TNT @ TNU

Top Nazarene Talent

Coming May 12-14, 2007

TNT @ TNU

Entrant & Spectator Registration 2006

TNT TEEN ENTRANT & SPECTATOR REGISTRATION FORM – PART I (Please PRINT all information)

District:           _______________________________________________________________________________

Name:              _______________________________________________________________________________

Address:           _______________________________________________________________________________

                  (Street)

                        _______________________________________________________________________________

                                                (city)                                       (state)                                   (zip code)

Phone: (____) _____________________                    Date of Birth _______________                  Age: _________

Grade in School: __________                                     Anticipated year of High School Graduation: _________

Home Church: _________________________E-Mail Address: ________________________________________

______ Teen Entrant   ______ Teen Spectator  (Check one)

TEEN ENTRANT INFORMATION

GENDER                                                          AGE LEVEL                               AGE LEVEL IN INDIV. SPORTS                  

___ Male                                         ___ Early Youth (Grade 9 and below)     ____ Junior High (ages 12-13)

___ Female                                        ___ Senior Youth (Grade 10 and up)    ____ Middle High (ages 14-15)

                                                                                                                                ____ Senior High (ages 16-19)

_________________________ _______________________________________         _                 ______

REGIONAL TNT NOTE: Entrants can compete in no more than THREE categories, including a maximum of TWO tournament (*) style event. Entrants who compete in Bible Quizzing may not compete in any other Tournament events. Display events (art, creative writing, video production) and participation in vocal choir are not counted toward this limitation.

For TNT Fall Retreat (November 10-12), participants may compete in as many events as their schedule will allow.

BIBLE QUIZZING                                                                CREATIVE WRITING                         INSTRUMENTAL MUSIC

___ * “A” League Quizzing                                               ____ Prose                                            ____ Instrum. Brass Solo

___ * “B” League Quizzing                                                ____ Poetry                                          ____ Instrum. Woodwinds Solo

                                                                                                                                                                ____ Instrum. Strings Solo

ART                                                                                       SPEECH                                 ____ Instrum. Percussion Solo

___ Oil/Acrylic                                                                     ____ Oral Interpret.                             ____ Keyboard Solo

___  Water                                                                            ____ Impromptu                                  ____ Instrum. Group

___  Pencil                                                                            ____ Original Oratory

___ Pen/Ink                                                                                                                                          INDIVIDUAL SPORTS

___ Chalk/Pastels                                                                MATH & BUSINESS                          ____ * Tennis

___  Mixed Media                                                                ____ Math                                            ____ * Table Tennis

___  Still Photography                                                        ____ Accounting                                                ____ Swimming

        3-D Art                                                                           ____ Web Page                                   ____ 5K Cross Country Run

                                                                                                                                                                ____ Golf

CREATIVE MINISTRIES                                   

____ Puppets

____ Video Production                                                       VOCAL MUSIC                                    TEAM SPORTS

____ Bible Exposition                                                         ____ Vocal Solo                                   ____ * Co-Ed Softball

____ Dramatic Monologue                                                ____ Vocal Duet                                  ____ * Ladies Basketball

____ Dramatic Group                                                          ____ Vocal Small Group                     ____ * Ladies Soccer

____ Mime/Human Video                                                  ____ Vocal Ensemble                          ____ * Ladies Volleyball

____ Mime/Human Video Group                                      ____ Vocal Choir                                          * Men’s Flag Football

____ Worship Band                                                                                                                            ____ * Men’s Basketball

        Sign Language                                                                                                                             ____ * Men’s Beach Volleyball

____  Interpretive Worship                                                                                                               ____ * Men’s Soccer

____  Interpretive Worship Group    

                                                                                                                                                               

DISTRICT TNT COORDINATOR, PLEASE COMPLETE:

# of Individual Events  _____    # of Events/Tournaments _______   = Total Events __________

__________________________________  is a member of the local NYI. ______________________________________

    (Participant’s name)                                                                                                       (Pastor or Local NYI  Pres. Signature)

TNT REGISTRATION FORM – PART II

District TNT Fall Retreat

Dates:     November 10-12, 2006

Place:      Shocco Springs Conference Center (Talledega, AL)

Regional TNT

Dates:     April 12 – April 14,  2007  Awards Ceremony concludes Saturday night                                                                  

Place:      Trevecca Nazarene University

               

THIS TNT EVENT IS SPONSORED BY THE SOUTHEAST REGIONAL NYI IN COOPERATION WITH TNU. TNT COORDINATORS MUST RETAIN A COPY OF THIS ORIGINAL RELEASE FORM THROUGHOUT TNT FOR ANY MEDICAL EMERGENCIES. THIS ORIGINAL COPY MUST BE SUBMITTED TO TNU BY REGISTRATION TO BE RETAINED IN THE TNU CLINIC DURING TNT @ TNU

Name of Participant:  ________________________________________________

INSURANCE AND MEDICAL INFORMATION

(All participants must be covered by their own personal insurance.)

                               

Please list any medical problems:  ______________________________________________________

Allergies:  __________________________________________________________________________________

Past Surgeries: ______________________________________________________________________________

Name of medications & dosage you will be taking: _________________________________________________

List medications you are allergic to: ______________________________________________________________

Home Phone: (___) ___________________________                        Work Phone: (____) _____________________

Emergency Phone: (____) _____________________                           Contact Person: ________________________

Insurance Company ________________________________ Policy # _____________________________

TEEN:  I have read the regional Conduct Guidelines and promise to live within these guidelines during TNT @ TNU. I also promise to cooperate with District sponsors and be under their authority. I am aware that failure to so will result in disciplinary action.

                                                                                __________________________________________

                                                                                                                (Teen Signature)

PARENTS: I hereby give authority to ________________________________, who is the NYI President of the _______________________ District, to obtain necessary medical attention or to authorize treatment at any hospital in the event of a medical emergency. I also recognize the authority of all adult sponsors and the TNT @ TNU staff as those who will supervise this event and uphold proper conduct. The first step of discipline, should such become necessary, will be a warning and instruction. The second will be a telephone call to the parent or guardian concerning the participation of my son/daughter, _________________. I understand that the event of  TNT @ TNU  will require my son / daughter to make choices and to keep a schedule, and that he / she may not be under direct adult supervision at all times. I agree to release and hold harmless any and all staff and lay assistants of  District/Regional NYI  or Trevecca Nazarene University from any and all claims, suits, costs, and actions of any kind whatsoever, arising from their exercise of the power granted by this authorization,  unless due to verifiable negligence.  My son/daughter has my permission to attend TNT @ TNU. NOTE: (Valuables should be left at home!).

Parent/Guardian Signature _____________________________________________________

(Signature must be in the presence of a Notary public)

Before me, A Notary Public, in and for said County and State/Province this ________ day of _______200 ____

personally appeared ______________________________ and acknowledged execution of the foregoing.  In Witness

Whereof, I have hereunto set my hand and Notary Seal.

State/Province of: _____________________________County of:  ___________________________

Notary Public Signature: ________________________________

                                          

My Commission expiration date:  ______/_____/______