JUNIOR CONVENTION REGISTRATION - $150.00

JUNIOR CONVENTION REGISTRATION - $150.00 ($175.00 After May 15, 2015)
- PLEASE PRINT ALL INFORMATION –
Please complete one form per registrant
CONVENTION REGISTRATION FORM
Name: Last _________________________________________
First _______________________________
Are You a Chaperone?:  Yes  No (Must be at least 21 years of age)
Status (Check All That Apply):  Jr. Knight  Jr. Daughter
 District or National Officer : _________________________________________ (Title)
Street Address:___________________________________________________
City: _______________________________
Ste./Apt. #:_____________
State: __________________
Phone No.: (______) ____________________
Age: ________
Zip Code: ___________
Grade Level: ______
Email: _____________________________________________________________________________________
Branch/Court Name: ______________________________________ Unit #: __________
T-Shirt Size (Youth Sizes: S, M, L; Adult Sizes: S, M, L, XL, 2X, 3x, 4x): ____________ *Specify Youth or Adult
SPECIAL EVENT PARTICIPATION
_____ Junior/Senior Emerging Leaders Reception
(Must be a high school Junior/Senior in the 2015-2016 School Year)
_____ Transferring to Senior Division at Convention
(Application must be filled out and signed by your Parish Priest prior to convention)
_____ Fitness Day An organized activity to promote an active and healthy lifestyle for youth.
ACKNOWLEDGEMENT
I have read and agree to the following (Initial Each):
____ Dress Code Requirements
____ Codes of Ethics and Regulations
____ KPC Policy for Minors Traveling with Chaperones
Attendee Signature: ____________________________________________
Parent/Legal Guardian (if applicable): _______________________________
Date: ____________________
REGISTRATION (Continued)
____ Arts & Crafts. Attendees will be grouped and judged based upon their age
____ Photography/Collage. Entries must reflect the convention theme: “One God, One Lord, One Church!”
____
Science Fair Juniors must demonstrate to judges, through written reports, pictures, charts, graphs, and diagrams,
that the research was accomplished. Juniors must be present during judging.
Will your project require electricity? Yes____ No _____
____
Young Authors. The purpose of this competition is to spark the imagination of writers that will culminate
into a “real life” experience of publishing a book.
____
Speech. Speech must reflect the convention theme: “One God, One Lord, One Church!”
____
Poetry. The poetry must be presented on the Convention Theme: “One God, One Lord, One Church!”
____
Essay. Essay must be written on the Convention Theme: “One God, One Lord, One Church!”
____
Spelling Bee. (Participation limited to Juniors ages 7-14) Each branch and court is allowed one contestant in each
age group to compete.
____
2017 Convention Theme. Our Convention Activity Committee will select our 2017 Junior National Convention
Theme and Symbol design. Submit your suggestion on the competition entry form.
____
Banner Contest. Banner must reflect the Convention Theme: “One God, One Lord, One Church!”
(One entry per Branch or Court to be submitted by the Commander or Counselor)
COMPETITIONS AND CONTESTS REGISTRATION INFORMATION

Juniors can participate in a maximum of three (3) of the competitions.

To register for a competition, simply place a mark next to the competitions in which you would like to
participate and attach a competition entry form to your submission.

See the specific competition entry sheet for complete details and judging criteria.
NOTE: THE DEADLINE FOR ALL COMPETITION ENTRIES IS MAY 15, 2015
TENTATIVE SCHEDULE OF EVENTS
Thursday, July 9, 2015
10:00 a.m. – 6:00 p.m.
11:00 a.m. – 7:00 p.m.
12:00 p.m. – 3:00 p.m.
12:00 p.m. – 7:00 p.m.
2:00 p.m. – 3:00 p.m.
2:00 p.m. – 3:00 p.m.
3:00 p.m. – 4:00 p.m.
4:00 p.m. – 5:30 p.m.
4:00 p.m. – 5:30 p.m.
4:00 p.m. – 5:30 p.m.
4:00 p.m. – 5:30 p.m.
4:00 p.m. – 5:30 p.m.
4:00 p.m. – 5:30 p.m.
4:00 p.m. – 6:00 p.m.
4:00 p.m. – 6:00 p.m.
6:00 p.m. – 7:30 p.m.
8:00 p.m. – 11:00 p.m.
Hospitality Room
Registration
Brown Bag Service Project
Competition Display Set-up
Junior Knight Board Meeting
Junior Daughter Board Meeting
Joint Board Meeting
Junior Daughter Guards Committee
Junior Daughter Steering Committee
Junior Daughter Nomination / Election Committee
Junior Knight Guards Committee
Junior Knight Steering Committee
Junior Knight Nomination / Election Committee
Junior Daughter Credentials
Junior Knight Credentials
Prayer Service/Joint Session
Talent Show
Friday, July 10, 2015
8:00 a.m. – 4:00 p.m.
7:00 a.m. – 8:30 a.m.
7:00 a.m. – 8:30 a.m.
8:00 a.m. – 10:30 a.m.
9:00 a.m. – 2:00 p.m.
10:30 a.m. – 12:30 p.m.
10:30 a.m. – 12:30 p.m.
11:00 a.m. – 12:30 p.m.
12:30 p.m. – 2:00 p.m.
1:30 p.m. – 4:30 p.m.
3:00 p.m. – 6:00 p.m.
4:30 p.m. – 6:00 p.m.
4:30 p.m. – 6:00 p.m.
4:30 p.m. – 6:00 p.m.
6:00 p.m. – 7:00 p.m.
6:00 p.m. – 7:00 p.m.
7:00 p.m. – 8:30 p.m.
7:00 p.m. – 8:30 p.m.
Registration
Junior Knight Credentials
Junior Daughter Credentials
Prayer Service/Joint Session
College Fair/Vocation Fair
Junior Knight Business Session
Junior Daughter Business Session
Competition Judging
Science Fair Judging
Fitness Day
Set-Up Campaign Displays
Poetry Competition
Choir Rehearsal
Committee Meetings
High School Junior/Senior/Emerging Leader
Reception
Dinner (on your own)
Junior Knight Candidate’s Forum
Junior Daughter Candidate’s Forum
TENTATIVE SCHEDULE OF EVENTS (Continued)
Friday, July 10, 2015 - Continued:
8:30 p.m. – 11:00 p.m.
8:30 pm – 11:00 p.m.
Convention Dance
Movie Night
Saturday, July 11, 2015
7:00 a.m. – 8:00 a.m.
7:00 a.m. – 8:00 a.m.
7:00 a.m. – 8:30 a.m.
8:30 a.m. – 9:30 a.m.
9:30 a.m. – 12:00 noon
9:30 a.m. – 12:00 noon
12:00 noon – 1:00 p.m.
1:30 p.m. – 3:30 p.m.
1:30 p.m. – 3:30 p.m.
4:00 p.m. – 5:30 p.m.
4:00 p.m. – 5:30 p.m.
4:00 p.m. – 6:30 p.m.
4:00 p.m. – 6:30 p.m.
4:00 p.m. – 6:30 p.m.
4:00 p.m. – 6:30 p.m.
6:30 p.m. – 8:00 p.m.
8:00 p.m. – 11:00 p.m.
Junior Daughters Voting
Junior Knights Voting
Breakfast
Scripture Rosary
Junior Knight Business Session
Junior Daughter Business Session
Lunch (on your own)
USCCB Workshop on Marriage (Gr. 9th- 12th)
Black History Workshop (Gr. 2nd- 8th)
Choir Practice
Liturgical Dance Practice
Quiz Bowl Competition
Spelling Bee Competitions
Debate Competition
Speech Competitions
Free Time
Convention Awards Banquet
Sunday, July 12, 2015
8:00 a.m. – 10:00 a.m.
10:30 a.m. – 12:30 p.m.
10:30 a.m. – 12:30 p.m.
11:00 a.m.
Convention Mass
Senior Knights Initiation
Senior Ladies Initiation
Check-Out
CREDENTIALS
FORM
CREDENTIALS - BRANCH / COURT INFORMATION
Branch / Court Name: _______________________________________________________
Unit No. _____________
City: __________________________________________________
State: ____________________________
SECTION 1 – JUNIOR GRAND KNIGHT/JUNIOR GRAND LADY
NOTE: Junior Grand Knight and Junior Grand Lady are automatic delegates. Do not list them as your delegates in Section 2.
Branch / Court Name: _______________________________________________________
Unit No. _____________
District: ________________
City: _________________________________________
State: ___________________
Commander / Counselor Name:__________________________________________________________________________
Phone No.: (______) __________________
Alternate Phone No.: (______) _____________________
Email: ______________________________________________________________________________________________
SECTION 2 – DELEGATES
Each Branch/Court is entitled to three (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
1. _______________________________________________________
2. _______________________________________________________
3. _______________________________________________________
SECTION 3 – ALTERNATE DELEGATES
An Alternate delegate will replace the delegate if the delegate is unable to attend the convention business session.
1. _______________________________________________________
2. _______________________________________________________
3. _______________________________________________________
Junior Knights: Send 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: Send one copy to the National Office (1825 Orleans Avenue, New Orleans 70116), one copy to the National
Counselor (Katie Guidry-Johnson, 1909 – 11th Street, Lake Charles, LA 70601), and retain one copy to be presented to
Credentials table.
_____________________________________
Signature of Junior Grand Knight/Lady
(Affix
Branch or
Court Seal)
_____________________________________
Signature of Commander/Counselor
_____________________________________
Signature of Grand Knight/Lady
TRAVEL
PERMISSION/
MEDICAL RELEASE
JUNIOR TRAVEL PERMISSION and MEDICAL RELEASE FORM
Name:
Last _________________________________________
First _____________________________________
Street Address:______________________________________________________________
City: ____________________________________________
Phone No.: (______) __________________
State: ___________________
Ste./Apt. #:_____________
Zip Code: ____________
Email: ________________________________________________________
Emergency Contact Name: _____________________________________
Phone No.: (______) _____________________
Branch / Court Name: _______________________________________________________
Unit No. _____________
Commander / Counselor Name:__________________________________________________________________________
PERMISSION
In consideration of the wholesome recreation and/or learning in which my child (whose name appears above) will experience, I do
herby agree to allow my child to accompany the Knights of Peter Claver and Ladies Auxiliary Branch/Court No. _____ to the 2015
Junior National Convention in Orlando, Florida.
In consideration of the opportunity for my child to participate in this activity, I agree to release and hold harmless and indemnify the
Knights of Peter Claver, Incorporated, 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 my child’s participation in this
activity.
I hereby grant permission to the organization’s adult leader in charge of this event to obtain medical care from licensed physicians,
hospitals, or medical clinics for my child in the event that I cannot be reached.
 I am covered for hospitalization and medical care.
Insurance Company Name (Optional)
________________________________________
Policy Number
 I do not have medical coverage and assume responsibility for the costs of hospitalization and medical care for my son/daughter.
MEDICAL INFORMATION
Please list any other pertinent medical information (allergies, dietary needs, etc): __________________________________
__________________________________________________________________________________________________
Please list any physical limitations: ______________________________________________________________________
__________________________________________________________________________________________________
I understand and accept that I remain fully responsible for any legal responsibility, which may result from any personal actions
taken by my child. I also understand that if my child does not conform to established code of behavior, my child may be
scheduled to return home before the end of the event, and transportation costs incurred for my child and the chaperone will be
my responsibility.
By signing this form, I declare that I am the legal guardian of the minor child listed above and I am authorized to grant such
permission.
Printed Name of Parent/Legal Guardian
Signature of Parent/Legal Guardian
Parent/Legal Guardian Contact Number : (______) __________________
Date
JUNIOR DAUGHTERS' DRESS CODE
THURSDAY - CASUAL ATTIRE
KPC SHIRT IS PERMISSIBLE
(No Shorts or Cut-Offs)
DRESS CODE
FRIDAY- MEETING ATTIRE
• 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
• Pant 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
FITNESS ACTIVITY
• Jeans, sweat pants, comfortable pants or knee length
shorts
• Convention T-Shirt
• Sneakers, tennis shoes (no sandals)
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- MEETING ATTIRE
• 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
• Pant 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 ATTIRE (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 ATTIRE
• 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
JUNIOR KNIGHTS' DRESS CODE
THURSDAY- CASUAL ATTIRE
KPC SHIRT IS PERMISSIBLE
Note: No facial jewelry of any kind is to be worn during the
convention (i.e. tongue rings, earrings, et cetera).
(No Shorts or Cut-Offs)
FRIDAY –MEETING ATTIRE
• Dress shirt
• Necktie
• Dress pants (No jeans)
• Coat (optional)
• Dress shoes (No sneakers or tennis shoes)
FITNESS ACTIVITY
• Jeans, sweat pants, or comfortable pants (no shorts of
any kind)
• Convention T-Shirt
• Sneakers, tennis shoes (no sandals)
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- MEETING ATTIRE
• Dress shirt
• Necktie
• Dress pants (No jeans)
• Coat (optional)
• Dress shoes ( No sneakers or tennis shoes)
BANQUET ATTIRE (FORMAL/SEMI-FORMAL)
• Shirt and Necktie
• Coat and dress pants (No jeans)
• Dress Shoes (No tennis shoes)
SUNDAY MASS ATTIRE
• Black suit,
• Black slacks,
• White shirt,
• Black tie
• Dress Shoes (no tennis shoes)
CODE OF ETHICS (RULES AND REGULATIONS)
1. All Juniors, Commanders, Counselors, and
chaperones must be pre-registered. There will be
no on-site registration.
2. Juniors, Commanders, Counselors, and
chaperones must wear convention name badge at
all times.
3. All Juniors are expected to attend all
Convention functions. All curfews must be followed.
All Juniors and their chaperones should be in their
room immediately after the close of all evening
events. Security will be monitoring the hall and
other areas of 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 Peter Claver and Ladies Auxiliary
Senior Division. The Branch/Court should provide
adequate chaperones for the entire convention.
There should be one (1) chaperone per three (3)
Juniors. For example: one to three Juniors will
require one chaperone; four to six Juniors will
require two chaperones; seven to nine Juniors will
require three chaperones; ten to twelve Juniors will
require four chaperones; et cetera. The same
pattern must be applied to any number over twelve.
5. Each Junior Branch/Court is allowed to send a
delegation of four (4) representatives.
Junior
Grand Knight/Lady and three (3) elected delegates.
The Junior Deputy Grand Knight or Junior Vice
Grand Lady and alternate delegates should be
indicated on credentials and registration forms in
the event your elected representatives are unable
to attend the Convention. 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, chaperones or parent.
7. Alcohol, cigarettes, marijuana, or other illegal
drugs are not permitted at the Convention. If a
Junior is caught in or around 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. Courtesy and politeness will prevail at all times
in meetings and workshops.
9. There should be no running, yelling, or playing
in the hotel lobby, hotel halls, between floors and
elevators. Respect for other hotel guests must be
given.
10. Juniors should have a low, respective
voice/tone at all times (no loud talking or outbursts)
11. Loud music is not allowed. Headphones and
other electronic devices will be allowed, but will not
be the responsibility of the hotel or the Knights of
Peter Claver, Inc. if lost or stolen.
12. Juniors caught damaging hotel property will
have to pay any financial cost(s) assessed by the
hotel.
13. Juniors are expected to conduct themselves
accordingly at all times in a manner that will be a
credit to our organization. Good manners and
proper attire will be expected.
14. Respect should be given to all commanders,
counselors, chaperones, assistant commanders,
assistant counselors, and all senior members of the
Order.
15. All adult chaperones are expected to conduct
themselves in the proper manner that would display
the fine character of our organization.
16. 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.
17. Swimming will not be permitted at any time
during the convention.
18. The Code of Ethics (Rules and Regulations)
will be binding on all Delegates, Chaperones,
Commanders, Counselors and senior members
attending the Convention.
19. Each branch and court will be responsible for
making Juniors, chaperones and others aware of the
code of ethics (Rules and Regulations)
PARENTAL
MEDIA RELEASE
MEDIA RELEASE FORM
I,
(your full name), do
hereby certify that I am the legal guardian/custodian of
(full name of child), a
minor of Junior Branch/Court Number __________.
I am fully qualified and authorized to execute this Parental Media Release. In my aforementioned capacity, I do hereby
consent to the use, portrayal, posting, publishing or otherwise displaying of the above-named minor’s image, likeness,
photograph and/or other depiction on the official Knights of Peter Claver, Inc. website or other print 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. I shall retain the right to revoke this
consent following the execution hereof, upon thirty (30) days written notice to Knights of Peter Claver, Inc.
Knights of Peter Claver, Inc. shall have the exclusive right to website design and/or print media and to the manner
by which the minor’s name and image are displayed on its webpage(s) and/or print media. This Parental Media Release
constitutes a knowing waiver of any right, claim or legal cause of action I or the above-named minor 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 media.
I have read the above and foregoing Parental Media Release and fully understand the terms thereof:
Printed Name of Parent/Legal Guardian
Signature of Parent/Legal Guardian
Date
Parent/Legal Guardian Contact Number : (______) __________________
CHILD PROTECTION
POLICY CERTIFICATE
CHILD PROTECTION CERTIFICATE - BRANCH / COURT INFORMATION
Branch / Court Name: _____________________________________________________ Unit No. _________
Commander / Counselor Name:_______________________________________________________________
KPC CHILD PROTECTION POLICY
I understand that any action inconsistent with the policy listed above, or my failure to take action mandated by the policy
and programs may result in disciplinary action, up to and including the termination of my voluntary service. The KPC Child
Protection policy may be downloaded from the forms and document area of www.kofpc.org.
By signing this form, I declare that I have received, read, and understand and agree to comply with the following policies
in effect for the Knights of Peter Claver, Inc.
Printed Name of Chaperone
Signature of Chaperone
Date
Chaperone Contact Number : (______) __________________
COMMANDER/COUNSELOR AND GRAND KNIGHT/LADY CERTIFICATION
I certify that the above individual has completed arch/diocesan child protection training and background checks in
compliance with the National KPC Child Protection Policy.
Signature of Commander/Counselor
(Affix
Branch or
Court Seal)
Signature of Grand Knight/Lady
MAKE 2 COPIES FOR EACH CHAPERONE REGISTERED
Keep (1) copy and forward (1) copy to the National Office with your registration
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 15,
2015. 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.
NAME
UNIT No.
ADDRESS
TELEPHONE
(
BRANCH/COURT NAME
CITY
EMAIL
STATE
DATE OF BIRTH
/
)
AGE
ZIP
YEARS AS A JUNIOR
/
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 6-9, 2017, 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
1
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.
RESOLUTIONS 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, 2015.
WHEREAS
BE IT RESOLVED
Form should be mailed to the National Office by May 15, 2015
Signature of Junior Grand Knight/Lady
Signature of Junior Financial Secretary
(Branch or
Court Seal)
Junior Branch/Court Name and Number
Signature of Commander/Counselor
Knights of Peter Claver and Ladies Auxiliary
Junior Knights and Junior Daughters
Fitness Day 2015
Friday, July 10, 2015 at 1:30 – 4:30 P.M.
Attire: Refer to the Convention Dress Code
The purpose of “Fitness Day 2015” is to educate our youth about juvenile obesity and its related
illnesses and provide opportunities for our youth to recognize that “fitness” can be fun. Juvenile Obesity
is a National concern. In February 2010, First Lady Michelle Obama, also addressed the matter of
obesity on the National level stressing the need for our youth to have healthier life style choices with
meals and opportunities to exercise daily.
What’s fitness day all about? That’s a question you are probably wondering about. This is what you can
expect:
•
Informational booths will be set up with health and nutrition information.
•
Fitness Stations/Areas – The fitness stations will be set up for the youth to have active
participation. These stations are designed to cover the 5 main components of physical fitness:
*Muscular Endurance • Strength • Cardio-respiratory endurance • Flexibility • Body Composition
These low impact exercise stations are as follows:
• Jump Rope
• Double Dutch
• Push-ups - With the ability to modify according to participant.
• Sit-ups - Different type for each Rotation.
• Stretching- Teach a proper technique and an easy quick way to stretch each muscle.
• Pilates/ Yoga
• Body weighted Squats.
• Balance techniques - To help improve balance.
• Twister (ages 7-10)
• Zumba – exercise to music
• Shuttle Run
• Cone Drills - Agility
• Ball Drills - possibly a weighted ball
• Hop- Scotch (ages 7-10)
• Line Dancing
• Chair Exercises – for those who cannot exercise on the floor
• Hula hoop
•
Interactive Workshops
 Workshop #1 - Topic: Juvenile Diabetes with exercise “Boot Camp”
 Workshop #2 –Topic: Move it or Lose it for Life
NATIONAL SERVICE PROJECT 2015
I’m ready to hear about more acts of kindness, are you? What better
way to start a positive discussion of this topic than by helping the
homeless in the Orlando area with our National Brown Bag Project.
Make a meaningful difference in your community today by participating in this worthwhile cause by
decorating bags that will be filled with hygienic items to help the homeless population in the Orlando
area. All materials will be available for you to design a special bag to be given to someone in need. The
Service Project will be held on Thursday, July 9, 2015 from Noon to 3:00p.m. All units are being asked to
collect hygienic items such as soap, shampoo, and toiletries to bring to the convention. Please note that
only units who sign-up will be allowed to participate as space is limited.
Create a bag TODAY for someone in need and they will remember it FOREVER!
BRANCH/COURT NAME
UNIT No.
COMMANDER/COUNSELOR NAME
TELEPHONE
ALTERNATE TELEPHONE
(
(
)
NAME OF JUNIOR
EMAIL
)
AGE
NAME OF JUNIOR
1.
11.
2.
12.
3.
13.
4.
14.
5.
15.
6.
16.
7.
17.
8.
18.
9.
19.
10.
20.
AGE
Junior Supreme Knight
Creighton James Anthony Guillory
National Service Project 2015
Imagine our world without cancer, it's too difficult you might say,
But think of no pain or suffering, just enjoying life as we pray.
Imagine all the people, living worry free,
Without that internal illness, that no one else can see.
You may say I'm a dreamer, but I'm not the only one,
That hopes the world will be cancer-free, so we can live as one.
Make a donation to help in the fight against Cancer. All monies collected will go to the KPC National
Cancer Awareness Fund. Branch/Court Checks or money orders are to be submitted to the Hope for a
Cure Booth at the Jr. Convention by 4 p.m. on Friday, July 10, 2015. Each participate will receive a
certificate and a ribbon pin for cancer awareness.
Note: Individuals who donate $5.00 or more will receive a Lapel Pin.
“Each of us has been affected by Cancer, so let’s conquer it together.”
BRANCH/COURT NAME
UNIT No.
COMMANDER/COUNSELOR NAME
TELEPHONE
ALTERNATE TELEPHONE
(
(
)
NAME OF JUNIOR
EMAIL
)
AMT
NAME OF JUNIOR
1.
11.
2.
12.
3.
13.
4.
14.
5.
15.
6.
16.
7.
17.
8.
18.
9.
19.
10.
20.
AMT
Junior Supreme Lady
Kyleigh Alanna Chevis
National Service Project 2015
I found a penny today just lying on the ground.
But it's not just a penny, this little coin I've found.
Found pennies come from heaven, that's what my Grandpa told me,
He said angels toss them down. Oh, how I love that story!
He said when an angel misses you, they toss a penny down
Sometimes just to cheer you up, make a smile out of your frown.
So don't pass by that penny, when you're feeling blue,
It may be a penny from Heaven that an angel's tossed to you.
Bring your pennies to help in the fight against Sickle Cell Disease. All monies collected will go to the KPC
National Sickle Cell Fund. Branch/Court Checks or money orders are to be submitted to the Pennies from
Heaven Booth at the Jr. Convention by 4 p.m. on Friday, July 10, 2015. Each participate will receive a
certificate and a red ribbon pin for sickle cell awareness.
“Together we can break the Sickle Cycle.”
BRANCH/COURT NAME
UNIT No.
COMMANDER/COUNSELOR NAME
TELEPHONE
ALTERNATE TELEPHONE
(
(
)
NAME OF JUNIOR
EMAIL
)
AMT
NAME OF JUNIOR
1.
11.
2.
12.
3.
13.
4.
14.
5.
15.
6.
16.
7.
17.
8.
18.
9.
19.
10.
20.
AMT