have room checks and are responsible for all Juniors assigned to them.

4. Chaperones must accompany Juniors at all times. If possible, chaperones should be members of the Knights of PeterClaver and Ladies Auxiliary Senior Division. The Branch/Court should provide adequate chaperones for the entireconvention. There should be one (1) chaperone per three (3) Juniors.

5. Each Junior Branch/Court is allowed to send a delegation of four (4) representatives. Junior Grand Knight/Lady andthree (3) elected delegates. The Junior Deputy Grand Knight or Junior Vice Grand Lady and alternate delegates shouldbe indicated on credentials and registration forms in the event your elected representatives are unable to attend theConvention. Delegates must be listed on the Credentials Form and Registration Form.

6. Juniors are not allowed to leave the hotel premises, unless accompanied by a Commander, Counselor, chaperone orparent.

7. Alcohol, cigarettes, marijuana, or other illegal drugs are not permitted at the Convention. If a Junior is caught in oraround the usage of these drugs, their parents will be called to remove them from the Convention premises.Permission is granted for Juniors taking medication which is noted on the “Travel/Medical Release Form”.

8. Juniors are expected to conduct themselves accordingly at all times in a manner that will be a credit to ourorganization. Good manners and proper attire will be expected. Courtesy and politeness will prevail at all times inmeetings and workshops. There should be no running, yelling, or playing in the hotel lobby, hotel halls, between floorsand elevators. Respect for other hotel guests must be given. Juniors should have a low, respective voice/tone at alltimes (no loud talking or outbursts).

9. Loud music is not allowed. Headphones and other electronic devices are allowed, but will not be the responsibility ofthe hotel or the Knights of Peter Claver, Inc. if lost or stolen.

10. Juniors caught damaging hotel property will have to pay any financial cost(s) assessed by the hotel.11. Respect should be given to all commanders, counselors, chaperones, assistant commanders, assistant counselors, and

all senior members of the Order.12. All adult chaperones are expected to conduct themselves in the proper manner that would display the fine character

of our organization.13. Conduct not adhering to the stated rules of the Convention will be investigated and a decision will be made as to the

proper action that will be taken.14. Swimming will not be permitted at any time during the convention.15. The Code of Ethics (Rules and Regulations) will be binding on all Delegates, Chaperones, Commanders, Counselors and

senior members attending the Convention.16. Each branch and court will be responsible for making Juniors, chaperones and others aware of the code of ethics

(Rules and Regulations).

TRAVEL PERMISSION (Registrants under 18 years of age)

In consideration of the wholesome recreation and/or learning in which the minor-aged attendee will experience, the parent/legal guardian agrees to allow the minor-aged attendee to accompany the Knights of Peter Claver and Ladies Auxiliary to the 2019 Junior National Convention in Houston, Texas.

In consideration of the opportunity for the minor-aged attendee to participate in this activity, the parent/legal guardian agrees to release and hold harmless and indemnify the Knights of Peter Claver, Inc., its successors, a corporation and their directors and officers from any liability, claims, actions, and causes of action arising out of or relating to any loss, damage, or injury sustained in connection with the minor-aged attendee’s participation in this activity.

The parent/legal guardian understands and accepts that he/she remains fully responsible for any legal responsibility, which may result from any personal actions taken by the minor-aged attendee. He/she also understands that if the minor-aged attendee does not conform to the established code of behavior, the minor-aged attendee may be scheduled to return home before the end of the event, and transportation costs incurred for minor-aged attendee and the chaperone will be the parent/legal guardian’s responsibility.

KPC Convention Permissions, Policies, and Releases

KPC CHILD PROTECTION POLICY (For Adults Attending the Junior Convention)

The parent/legal guardian understands that any action inconsistent with the KPC Child Protection Policy or his/her failure to take action mandated by the policy and programs may result in disciplinary action, up to and including the termination of his/her voluntary service. The KPC Child Protection policy may be downloaded from the forms and document area of www.kofpc.org/policies.

PARENTAL MEDIA RELEASE (Registrants under 18 Years of Age)

Parent/legal guardian certifies that he or she is the legal guardian/custodian of the minor-aged attendee; is fullyqualified and authorized to execute the Parental Media Release and in his or her aforementioned capacity, does hereby consent to the use, portrayal, posting, publishing or otherwise displaying of the convention attendee’s image, likeness, photograph and/or other depiction on the official Knights of Peter Claver, Inc. website or other print/social media. The foregoing consent is given with the understanding that the website and/or published depiction of the said minor shall be tasteful and in compliance with the law and/or any other applicable regulation. Parent or Legal Guardian of the minor shall retain the right to revoke this consent following the execution hereof, upon thirty (30) days written notice to the Knights of Peter Claver, Inc.

The Knights of Peter Claver, Inc. shall have the exclusive right to website design and/or print/social media and to the manner by which the minor’s name and image are displayed on its webpage (s) and/or print/social media. This Parental Media Release constitutes a knowing waiver of any right, claim or legal cause of action the parent / legal guardian or minor-aged attendee may have arising from the use, portrayal, posting, publishing or otherwise displaying of the minor’s image, likeness, photograph and/or other depiction on the Knights of Peter Claver, Inc. website or print/social media.

CONVENTION DRESS CODE Note: No facial jewelry of any kind is to be worn during the convention (i.e. tongue rings, earrings, etcetera).

THURSDAY (CASUAL) JUNIOR KNIGHTS: KPC Shirt is permissible (No shorts or cut-offs).JUNIOR DAUGHTERS: KPC shirt is permissible (No shorts or cut-offs)

FRIDAY JUNIOR KNIGHTS: Meetings: Dress shirt, Necktie, Dress pants (No jeans), Coat (optional), Dress shoes (No sneakers or tennis shoes); Convention Dance: Jeans, p ants (no shorts of any kind), T-shirts, N o Midriff, No ta nk tops, No cut-offs, Sneakers, tennis shoes (no sandals or flip flops) JUNIOR DAUGHTERS: Meetings: Dress or skirt (should be fingertip length-no half skirts, tank dresses, backless dresses, strapless sundresses and no micro- mini skirt or dresses). Shoulders, back or midriff should be covered at all times. Pants suit (No shorts or jeans of any kind or color) Capri pants suits may be worn. Dress shoes (no gym shoes, thongs orflip-flops). Hosiery; Convention Dance: Jeans, pants (no shorts of any kind), T-shirts, No Midriff, No tank tops, No Cut-offs, Sneakers, tennis shoes (no sandals or flip flops).

SATURDAY JUNIOR KNIGHTS: Meetings: Necktie, Dress pants (No jeans), Coat (optional), Dress shoes (No sneakers or tennis shoes); Banquet: (Formal/Semi-Formal), Shirt and Necktie, Coat and dress pants (No jeans), Dress Shoes (No tennis shoes) JUNIOR DAUGHTERS: Meetings: Dress or skirt (should be fingertip length-no half skirts, tank dresses, backless dresses, strapless sundresses and no micro- mini skirt or dresses), Shoulders, back or midriff should be covered at all times, Pants suit (No shorts or jeans of any kind or color), Capri pant suits may be worn, Dress shoes (no gym shoes, thongs or flip-flops), Hosiery; Banquet: (Formal/Semi-Formal) Formal, Semi-Formal or Dressy Dress (Shoulders, back, or midriff should be covered at all times. Splits should not be higher than the top of knee), Dress shoes.

SUNDAY MASS JUNIOR KNIGHTS: Black suit, Black slacks, White shirt, Black tie, Dress Shoes (no tennis shoes) JUNIOR DAUGHTERS: White dress, plain (not after five), White suit or skirt and blouse, White hat (Kufi) or chapel veil, Skin tone hosiery (no designer hosiery), White gloves, One set of small earrings, All accessories MUST BE WHITE

Competition Awards Rules and Regulations

CONVENTION THEME

“Juniors’ Faith and Belief in Christ!”

DEADLINE TO SIGN-UP FOR ALL COMPETITIONS Wednesday, May 15, 2019 1. POETRY.1. The Poetry must be presented on the Convention Theme.2. Juniors will be judged on the following criteria: Originality, Presentation, Introduction, Time Limit, Voice and Diction,

Interpretation, and Conference Theme3. The time limit for each presentation will not exceed 2 minutes.4. Juniors will be disqualified if the 2 minutes is exceeded.

2. ESSAY. ALL ESSAYS ARE TO BE SENT TO THE NATIONAL OFFICE.

1. Essay must be written on the theme of the Conference2. Essay must be legibly handwritten or typed.3. Essays will be judged on the following criteria: Theme, Originality, Spelling/Punctuation,

Sentence Structure /Grammar, Word usage/Vocabulary, Organization of Essay: Introduction,Body and Conclusion

4. Junior’s name, Commander’s/Counselor’s name, Branch/Court name and number, city, state or church name, cannot bementioned or appear in the essay.

5. The essay should be stapled to a separate sheet of paper that includes the Junior's Name, Age, Branch/Court Nameand Number, City and State, and Commander/Counselor Name

6. Essay participation is limited to Juniors attending the Convention in Houston, Texas.

3. SPEECH. ALL SPEECHES ARE TO BE SENT TO THE NATIONAL OFFICE.

1. Speech should be 1-2 minutes long. (Speeches less than one minute or more than two minutes will be disqualified.)2. Criteria for judging: Interest Level, Organization, Transition, Verbal Support, Effectiveness of Delivery, Eye Contact,

Enthusiasm, Overall Effectiveness3. Note cards and props may be used.

4. ARTS AND CRAFTS RULES AND REGULATIONS. Piece must depict Convention Theme Judging shall include the following: Originality of Piece, Clarity of Piece, Neatness3. On the day of judging Friday, July 12, 2019:

Piece must be in designated area between 11:00 a.m. and 12:30 p.m. Junior's name or Branch/Court number should not appear anywhere on the art or craft being submitted. A competition number will be assigned at the convention.

4. PHOTOGRAPHY AND COLLAGE.1. Entries must adhere to the Convention Theme.2. Judging shall include the following:

Originality of piece Clarity of piece Neatness3. Size of display should be 22 x 28 inches.4. On the day of judging Friday, July 12, 2019:

Photo display or collage must be in designated area between 11:00 a.m. and 12:30 P.M. Junior's name or Branch/Court number should not appear anywhere on the display.

5. A competition number will be assigned at the Convention

Age Group Word Count

7-9 100 – 150

10 – 12 150 – 200

13 – 15 200 – 250

16 – 18 250 – 300

6. 2021 JUNIOR NATIONAL CONVENTION THEME. ONE ENTRY PER BRANCH OR COURT.THEME AND DESIGN MUST BE SENT TO THE NATIONAL OFFICE. 1. Our Convention Activity Committee will select our 2021 Junior National Convention theme and symbol design.2. The selected suggestion will receive award recognition3. The Junior National Convention theme suggestion should be seven (7) words or less.4. Theme suggestions going over seven (7) words will be disqualified.5. Your unit’s theme design must be submitted to the National Office.

7. SCIENCE COMPETITION.TERMS OF ENTRY: The entrant enters his / her project at his / her own risk and will not hold the Knights of Peter Claver/ Ladies Auxiliary, or Junior Division responsible for the loss or damage to the exhibit or harm to self. The projectwill not include any live or preserved animals. The project will not have any potentially dangerous chemicals orequipment. The entrant understands that pictures may be displayed if any of the above criteria has been done beforethe convention. The entrant also agrees to remove his / her project at the designated time. The entrant andhis / her parent / legal guardian understand and have read all of the guidelines of the competition.1. No Junior may enter more than one science project.2. The project must be current work of the Junior registered for the competition.3. The name of the Junior must appear only on the back of the project with the Junior’s unit name and their hotel room

number.4. Juniors must demonstrate to judges, through written reports, pictures, charts, graphs, diagrams, how the research

was accomplished. Juniors must be present during judging.5. No commercial models or kits will be allowed as exhibits6. No live animals, preserved animals, dangerous chemicals or equipment, cell cultures and micro-organisms may

be exhibited at the competition. Pictures of research previously done may be used on the display.7. All projects will be judged on Scientific Thought, Creative Ability, Clarity Experimental Design, Understanding, Dramatic

Value and Technical Skill.8. Juniors must enter only one category: Astronomy; Behavioral Science; Biology Botany; Chemistry; Computer

Applications; Earth and Space Science; Engineering; Environmental Science; Mathematics; Physics; Zoology

8. BANNER CONTEST. ONE ENTRY PER BRANCH OR COURT.1. There can be only one Banner Entry from a Junior Branch or a Junior Court.2. Banner Entries must illustrate the Convention Theme.3. Judging shall include the following: Originality, Creativity, and Neatness4. Banner can be made of any type of material that measures 45-50 inches in height and 36 inches wide.5. On the day of judging, Saturday, July 13, 2019:

You will be responsible for setting up your banner display. Be at the 2019 Social Justice Rally Check-in table at 2:00 p.m. Branch/Court number should not appear anywhere on the banner.

6. A competition number will be assigned at the Convention

9. YOUNG AUTHOR’S. ALL MANUSCRIPTS ARE TO BE SENT TO THE NATIONAL OFFICE.

The purpose of the competition is to spark the imagination of writers culminating into a “real life” experience of publishing a book.

1. The Young Authors Competition is limited to Junior Knights and Junior Daughters Ages 7-15 years of age.2. The book must be the original work of the author.3. Acceptable styles of writing are poetry, story (narrative) or informational.4. The book may be typed, word processed, or handwritten in manuscript or cursive. If someone other than the author helps with the

book, credit must be given to the typist. The typist must not edit the book in any way.5. If an author chooses to illustrate his/her book, the illustrations may be from newspapers, magazines, the internet, or the author’s

own work. However, another Junior or adult cannot produce artwork to go in the author’s book.6. Each young author’s manuscript must have a typed identification card fixed to the inside cover. The information included in the card

must include: Author/Illustrator’s Name, Grade Level, Unit Number/Name, Commander/Counselors Name, Manuscript Title, genre ofManuscript: (Poetry, Narrative, Informative)

7. 1st, 2nd and 3rd Place Winners will be selected at each age level: 7-9, 10-12, 13-158. Winners will be announced at the Awards Banquet at the Junior National Convention.

KNIGHTS OF PETER CLAVER and Ladies Auxiliary

SAVE TIME, MONEY, AND PAPER! Complete Your AD Registration ONLINE:

www.kofpc.org/jrconventionads

KNIGHTS OF PETER CLAVER and Ladies Auxiliary


- - - - - - - - - R E Q U I R E D C O V E R S H E E T - - - - - - - - - (INCLUDE THIS COMPLETED SHEET AS THE FIRST PAGE OF YOUR JR. BRANCH / JR. COURT PACKET)

PLEASE TYPE OR PRINT ALL INFORMATION

1. REGISTRATIONS: Includes convention materials, t-shirts, bag, and banquet and dance admission. NOTE: One (1)

registered adult chaperone is required for every three (3) junior member registrations.

Number of JUNIOR Members Registrations included: __________ x $150.00 ($175 if Late) = $_______________

Number of ADULT Members Registrations included: __________ x $150.00 ($175 if Late) = $_______________

2. ADDITIONAL T-SHIRT (S) (No exchanges - Must Be Ordered by MAY 15, 2019):

YOUTH: Small (6-8) qty:______; Medium (10-12) qty: ______; Large (14-16) qty: ______

TOTAL NUMBER OF YOUTH SHIRTS: ________ x $10.00 = $_______________

ADULT: Small qty:______; Medium qty:______; Large qty.______: X-Large qty: ______;

2X-Large qty: ______; 3X-Large qty: ______; 4X-Large qty: ______

TOTAL NUMBER OF ADULT SHIRTS: ________ x $12.00 = $_______________

3. NATIONAL SERVICE PROJECT DONATION (S):

HOUSES FOR HAITI (J.S.K.): TOTAL J.S.K. DONATIONS: = $_______________

FIGHT DIABITIES (J.S.L.): TOTAL J.S.L. DONATIONS: = $_______________

TOTAL AMOUNT SUBMITTED WITH THIS CONVENTION PACKET: $_______________

JUNIOR BRANCH / JUNIOR COURT INFO: CIRCLE ONE: Jr. Branch (Jr. Knights) / Jr. Court (Jr. Daughters)

Jr. Branch / Jr. Court Name:______________________________________________________________ Number: #___________

Jr. Grand Knight / Jr. Grand Lady Name: ___________________________________ Attending Convention?: Yes / No

SENIOR DIVISION INFO:

Council / Court Name: __________________________________________________________________ Number: #___________

COMMANDER / COUNSELOR INFO:

Name: ___________________________________________________________ Attending Convention?: Yes / No

Phone: (_______) ______________________________ Alt. Phone: (_______) _______________________________

Email: ______________________________________________________________________________________________________

ASSISTANT COMMANDER / COUNSELOR INFO:

Name: ___________________________________________________________ Attending Convention?: Yes / No

Phone: (_______) ______________________________ Alt. Phone: (_______) _______________________________

Email: ______________________________________________________________________________________________________

If you choose not to complete your registration online, completed packets are to be mailed to:

The Knights of Peter Claver : 1825 Orleans Ave., New Orleans, LA 70116

Unit Number: #______

Circle One: Jr. Branch / Jr. Court

--- MAIL this sheet. Duplicate this page as needed. ---


CANDIDATE’S PROFILE AND PERMISSION FORM

If you are seeking a National Office, please complete this form, and return it to the National Office, by May 17, 2019. This form will be given to the Election Committee. Since Juniors seeking office are minors, parental permission is required for a Junior to run for an office. All candidates, aspiring for a National office, must have this permission slip on file with the Nominations/Election Committee.

This is to certify that the above candidate is in good financial standing with the branch/court.

Signature of Jr. Grand Knight/Lady Date

Signature of Commander/Counselor Date

This is to certify that I give my son/daughter permission to run for a National Office, in the Junior Knights / Junior Daughters Division of the Knights of Peter Claver Ladies Auxiliary.

Signature of Parent Date

Any Junior that reaches the age of 19, prior to, on or during the next convention dates of July 8-11, 2021, may not run for an office.

Eligibility Requirements for Junior National Officer Candidates

In order for a member of the Junior Division of the Knights of Peter Claver, Inc. to be eligible to run for a Junior National Office, he or she must meet the following criteria: 1. The candidate must be a member in good standing, financially and otherwise, with the Junior Division of the Knights of Peter

Claver, Inc. 2. The candidate must not be older than 17 years of age (see note below). In particular, a candidate, at the time of election to

National Office, must be capable of fulfilling his or her full two-year tenure in office, prior to becoming ineligible for membership in the Junior Division.

3. If elected to Junior National Office, that candidate is not permitted to hold office in a subordinate Junior Branch or a District or State office during his or her tenure in National Office.

(Note): A member of the Junior Division, who has reached the age 19, must transfer to the Senior Division, at the next initiation of new members, into the local Senior Council or Court. Upon initiation into the Senior Division, the member is no longer eligible for membership in the Junior Division.

NAME UNIT No. BRANCH/COURT NAME

ADDRESS CITY STATE ZIP

TELEPHONE EMAIL DATE OF BIRTH AGE YEARS AS A JUNIOR

( ) / /

JUNIOR KNIGHT/JUNIOR DAUGHTER NAME

BRANCH/COURT NAME UNIT No.

COMMANDER/COUNSELOR NAME EMAIL

ADDRESS CITY STATE ZIP

HOME TELEPHONE WORK TELEPHONE CELLULAR TELEPHONE

( ) ( ) ( )

Criteria to be judged:

Outstanding or Noteworthy Contributions to the Church

Outstanding or Noteworthy Contributions to the Community

Special or noteworthy projects by Junior Knight/Junior Daughter

Please provide the above information on the accompanying Information Sheet. Copies of awards may be attached.

Approved by vote of the Branch/Court at the meeting. (Date)

Date_________ Signature of Junior Grand Knight/Junior Grand Lady

Date__________ Signature of Commander/Counselor

Date__________ Signature of Grand Knight/Grand Lady

*****PLEASE STAPLE THIS FORM TO THE INFORMATION SHEET*****

(Branch or Court Seal)

2019 OUTSTANDING JUNIOR KNIGHT/JUNIOR DAUGHTER AWARD

NEW THIS YEAR! YOU CAN COMPLETE YOUR FORM ONLINE!

www.kofpc.org/awards


NEW THIS YEAR! YOU CAN COMPLETE YOUR FORM ONLINE!

www.kofpc.org/awards

•Information Sheet •National, District/State, or Local Contributions to the Order

Contributions and Service to the Church

Contributions or Service to the Community

Write a brief statement on back explaining why your Branch/Court feels that the Nominee qualifies for this award.

For Office Use Only:

Number _________________







CREDENTIALS FORM Instructions: Please print legibly or type all information. Elections for Delegates and Alternate Delegates should take place at your March meeting.

Section1 – JUNIOR GRAND KNIGHT / JUNIOR GRAND LADY Jr. Grand Knight and Jr. Grand Lady are automatic delegates. Do not list them as your delegates in Section 2

Section 2 – DELEGATES Each Branch/Court is entitled to three additional (3) delegates. The Junior Deputy Grand Knight / Junior Vice Grand Lady can serve as a delegate IF the Junior Grand Knight/Junior Grand Lady is attending the convention. In order for this to happen, you must place his/her name on the delegate line.

Section 3 – ALTERNATE DELEGATES

An Alternate delegate will replace the delegate if the delegate is unable to attend the convention business session.

Signature of Junior Grand Knight / Junior Grand Lady

Signature of Commander / Counselor

Signature of Grand Knight / Grand Lady

JUNIOR KNIGHTS: Mail one copy to the National Office (1825 Orleans Avenue, New Orleans 70116), one copy to the Director General (Chris Pichon, 2419 Maywood Run Court, Fresno, Texas, 77545) and retain one copy to be presented to Credentials table.

JUNIOR DAUGHTERS: Mail one copy to the National Office (1825 Orleans Avenue, New Orleans 70116), one copy to the National Counselor (Cheryl Flotte, P.O. Box 52853, New Orleans, LA 70152), and retain one copy to be presented to Credentials table.

(Branch or

Court Seal)

JR. BRANCH / JR. COURT NAME: UNIT No.:

CITY: STATE:

JR. GRAND KNIGHT / JR. GRAND LADY: AGE: ATTENDING?:

YES / NO

JR. DEPUTY GRAND KNIGHT / JR. VICE GRAND LADY: AGE: ATTENDING::

YES / NO

DELEGATES: AGE:

ALTERNATE DELEGATES AGE





RESOLUTION FORM Resolutions submitted to the Junior National Convention are to be typed or printed and bear the Branch/Court's Seal. Please state the articles (s), section (s) and the page number (s) of each resolution. Return the form to the National Office by May 15, 2019.

WHEREAS ________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

BE IT RESOLVED ___________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

________________________________________ Signature of Junior Grand Knight / Junior Grand Lady

________________________________________ Signature of Junior Financial Secretary

________________________________________ Signature of Commander / Counselor

Form should be mailed to the National Office by May 15, 2019.

The Knights of Peter Claver 23rd Biennial Junior National Convention

1825 Orleans Ave. │ New Orleans, LA 70116

(Branch or

Court Seal)

Junior Branch or Junior Court Name:

________________________________

________________________________

Jr. Branch / Jr. Court No.: #_________





JUNIOR CHARITY COMMITTEE REQUEST FORM

Don’t forget! You can complete your Junior Charity Committee request form online!: www.kofpc.org/grants

CONTACT INFORMATION FOR ORGANIZATION OR PERSON(S) WHOM CHARITY FUNDING IS BEING REQUESTED:

Organization Name ___________________________________________________________________________________________

Contact Name: ______________________________________________________________________________________________

Address: ___________________________________________________________________________________________________

City: ________________________________________________________ State:______ Zip: ___________________

Phone: (______) ______________________________ Email: _________________________________________________________

REASON(S) FOR REQUESTING CHARITY FUNDS: ___________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

________________________________________ Signature of Junior Grand Knight / Junior Grand Lady

________________________________________ Signature of Commander / Counselor

________________________________________ Signature of Senior Division Financial Secretary

________________________________________ Signature of Grand Knight / Grand Lady

Form should be mailed to the National Office by May 15, 2019.

The Knights of Peter Claver 23rd Biennial Junior National Convention

1825 Orleans Ave. │ New Orleans, LA 70116

(Branch or

Court Seal)

Junior Branch or Junior Court Name:

________________________________

________________________________

Jr. Branch / Jr. Court No.: #_________





HIGH SCHOOL JUNIOR / SENIOR EMERGING LEADERS RECEPTION Attendees must be in the 11th or 12th grade or above at the start of the upcoming 2019 - 2020 academic year.

NAME: FALL 2019 GRADE LEVEL: EMAIL ADDRESS: (Circle One)

1.______________________________________ JUNIOR / SENIOR _______________________________________________________

2.______________________________________ JUNIOR / SENIOR _______________________________________________________

3.______________________________________ JUNIOR / SENIOR _______________________________________________________

4.______________________________________ JUNIOR / SENIOR _______________________________________________________

5.______________________________________ JUNIOR / SENIOR _______________________________________________________

6.______________________________________ JUNIOR / SENIOR _______________________________________________________

7.______________________________________ JUNIOR / SENIOR _______________________________________________________

8.______________________________________ JUNIOR / SENIOR _______________________________________________________

9.______________________________________ JUNIOR / SENIOR _______________________________________________________

10._____________________________________ JUNIOR / SENIOR _______________________________________________________

11._____________________________________ JUNIOR / SENIOR _______________________________________________________

12._____________________________________ JUNIOR / SENIOR _______________________________________________________

13._____________________________________ JUNIOR / SENIOR _______________________________________________________

14._____________________________________ JUNIOR / SENIOR _______________________________________________________

15.______________________________________ JUNIOR / SENIOR _______________________________________________________

16._____________________________________ JUNIOR / SENIOR _______________________________________________________

17._____________________________________ JUNIOR / SENIOR _______________________________________________________

18._____________________________________ JUNIOR / SENIOR _______________________________________________________

19.______________________________________ JUNIOR / SENIOR _______________________________________________________

20.______________________________________ JUNIOR / SENIOR _______________________________________________________

LISTED NAMES MUST BE REGISTERED FOR THE CONVENTION

IN ORDER TO PARTICIPATE IN THE RECEPTION.





JUNIOR TO SENIOR DIVISION NATIONAL CONVENTION TRANSFER LIST Candidates must be at least 18 years of age by Sunday, July 14, 2019.

NAME: PHONE NUMBER: EMAIL ADDRESS:

1.______________________________________ (_______) ___________________ _______________________________________________

2.______________________________________ (_______) ___________________ _______________________________________________

3.______________________________________ (_______) ___________________ _______________________________________________

4.______________________________________ (_______) ___________________ _______________________________________________

5.______________________________________ (_______) ___________________ _______________________________________________

6.______________________________________ (_______) ___________________ _______________________________________________

7.______________________________________ (_______) ___________________ _______________________________________________

8.______________________________________ (_______) ___________________ _______________________________________________

9.______________________________________ (_______) ___________________ _______________________________________________

10._____________________________________ (_______) ___________________ _______________________________________________

11._____________________________________ (_______) ___________________ _______________________________________________

12._____________________________________ (_______) ___________________ _______________________________________________

13._____________________________________ (_______) ___________________ _______________________________________________

14._____________________________________ (_______) ___________________ _______________________________________________

15._____________________________________ (_______) ___________________ _______________________________________________

16._____________________________________ (_______) ___________________ _______________________________________________

17._____________________________________ (_______) ___________________ _______________________________________________

18._____________________________________ (_______) ___________________ _______________________________________________

19._____________________________________ (_______) ___________________ _______________________________________________

20._____________________________________ (_______) ___________________ _______________________________________________





YOUTH REGISTRATION FORM (Submit one form per youth registrant) First Name: _________________________________ Last Name: ________________________________________________

(Check One) Jr. Grand Knight / Grand Lady Jr. Deputy Grand Knight / Grand Lady Member Guest

Shirt Size: YOUTH: Small Medium Large XL ADULT: Small Medium Large XL 2X 3X 4X

Fall 2019 Grade Level: ______ Age: ______ Date of Birth:_____/_____/_________

Check if the Junior Registrant is Transferring to Senior Division at the Convention (must be 18 years of age)

____ ADA Accommodations Requested (Events / Meetings only. Contact Hotel for room accommodations)

AWARDS AND COMPETITIONS PARTICIPATION (Deadline IS MAY 15, 2019!) The Junior Registrant:

has read, understands, and agrees to terms listed in the Competition Guidelines Brochure will compete in the following competitions (Limit 3 competitions):

Outstanding Junior Knight / Junior Lady (1 entry per branch) Young Authors (Manuscript must be sent to National Office)

Title: ___________________________________________________ Genre: Poetry Narrative Informative Science Fair Check if Project Requires Electricity

Project Category: Astronomy Behavioral Science Biology Botany Chemistry Computer Applications Earth & Space Science Engineering Environmental Science Mathematics Physics Zoology

Arts / Crafts Essay (Essay must be sent to National Office) Spelling Bee Photography / Collage Poetry Speech (Speech must be sent to National Office) 2020 Convention Theme/Design (1 entry per branch) (Theme/Design must be sent to the National Office)

CONVENTION EVENTS PARTICIPATION The Junior Registrant is participating in (Check all boxes that apply):

Brown Bag National Service Project Junior Supreme Knight National Project: Houses for Haiti Donation: $ ___________ Junior Supreme Lady National Project: Fight Diabetes Donation: $ ___________ College/Vocation Fair (Limited to incoming 9th - 12th Grades) Emerging Leaders Reception (Limited to incoming 11th / 12th Grades)

ADDITIONAL T-SHIRTS: YOUTH: ___ S ___ M ___ L ___ XL x $10.00 $____________

ADULT: ___ S ___ M ___ L ___ XL ___ 2X ___ 3X ___4X x $12.00 $____________

REGISTRATION FEE ($150.00 by May 15, 2019; $175.00 between May 16 - June 15, 2019) Fee: $___________

TOTAL SUBMITTED FOR THIS REGISTRANT: $________





PAGE 2: YOUTH REGISTRATION FORM (Submit one form per youth registrant)

Youth First and Last Name: ______________________________________________________________

ACKNOWLEDGEMENT AND ACCEPTANCE(REQUIRED)

1. YES, as the parent/legal guardian of the aforementioned youth, I acknowledge that we have received, read, andagreed to the KPC Travel, Media Release, and Dress Code Policies.

2. I grant permission to the organization’s adult leader in charge of this event to obtain medical care fromlicensed physicians, hospitals, or medical clinics for the aforementioned junior of minor age in the event thatthe parent/legal guardian cannot be reached. I certify that the above information is accurate and complete tothe best of my knowledge.

Parent / Legal Guardian Signature: ________________________________ Date: ____/____/________

POLICIES AVAILABLE ONLINE AT: www.kofpc.org/policies

MEDICAL RELEASE (Registrants under 18 Years of Age)

List any pertinent medical information (allergies, dietary needs, etc): _________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

List any physical limitations: __________________________________________________________________

_________________________________________________________________________________________

The Junior listed above is covered for hospitalization/medical care.

Insurance Co.:__________________________ Policy Number: ________________________________

The Junior listed above does not have medical coverage and the Parent / Legal Guardian assumes

responsibility for the costs of hospitalization and medical care for the Junior.

PARENT / LEGAL GUARDIAN INFORMATION

First Name: ______________________________ Last Name: _______________________________________

Address: _________________________________________________________________________________

_________________________________________________________________________________________

City: ___________________________________ State: ______ Zip Code: ____________________________

Phone #:(_____) _____ - _________ Mobile #:(_____) _____ - _________

Email: ___________________________________________________________________________________





ADULT REGISTRATION FORM (Submit one form per adult registrant) PLEASE NOTE: One (1) Chaperone is required for every three (3) registered Junior Members.

Chaperones MUST be 21 years of age or older.

Check one: Commander/Counselor Asst. Commander/Asst. Counselor Knight Lady Parent

First Name: __________________________________ Last Name: ___________________________________________

Address: _________________________________________________________________________________________

City: ________________________________________________ State: _______ Zip: ______________________

Phone: (______) _______ - __________ Mobile # (to receive convention update texts): (______) _______ - _________

Email: ____________________________________________________________________________________________

Age: ______ (MUST BE AT LEAST 21 YEARS OF AGE IF CHAPERONING)

Shirt Size:

Small Medium Large XL 2X 3X 4X

The Registrant has (check all that apply): POLICIES AVAILABLE ONLINE AT: www.kofpc.org/policies

submitted the KPC Child Protection Policy Agreement to the Commander/Counselor (REQUIRED)

provided (Arch) Diocese Youth Protection Certificate to the Commander/Counselor (REQUIRED)

agreed to serve as a Chaperone at the Junior Convention

The Registrant would like to participate in the following events / activities:

Brown Bag National Service Project

Junior Supreme Knight National Project: Houses for Haiti: Donation: $____________

Junior Supreme Lady National Project: Fight Diabetes Donation: $____________

Emerging Leaders Reception (LIMITED to Current Emerging Leaders: Members ages 18-35)

Additional T-Shirts

YOUTH: ___ S ___ M ___ L x $10.00 $____________

ADULT: ___ S ___ M ___ L ___ XL ___ 2X ___ 3X ___4X x $12.00 $____________

Registration Fee ($150.00 by May 15, 2019; $175.00 between May 16 - June 15, 2019) Fee: $____________

TOTAL SUBMITTED FOR THIS REGISTRANT: $________

register online · 2019-05-16 · endeavor. our theme for this ... an alternative to online...

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