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2007 Youth Pilgrimage to Taizé Depart Atlanta June 28 Return to Atlanta July 10
This pilgrimage is designed for high school juniors and seniors, and college students. However, others 29 and under may apply to join the trip. Preference will be given to high school and college age young people. Pilgrims must be at least 15 years old. To see more images from the Taizé community or to learn more about Taizé, visit www.taize.fr The pilgrimage includes airfare (Air France), 2 nights in Paris, worship Sunday at the American Cathedral in Paris, TGV tickets to and from Taizé, a full week in the monastery, two additional nights at the end of the monastery (location to be set later), Travel to Paris for return flight, and return airfare (Air France) to Atlanta on July 10.
Sponsored by the Youth Ministry Program of the Diocese The leadership team for the pilgrimage includes: • • • •
Ms. Monica Romano, Youth Advisor, St. John’s, Montgomery Ms. Anne Elizabeth Akin, Director of Youth Christian Formation, Nativity, Huntsville Mr. Tanner Horton-Jones, French Major, Sewanee The Rev. Rob Morpeth, Diocesan Staff
For additional information on the pilgrimage or to obtain an application contact Ms. Monica Romano or The Rev. Rob Morpeth . Checks should be made payable to Diocese of Alabama.
The cost per person is $2,600. This includes airfare, 4 nights lodging, some meals (all meals during stay in monastery), and travel to and from Taizé. Costs and some local travel are subject to change.
2 of 4 Taizé Pilgrimage Application June 28-July 10, 2007 The Episcopal Diocese of Alabama
Received ____________ Paid Deposit __________
Please complete this application and mail or fax (to be received) no later than February 20, 2007 with a $100.00 deposit (checks made payable to: The Episcopal Diocese of Alabama; deposit is refundable if for some reason you are not selected for the trip) to : The Rev. Rob Morpeth EMAIL:
[email protected] Carpenter House PHONE: 205-715-2060, ext. 311 521 North 20th Street FAX: 205-715-2066 Birmingham, AL 35203 OR Monica Romano EMAIL:
[email protected] St. John’s Episcopal Church PHONE: (334) 262-1937 113 Madison Avenue FAX: (334) 262-1931 Montgomery, AL 36104 Name: ________________________________________
Grade: __________
Age: ____
D.O.B.___/___/___
(Write your name as it appears on your passport, if you have one.)
Address: _______________________________________ City: _____________________
Zip Code _________
Parish: __________________ Home Phone: (____)________________ Email Address:_______________________
Please list two references that are not related to you: Name
Home #
Work #
Relationship (teacher, youth minister, etc.)
Do you have a passport? ____ Yes ____ No If yes, Passport number: __________________ Expires: ______________ Have you ever traveled out of the USA? ____ Yes ____ No If yes, where, when, and for what reason? ________________________________________________________________________________________________ ________________________________________________________________________________________________ Are you currently involved in any activities at your church (i.e. EYC, Sunday School, acolyte, etc.)? ________________________________________________________________________________________________ ________________________________________________________________________________________________ Are you currently involved in any extra-curricular activities at your school (i.e. sports, band, clubs, etc.)? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________
3 of 4 Have you participated in any diocesan youth events (i.e. EYC State Convention, Spring Break Conference, summer work projects)? If so, which events and when? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Have you participated in any pilgrimages/mission trips/service events/work projects through your church, school, or another group? ____Yes ____No
If yes, list the projects and dates: __________________________
________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Choose one mission trip/service event/work project and write a brief paragraph about your experience. What were your responsibilities? How did you benefit from the project? How did the project benefit others? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ What is your understanding of pilgrimage? How does a pilgrimage differ from a mission trip or a vacation? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Please write another brief paragraph about why you wish to attend the Taizé Pilgrimage. How do you feel this pilgrimage would benefit you? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________
4 of 4 The estimated cost of the trip is expected to be about $2,600 or so, depending on airfare. This includes airfare, all lodging, most meals, and travel to and from Taizé within France. Do you anticipate this will be a problem for you? Please explain. ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ The ability to speak French is not a requirement to attend this trip. However, please indicate your French language skills. Please check one of the following: I speak French… ____Not at all
____ A few words & phrases
____ “Broken French”
____Fluently Medical History
Please list any existing medical conditions:___________________________________________________________ _______________________________________________________________________________________________ List any medications that you take on a daily basis:____________________________________________________ _______________________________________________________________________________________________ List any medication allergies:______________________________________________________________________ _______________________________________________________________________________________________ List any allergies to food, insect stings or bites:________________________________________________________ ________________________________________________________________________________________________ Date of last tetanus shot: ________________________________ Do you have any physical limitations, special needs or restrictions? If so, please describe:____________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Insurance Information Name of company:_____________________________ Name of Insured:_________________________________ Group #:_____________________________________ Policy #:________________________________________ Additional insurance will be provided to you for the trip. This includes health and life insurance. Please list your beneficiary:_________________________________________________________________________________
Emergency Contacts Name:_____________________________________ Relationship:____________________________________ Address:________________________________________________________________________________________ Work Phone:_________________ Home Phone:___________________ Mobile Phone:__________________ Name:_____________________________________ Relationship:____________________________________ Address:________________________________________________________________________________________ Work Phone:_________________ Home Phone:___________________ Mobile Phone:__________________
Selection of Youth for the Taizé will be based on this application, and a personal or phone interview. You will be contacted about your interview. If you are not selected for any reason, your deposit will be refunded. If you have any questions, please contact The Rev. Rob Morpeth (205-715-2060) or Monica Romano (334-262-1937).