Knights of Peter Claver Fifth-Seventh Annual Louisiana Junior State Conference JUNE 22 24, 2018 HILTON CAPITAL CENTER BATON ROUGE, LA To: National Officers, Supreme Officers, Louisiana State Officers, Grand Knights, Grand Ladies, Commanders, Counselors, Officers & Members of KPC, KPCLA From: Brother Craig Guillory, Louisiana State Director Lady Funmilayo Smallwood, Louisiana State Directress Re: 2018 Louisiana Junior State Conference Greetings: The 57 th Annual Louisiana Junior State Conference will be held in Baton Rouge on June 22-24, 2018. The host hotel will be the Hilton Baton Rouge Capital Center. The members of the Opelousas Central Committee District VII are the hosts and hostesses of this years Conference. The chosen theme for this year s conference is Drawn to the Wood, Rooted in Christ. This packet contains all the forms you will need to complete your registration process. All deadlines for registration, credentials, competitions and candidates profile form are set for May 1, 2018. Please send the full amount requested for credentials to the designated address on the credentials form and the candidate profile form. The acceptable methods of payment are Council/Court/Branch check, money order, or cashier s check. Please adhere to all deadlines. Yours in Claverism, Brother Craig Guillory Louisiana State Director Lady Funmilayo Smallwood Louisiana State Directress [1]
Hotel: Baton Rouge Hilton Capitol Center 201 Lafayette Street Baton Rouge, LA 70801 HOTEL RESERVATIONS Individual Reservations: To make reservations please call 800-293-0718 by May 29, 2018. Please use the group code: KPC when making your reservation. All reservations must be guaranteed with a major credit card. You will be charged for the first night s stay plus tax. Room rates are: $125.00 plus 14% tax per night for single or double occupancy (two double beds) Room Cancellations: Must be done 2 days prior to the day of your arrival or you will be charged for one night. To cancel your reservation please call 800-293-0718. Parking: Valet Parking is available for $15 per day. RULES AND CODE OF CONDUCT; DRESS CODE; ACKNOWLEDGMENT FORM Please review the Conference/Hotel Rules and Code of Conduct and make a copy of them for each attendee. All attendees are required to abide by the Conference/Hotel Rules and Code of Conduct and they will be strictly adhered to. Make sure that each junior and a parent/guardian for that junior sign the Acknowledgement Form, certifying that they have read the Conference/Hotel Rules and Code of Conduct and the Dress Code. The Acknowledgement Form should be sent to the State Director/State Directress by May 1, 2018. KPC CHILD PROTECTION CERTIFICATION KPC Child Protection Policy requires that all adult attendees (whether a member of KPC or not) complete the Diocesan Certification for your church parish. This form must be completed for each adult attendee, signed by the Grand Night/ Lady and contain the Council/ Court Seal. These forms must be sent in advance to the Director or Directress along with your credentials form. For more information about your diocesan training, please contact your local diocese about the Child Safe Environment program and training. According to the KPC Child Protection Policy, all Chaperones must be age 21 or older.
KPC JUNIOR STATE CONFERENCE CONFERENCE/HOTEL RULES AND CODE OF CONDUCT THE SWIMMING POOL IS STRICTLY OFF LIMITS. The Conference Headquarters, Hosts, and the National Office WILL NOT be responsible for ANY accidents. This rule applies to ALL in attendance, including the chaperones. Each Court/Branch will be responsible for making juniors aware of the Conference Rules & Code of Conduct and the Dress Codes. NO junior will be allowed to bring jam boxes or loud music. Nor will any junior be allowed to just sit and loiter in common areas. Junior Knights/Daughters MUST be supervised at ALL times. DO NOT leave your juniors in their rooms alone or running around the hotel unsupervised. We have planned activities for the juniors and ALL Juniors should be in a meeting or supervised. FOLLOW the AGENDAS Ask Questions. Juniors are here to take care of their State Conference Business. One (1) chaperone to every Four (4) juniors. CURFEW FOR JUNIORS WILL BE STRICTLY ADHERED TO: Thirty (30) minutes after the completion of the Talent Show and Thirty (30) minutes after the completion of the Dance. Juniors who are in violation of any of these rules or disruptive, risk the entire Court/Branch being disciplined for their actions. All attendees of the Conference, including chaperones, are to abide by the Conferences rules and code of conduct. Commanders/Counselors and Chaperones: Please read and distribute the above rules and regulations to juniors and parents. Make sure that each junior and a parent/guardian for that junior sign the Acknowledgement Form, certifying that they have read the Conference/Hotel Rules and Code of Conduct and the Dress Code. The Acknowledgement Form should be sent to the State Director/State Directress by May 1, 2018. Thank you for your cooperation.
KPC LOUISIANA JUNIOR STATE CONFERENCE REVISED DRESS CODE EVENT JUNIOR KNIGHTS JUNIOR DAUGHTERS SESSIONS/COMPETITIONS TALENT SHOW SESSION CONFERENCE MASS FRIDAY Blue Jeans/slacks & shirts. Casual shoe or tennis shoes with socks. Shirts must be worn inside slack/jeans. NO shorts, tank tops, or muscle shirts. Blue Jeans/slacks & shirts. Casual shoe or tennis shoes with socks. Shirts must be worn inside slack/jeans. NO shorts, tank tops, or muscle shirts. SATURDAY Dress shirt, neck tie, and dress pants (no jeans) coat (optional). Dress shoes (no sneakers or tennis shoes NO shorts, tank tops, or muscle shirts. Dark suits or dark slacks with white dress shirt and tie. Dress or casual shoes with matching socks. NO jeans, tennis shoes, sandals. SUNDAY SESSION Branch shirt or Conference Souvenir T-shirts with Jeans, tennis shoes or casual shoes. **If you do not wear conference t-shirt or branch shirt, you must wear the standard meeting attire. Jeans or slacks with blouses. Dresses or skirts & blouses. Tennis shoes or sandals. NO tank tops, t-straps, strapless, midriff, spandex or halter tops. NO spandex skirts or pants, NO shorts. Stockings optional. Jeans, slacks, capris or Bermuda shorts ONLY with blouses or tops. Dresses or skirts & blouses. Tennis shoes or sandals. NO tank tops, t-straps, strapless, midriff, spandex or halter tops. NO spandex skirts or pants. Stockings optional. Business Attire: Slacks with blouses. (No distressed fabric) Dresses or skirts with modest length. No Tennis shoes, NO tank tops, t-straps, strapless, midriff, spandex skirts or pants, halter tops or shorts. Stockings optional. White knee-length dress or white skirt with white elbow-length or long sleeved blouse. Jr. Daughter Official Kufi Hat (chapel veils if unavailable), white purse (optional), white gloves (NOT lace or leather), skin toned stockings or white socks. ALL accessories must be WHITE. NO Ribbons as head coverings. NO GRAY or WHITE STOCKINGS. NO strapless or t-straps. NO halter-tops. Court shirt or Souvenir Conference T-shirt with Jeans, tennis shoes or sandals, socks or stockings optional. **If you do not wear conference t-shirt or court shirt, you must wear the standard meeting attire.
2018 JUNIOR STATE CONFERENCE RULES AND CODE OF CONDUCT/DRESS CODE ACKNOWLEDGEMENT FORM I HAVE READ AND UNDERSTAND THE CONFERENCE/HOTEL RULES AND CODE OF CONDUCT AND DRESS CODE SHEET OF INFORMATION: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. SIGNATURE OF JUNIOR MEMBER SIGNATURE OF JUNIOR S PARENT
KNIGHTS OF PETER CLAVER PARENTAL/GUARDIAN CONSENT FORM AND LIABILITY WAIVER Junior Knight/Junior Daughter Name: Birth Date: Branch/Court Name/Number: Parent/Guardian Name: Homes Address: Home Phone: Cell Phone: I to participate in the Knights of Peter Claver and Ladies Auxiliary activity that may require transportation to a location away from their individual branch/court site. This activity will take place under the guidance and direction of the State of Louisiana Knights of Peter Claver and Ladies Auxiliary and/or volunteers throughout the state. A brief description of the activity follows: Type of event: Louisiana Junior State Conference Location: Ramada Hilton Baton Rouge Capital Center, Baton Rouge, LA Individual in charge: Duration of activity: June 22-24,2018 Mode of transportation to and from event: As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor ( participant ). I agree on behalf of myself, my child named herein, and my spouse, our heirs, successors, and assigns, to indemnify, hold harmless, and defend The Knights of Peter Claver and Ladies Auxiliary their members, directors, officers, and representatives associated with the event arising from or in connection with the negligence and/or intentional acts of my child. Signature: Date: Make two (2) copies for each junior registered. Keep one (1) copy and forward one (1) copy along with credentials to: Jr. Knights Brother Craig Guillory Jr. Daughters Lady Funmilayo Smallwood 1622 Iowa Street 2835 Chippewa Street Lake Charles, LA 70601 New Orleans, LA 70115 337-244-1466 504-723-2206
KNIGHTS OF PETER CLAVER LOUSIANA JUNIORS STATE 57 TH CONFERENCE JUNE 22, 24 2018 MEDICAL INFORMATION AND CONSENT FORM GENERAL INSTRUCTIONS TO PARENTS/GUARDIANS: Please take care in filling out this form. It provides crucial information for caregivers in the event of illness or medical emergency. Accuracy and thoroughness are encouraged. Sections I, II and V are mandatory. Sections III and IV provide you with treatment options in nonemergency situations. Junior s Name: Birth date: Sex: Parent/Guardian s Name Home address: (Street) (City/State) (Zip) Home phone: Cellular phone: Other: SECTION I. MEDICAL MATTERS As the parent/legal guardian of the above named child, who is currently associated with the Knights of Peter Claver, Inc. I hereby authorize or his/her assistants to carry out the wishes I have named (herein) in areas of emergency medical treatment and other cases of illness. This authorization inclusively extends from, 20 through, 20_ I hereby warrant that, to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. Signature: Today s Date: SECTION II. EMERGENCY MEDICAL TREATMENT In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the numbers listed herein, contact: Name & relationship: Phone: Family doctor: Phone: Family Health Plan Carrier: Policy #: Signature: Date:
SECTION III: OTHER MEDICAL TREATMENT In the event it comes to the attention of the KPC, its officers, directors, chaperones, or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called collect (with phone charges reversed to myself).yes SECTION IV: MEDICATIONS (SIGN ONLY THOSE OPTIONS THAT ARE APPLICABLE) My child is taking medication at present. My child will bring all such medications necessary, and such medications will be well-labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage, are as follows: Signature: Date: I hereby grant permission for non-prescription medication (such as aspirin, throat lozenges, cough syrup) to be given to my child, if deemed appropriate. Signature: Date: NO medication of any type, whether prescription or non-prescription, may be administered to my child unless the situation is life-threatening and emergency treatment is required. Signature: Date: SECTION V: MEDICAL INFORMATION The branch/court will take reasonable care to see that the following information will be held in confidence. Allergic Reactions (medication, food, plants, insects, etc.) Immunization: Date of last tetanus /diphtheria immunization Medical prescribed diet? If applicable please circle: chronic homesickness, emotional reactions to new situations, sleepwalking, bed-wetting, fainting? Has your child recently been exposed to contagious disease or conditions, such as mumps, measles, chickenpox, etc.? If so, date You should be aware of my child special medical conditions: Signature: Date
KNIGHTS OF PETER CLAVER AND LADIES AUXILIARY ADULT LIABILITY WAIVER RELEASE OF LIABILITY I,, agree on behalf of myself, my heirs, assigns, executors, and personal representatives, to defend, hold harmless, and indemnify The Knights of Peter Claver, Inc. and Ladies Auxiliary, their members, directors, officers, or representatives from any and all liability claims, loss, or damage arising from my negligent and/or intentional acts during my participation in the event described below. Type of event: Destination of event: LA Junior State Conference Baton Rouge Hilton Capital Center Sponsoring Agent: Estimated time of departure and return: Mode of transportation to and from event: Signature Date Print Name
KPC CHILD PROTECTION POLICY I acknowledge that I understand, and agree to comply with the policies in effect for the Knights of Peter Claver Inc. KPC Child Protection Policy I understand that any action inconsistent with the policy of Knights of Peter Claver Inc., or my failure to take action mandated by these policy and programs may result in disciplinary action, up to and including the termination of my voluntary service. Adult Attendee/Chaperone Name: Council/Branch/Court Name: # City/State: Adult Attendee/Chaperone Signature: Date This section to be completed by Commander/Counselor & Sr. Grand Lady/ Knight. I certify that the above individual has completed the diocesan training and background checks in compliance with the National KPC Child Protection Policy. Commander/Counselor Signature: Date Sr. Grand Knight/Lady Signature: Date Council/Court Seal (Form must contain seal to be accepted) Make 2 copies for each Junior registered. Keep (1) copy and forward (1) copy for each Junior along with Credentials as follows: Jr. Knights Brother Craig Guillory Jr. Daughters Lady Funmilayo Smallwood 1622 Iowa Street 2835 Chippewa Street Lake Charles, LA 70601 New Orleans, LA 70115 337-244-1466 504-723-2206
2018 JUNIOR KNIGHTS CREDENTIAL FORM This is to certify Jr. Branch No. in (City), Louisiana (Zip Code) is a member in good standing of the Louisiana Junior State Conference and will be in attendance at the Conference to be held on June 22-24, 2018 at the Hilton Capital Center in Baton Rouge, Louisiana. Jr. Grand Knight: Jr. Deputy Grand Knight: Delegate: Delegate: Alternate Delegate: Alternate Delegate: Jr. State Officer: Jr. State Officer: Jr. National Officer: Jr. National Officer: Contact Information: Address: City State Zip Phone Email Junior Grand Knight Junior Secretary Commander Assistant Commander Credentials must be received on or before May 1, 2018. (Please keep in mind that all credential forms and fees must be received by the deadline date, not postmarked by the deadline date). All participating branches and courts must pay a credential fee of $30.00 per branch/court. Acceptable methods of payment are council/branch/court check, money order, or cashier s check made payable to: KPC Louisiana Junior State Conference. Personal checks or cash will not be accepted. Credentials fees must accompany a completed Credentials Form. No forms or fees will be accepted on-site. Send the $30 Credential fee and appropriate form to: Brother Craig Guillory 1622 Iowa Street Lake Charles, LA 70601 (337) 244-1466
2018 JUNIOR DAUGHTERS CREDENTIAL FORM This is to certify Jr. Court No. in (City), Louisiana (Zip Code) is a member in good standing of the Louisiana Junior State Conference and will be in attendance at the Conference to be held on June 22-24, 2018 at the Hilton Capital Center in Baton Rouge, Louisiana. Jr. Grand Lady: Jr. Deputy Grand Lady: Delegate: Delegate: Alternate Delegate: Alternate Delegate: Jr. State Officer: Jr. State Officer: Jr. National Officer: Jr. National Officer: Contact Information: Address: City State Zip Phone Email Junior Grand Lady Junior Secretary Counselor Assistant Counselor Credentials must be received on or before May 1, 2018. (Please keep in mind that all credential forms and fees must be received by the deadline date not postmarked by the deadline date). All participating branches and courts must pay a credential fee of $30.00 per branch/court. Acceptable methods of payment are council/branch/court check, money order, or cashiers check made payable to: KPC Louisiana Junior State Conference. Personal checks or cash will not be accepted. Credentials fees must accompany a completed Credentials Form. No forms or fees will be accepted on-site. Send the $30 Credential fee and appropriate form to: Lady Funmilayo Smallwood 2835 Chippewa Street New Orleans, LA 70115 (504) 723-2206
2018 Jr. Louisiana State Conference Committee Choices Please read carefully the Duties of Committees of the LA Jr. State Conference. Select one (1) committee on which you would enjoy working and fill out the information below. Return this form with your credentials by May 1, 2018. Your timely return will enable us to make assignments and hopefully let you know which committee you will be working on prior to the Conference. Delay in returning information on time may result in Council/ Court not being listed in agenda booklet. AWARDS: This is a JOINT committee that will report on any suggestions on was to award and recognize juniors. BYLAWS & CONSTITUTION COMMITTEE: This committee is designed to review & revise the Juniors Daughters State Bylaws. CHARITY: This is a JOINT committee that will present to the body, charitable ideas/activities the Jr. Members of Knights of Peter Claver Louisiana can do during the Jr. Conference and throughout the year as a group. CREDENTIALS: This committee is responsible for getting the tally of the Jr. Conference voting strength. Credentials should be reviewed. Delegates not present will not be counted. Only alternate delegates to the delegates should be counted. Permission should be granted by the body to seat someone else from the court. DRESS CODE: This committee will review the current Dress code of the Louisiana Jr. State Conference and make recommendations to the body. Elections: This committee is responsible for nomination and election of those members aspiring for office. EMERGING LEADERS: This is a JOINT committee that will report to the body the activities of the Emerging Leaders. This committee will also come up with ideas that will assist the juniors in the transition from the Jr. to the Sr. Division. FUNDRAISING: This is a JOINT committee that will present to the body fundraising ideas that will replenish the Jr. State Conference Funds for the Jr. Knights and Jr. Daughters. The committee will also make a financial report in the future on any fundraising activities that were previously done for the Jr. State Conference fund. GUARDS: This committee is responsible for taking the password at the entrance of the meeting chamber and receiving urgent messages to be given to the president. Guards are to work closely with the Jr. State Mistress at Arms to make sure everyone adheres to the dress code before entering the meeting chamber and that order is maintained during the meeting sessions. HIGHLIGHTS & EVALUATION: From the beginning of the conference to the close of the conference, this committee should list the high and low points of the conference and vote for or against and state the reason for doing so. PRAYER: This committee will review submissions for the Juniors Meditation Prayer Booklet. PROGRAMMING & PLANNING: This committee was designed to create new activities or programs for juniors to participate in during the conference. This committee will also select a Theme for next year s conference from the entries submitted to the Director/Directress. This is a JOINT committee. RECRUITMENT: This committee is tasked with working with the recruitment committees in the local courts to develop strategies for recruiting new members. SICKLE CELL: Monies should be reported by KPC Districts (I-VII). The top three units (Branches or Courts) should be recognized. This is a JOINT Committee. STEERING: This committee will review the rules for the order of the conference and make any recommendations/changes if necessary. TECHNOLOGY: This is a JOINT committee that will present to the body ideas that will enhance our Jr. Conference by utilizing today s technology. The committee can present ideas that will assist with registration, credentials, voting, etc. This committee will review all Slideshow Competition Entries. TIME & PLACE: This is a JOINT committee. Since the conferences and state picnics are rotated by districts, this committee will only present a report which states the date, city and place of the next Jr. Conference and State Picnic. The Director/Directress will provide the information to the committee.
2018 COMMITTEE FORM Branch/Court Name # District Jr. Grand Knight/Jr. Grand Lady Name 1 st Choice 2 nd Choice Choice_ 1 st Delegate s Name 1 st Choice 2 nd Choice Choice_ 2 nd Delegate s Name 1 st Choice 2 nd Choice Choice_ Commander/Counselor Name 1 st Choice 2 nd Choice Choice_ Additional Membership Selections Name: Name: Name: Name: Choice: Choice: Choice: Choice:
CONTACT INFORMATION To all Commanders/Counselors: Please complete this form and return to the address listed below. PLEASE PRINT Branch/Court Name # District City/State: Commander/Counselor: Name Address City/State/Zip: Telephone ( ) Email Address: Asst. Commander/Counselor: Name Address City/State/Zip: Telephone: Email Address: Jr. Grand Knight/Lady: Name Address City/State/Zip: Telephone ( ) Email Address: Sr. Grand Knight/Lady: Name Address City/State/Zip: Telephone ( ) Email Address: Jr. Knights: Brother Craig Guillory Jr. Daughters: Lady Funmilayo Smallwood 1622 Iowa Street 2835 Chippewa Street Lake Charles, LA 70601 New Orleans, LA 70115 (337) 244-1466 (504) 723-2206
2018 JR. LOUISIANA KPC CONFERENCE REGISTRATION (Please type or print firmly, clearly and make additional copies if needed) DRAWN TO THE WOOD, ROOTED IN CHRIST Jr. Branch /Court Name Number District Commander /Counselor Name Address city state Zip Phone( ) cell ( ) Email Names & Titles (i.e. Jr. Grand Knight, Jr. Grand Lady, Delegate, Alternate Delegate, Commander, Counselor, Jr. Member, Sr. Member, Chaperone, Visitor, State Officer, National Officer) PLEASE TYPE OR PRINT CLEARLY. ALL INFORMATION MUST BE COMPLETELY FILLED OUT. *****NO ON-SITE REGISTRATION***** **Available T-shirt sizes: Youth (YS, YM, YL, YXL) Adult (S, M, L, XL, 2X, 3X, 4X) REGISTRATION DEADLINE: May 15, 2018 Name Title Age T Shirt size High school grad Commander/Counselor Signature Total amount submitted Send $75.00 per person in Court/Branch check, money order, or cashier s check made payable to: 2018 LA JUNIOR STATE CONFERENCE, DISTRICT VII (NO CASH OR PERSONAL CHECKS) Make 2 copies of this form: Original Copy: Send with registration payment to: c/o Opelousas Central Committee District Lady Augusta Rideau, Jr. Daughters Bro.James Eaglins, Jr.Knights 975 Carmons Road 1055 Hwy 742 ~Palmetto, LA 71358 Opelousas, LA 70570 Copy#2: Keep for your records and bring with you to the conference.
LOUISIANA JUNIOR STATE CONFERENCE KNIGHTS OF PETER CLAVER & LADIES AUXILIARY CANDIDATE PROFILE FORM To: Candidates for State Offices, Louisiana Junior State Conference Re: Candidate Profile All candidates for office in this year s elections should complete and return this profile form. The form must be completed and returned to address below. PRINT PLEASE Candidate Name: Date of Birth Jr Branch/ Court Name: Jr Branch /Court # Phone# area code Email Commander/Counselor Name: Phone# area code Email Office for Which You are Seeking: I hereby provide my full permission for my child seek election to an elected position within the Louisiana Junior State Conference, Knights of Peter Claver and Ladies Auxiliary. Parent/Guardian Signature: Date Please mail by: MAY 1, 2018 Jr. Knights Brother Craig Guillory Jr. Daughters Lady Funmilayo Smallwood 1622 Iowa Street 2835 Chippewa Street Lake Charles, LA 70601 New Orleans, LA 70115 337-244-1466 504-723-2206
LOUISIANA STATE JUNIOR CONFERENCE KNIGHTS OF PETER CLAVER LADIES AUXILIARY CONSENT TO PUBLISH FORM At the 2017 Louisiana Junior State Conference, the Joint Prayer Committee received authorization to solicit contributions from Junior Knights and Junior Daughters for a prayer and meditation booklet to be published under the auspices of the Louisiana State Juniors Conference I hereby provide my full permission for my child s original literary contribution to be published in its entirety for the life of the work in all languages and all formats by the Louisiana State Conference, Knights of Peter Claver for commercial distribution. I hereby consent to the publication and use of my child's name, original literary work, and/or likeness for the purpose of promotion, publicity, advertising, or other manner or media by the Louisiana State Conference, Knights of Peter Claver. By signing this form, I warrant that I am authorized to grant full permission as contained herein. Parent/Guardian Signature: Parent Printed Name: Junior Name: Junior Branch/Court Name & No.: Date: Jr. Knights Brother Craig Guillory Jr. Daughters Lady Funmilayo Smallwood 1622 Iowa Street 2835 Chippewa Street Lake Charles, LA 70601 New Orleans, LA 70115 337-244-1466 504-723-2206