of a Lifetime!” - Northern California DeMolay

of a Lifetime!”
“The Week
DeMolay
Leadership
Conference
34400 Mission Blvd.
Union City, CA 94587
Leadership
Training
Participants join a D.L.C. Chapter for the week which
operates much like a regular DeMolay Chapter. The
Chapter elects some leaders, works together in
completing several projects, competes together in
sports, and creates awards to recognize the members
of their Chapter.
Daily Chapter meetings are held which are led by the
Chapter Master Councilor. In these meetings,
Chapter members participate in exercises, games,
and projects that emphasize the importance of
valuing the input of every member of the team.
Beginning
Chapter
Advanced
Leadership
Leadership
Leadership
If you are new to your chapter
or new to D.L.C., here’s what
you’ll be learning about during
the week to prime you for
future leadership greatness. . .
If you’re on your way to
becoming a Councilor of
your Chapter, you’ll be
learning about:

Membership/Ritual

Installation Planning

PMC-MSA/Term
Planning
Group Techniques

The rich history & heritage
of DeMolay
Introductions and the
short speech

Chapter Business
Meetings
If you are a Divisional or
Jurisdictional Officer or your goal
is to eventually become one, you
may be invited to attend our
Advanced Leadership Program,
also known as ‘The KNIGHTS’.
This program will provide an
opportunity for you to explore
and learn about different
approaches and concepts of
leadership. During the week you
will be applying the different
leadership concepts in ways you
never have before.

Marketing

Time Management

The Masonic Family

Group Dynamics

How to lead a team

Goal Setting

Public Speaking

Chapter Event Planning



Ritual Techniques

Etiquette
At D.L.C., you will have some of the greatest
experiences DeMolay can provide. Join your
friends for a week long adventure filled with
sports, teambuilding, creative projects, and
leadership training!
The Ropes Course and Sports Program
Pinecrest Marina Trip
Everyday, there are opportunities to take part in the
brotherhood of athletic competition. The many
excellent Regional Learning Center facilities are there
for your athletic participation. In addition, each
DeMolay will be given the opportunity to complete a
High Ropes Course!
One of the days during the week
will be a trip to the beautiful
Pinecrest Marina. This is the day
that D.L.C. meets the girls of S.L.C.
(Sweetheart Leadership Camp) for a
day of fun in the sun!
I understand that while on my way to, in attendance at, and returning from any DeMolay activity, I will fulfill my
DeMolay obligations as well as obey any special guidelines of that event. I understand that while I am on the
Conference premises I am not to be in possession of any tobacco substance. D.L.C. is a Non-Smoking
Conference. I will not sell, distribute or possess liquor or any illegal drugs.
PARTICIPANT’S SIGNATURE:
DATE:
The participant is permitted to participate in ALL DeMolay activities and events with the FOLLOWING EXCEPTIONS
(e.g. basketball, hiking, swimming. If none, write “NONE”):
______
________
HEALTH HISTORY
Be aware that the participant has experienced the following health problems (please circle):
Appendicitis
Orthopedic Injuries
Eyes (needs glasses)
Hernia
Asthma
Diabetes
Fainting
ADD or ADHD
Throat
Sinus Trouble
Ear Trouble
Bones (broken, weak)
Frequent Colds
Motion Sickness
Epileptic Seizures
______________
Medication that will be taken at the Conference (or “NONE”):
_________________________________________________________________
______This participant may self-Medicate. ______This participant will need assistance of the D.L.C. Staff.
DeMolay maintains medical insurance coverage for accidental injury subject to a maximum of Ten thousand dollars
($10,000) which is subject to a hundred dollar ($100) deductible. Such coverage is not a substitute for any family
medical insurance coverage. The participant’s family coverage (if there is any) is considered to be PRIMARY
COVERAGE with DeMolay's coverage being secondary.
Medical Insurance Company Medical Plan (or “NONE”):
Policy Number's:
Contact’s Phone #: (
)
D.L.C.! That is if you are an active
DeMolay who wants to improve yourself
and your chapter (and don’t mind having
a great time doing so).
Registration is open to all chapter
members. New members, Project
Leaders, Chapter Councilors and
potential Councilors are all encouraged
to attend.
Cardiac
Other Problems (or “NONE”):
That’s right, YOU should attend
_________
DeMolays coming back to D.L.C. for a
second or third time will also benefit
from the Chapter Leadership or the
Advanced Leadership program.
So you see, no matter what your level is,
you’re welcome to attend and enjoy the many
aspects of D.L.C.! During
the week there will also be a
Sweetheart Leadership
Camp. Check-out our
website for more information:
www.norcaldemolay.com
In Case of Emergency, please contact:
PARENTAL PERMISSION & MEDICAL RELEASE (for participants under 18)
As the parent or Legal Guardian of the above participant, I hereby give my permission for any adult DeMolay
Advisor in attendance to secure, or any physician in attendance to provide, such emergency medical treatment as
shall be deemed necessary by those present; including, but not limited to, hospitalization, injections, anesthesia,
surgery, X-ray, blood and medications. I understand that every reasonable effort shall be made to contact me or the
above emergency contact prior to medical treatment. I agree that, if in the opinion of any DeMolay advisor that the
participant should be removed or asked to leave any DeMolay activity for violation of any of the Conference policies,
that the undersigned will immediately take the necessary action to cause the transportation of the participant named
above from the activity site at the expense of the undersigned parent or Legal Guardian.
PARENT or LEGAL GUARDIAN’S SIGNATURE:
PHONE #: (
)
DATE:
RELATIONSHIP:
Camp is about having fun,
learning about leadership, about
DeMolay, and about making
friends!
When you arrive at camp, you’ll
join a chapter with 10-12 other
guys from different DeMolay
chapters from around the USA
and Canada.
During the week, you’ll work on
projects and activities with
the members of this chapter.
Everyday, there are sports
competitions, workshops,
and other indoor and outdoor
activities.
You’ll have the chance to
work on projects like a
DeMolay Talent Show,
Yearbook, Service Project,
and more!
Best of all, you’ll participate
in all these activities with the
members of your D.L.C.
Chapter. You’ll learn to depend
on each other for success and
appreciate each member’s
contribution to the team
throughout the week.
Basically, you’ll have the best
summer of your life and, as
you’re on your way home, you’ll
think it all went by too quickly!
FIRST
NAME:
M.I.
LAST
NICK
NAME:
NAME:
ADDRESS:
CITY/STATE/ZIP:
The DeMolay Leadership Conference will be held at the Sierra Outdoor School and Conference
Center in Sonora, California. Sonora is located in the foothill area east of Stockton.
The Sierra Outdoor School and
Conference Center is a great
site with dorm-like cabins, a
ropes course, indoor/outdoor
basketball courts, a gymnasium,
softball field, and star-gazing
area.
Included in the registration fee
is a day trip to Pinecrest Marina
for boating, swimming,
kayaking, and more. (This is
where we’ll meet the young
ladies of the Sweetheart
Leadership Camp)
A limited number of individual
scholarships* are available from
Northern California DeMolay.
*These scholarships cover full or
partial registration fees and are considered on a case-by-case basis.
PHONE: (
)
E-MAIL :
BIRTHDATE:
AGE:
CHAPTER:
T-SHIRT SIZE (Adult):
CHAPTER OFFICE:
Initiatory Degree Date:
JURISDICTION:
Degree DeMolay Date:
Have you ever attended D.L.C. Before? (please circle one) YES
NO
Where?
Have you completed the Leadership Correspondence Course?
(please circle one)
YES
NO
Have you completed the Representative DeMolay Program?
(please circle one)
YES
NO
Chapter Advisor’s Approval:
Advisor’s Phone #:
Photo/Video Release: I hereby give permission and consent to allow photographs, videotapes and
interviews to be taken during the D.L.C. and any such photographs, videotapes and interviews of the participant to
be published and used by Northern California DeMolay to promote, illustrate and advertise the D.L.C. and other
marketing programs,
PARENT OR LEGAL GUARDIAN: SIGNATURE:_________________________________ DATE:_____________
REGISTRATION FEES
(Includes six nights lodging, 17 meals, 2 Conference T-shirts, Ropes Course, L.C.C. and R.D. Fees, sporting and water activities,
and a color Conference and Chapter photo)
Registrations postmarked on or before:
June 8, 2016
$375.00
Registrations postmarked on or after:
June 9, 2016
$425.00
PAYMENT METHOD
Exp.
MAIL
FAX
ONLINE
Mail your completed registration
and payment with check, money
order, Visa or MasterCard to:
Visit the Northern California
DeMolay Website and register for
D.L.C. online with your
Visa or MasterCard at:
Northern California DeMolay
Register yourself for D.L.C. by
faxing your completed registration
form indicating a Visa or
MasterCard payment to Northern
California DeMolay at:
34400 Mission Blvd
(510) 266-1589
www.norcaldemolay.com
Union City, CA 94587
Check #______
□ MC □ VISA
#
Date:
Credit Card Zip Code:__________ CVV/CVC # on the Credit Card: _________________
Total amount paid by:
Check(s) $
Credit Card $
Checks are payable to: “Northern California DeMolay”
Send to: Nor-Cal DeMolay D.L.C. 2016
34400 Mission Blvd., Union City, CA 94587