CO-OPERATIVE YOUTH LEADERSHIP PROGRAM

2013

WHAT OUR PROGRAM IS ALL ABOUTACCA’s Co-operative Youth Leadership Pro-

gram provides an opportunity for youth to

develop their leadership and teamwork skills.

It is designed to give youth the independence

and confidence in their abilities while creating

lasting friendships. These seven day programs

take place at Goldeye Centre, located near

Nordegg, Alberta. This beautiful, remote set-

ting provides youth the perfect environment

to build friendships, discover hidden talents,

learn new skills, gain a positive view of the

world, and contribute to their own future.

THE POSSIBILITIES ARE UNLIMITED• Learn to plan recreational activities

• Create a digital picture CD about your week

• Set up and run a co-operative business

• Build self confidence and team building skills

• Make lifelong friends

PARTICIPANT QUOTES

“It’s like a magic world here where you don’t have to be afraid of coming out of your shell.”“I really think that I stepped out of my box so that I could grow as an individual. I also got over a lot of my fears.”

REFUND POLICYNon-attendance does not constitute notice of with-

drawal. Request for a full refund will be

considered only if ACCA is notified at least two

weeks before the commencement of your specified

program. Less than two weeks notice, refunds may

not be granted, however a withdrawing participant

may send a substitute and must notify the ACCA

office at least one week in advance of the sched-

uled program date. Refunds requested with notice

of two weeks or more will be subject to an $157.50

fee withheld to cover administrative costs.

As a result of a participant not completing a pro-

gram because they did not meet the program’s

rules and conditions, they will be required to repay

the sponsor’s portion.

OUR STAFFEach program is staffed by a fully trained group

of adults. Our staff teams are made up of qualified

employees of co-operatives, credit unions, other

youth and agricultural organizations as well as

program alumni. In addition to their own qualifica-

tions and skills, all staff must complete a screening

process, be First Aid/CPR qualified and complete a

minimum 48 hour on-site staff training before they

are approved to staff at the program. We strive to

find the most enthusiastic individuals to staff at our

programs.

FIND A SPONSORIn previous years, participants wanting to attend

the ACCA Co-operative Youth Leadership Program

have found sponsors to pay a portion or all of their

registration fees. We encourage participants and

their families to find sponsors in their communities.

Participants don’t need to be sponsored if they are

comfortable paying their entire registration fee.

Applications that arrive without the participant

fee are not guaranteed a spot until sponsor

information is received or payment is made in full.

Organizations that have sponsored participants in

the past include:

• Credit Unions

• Schools

• Service Clubs

• Co-op Stores

• Grain Companies

• UFA

• Farm Organizations

TIPS ON HOW TO FIND A SPONSOR1. Be well prepared

2. Give them all the information that’s important

3. Offer to give something back

4. Leave a great impression

5. Still need help? Please go to www.acca.coop on

how to find a sponsor and for previous years

sponsors.

• Natural Gas Co-ops

• Agricultural Societies

• Rural Electrification

Associations

• Alberta Women’s

Institutes

• The Co-operators Insur-

ance

address: ALBERTA COMMUNITY AND CO-OPERATIVE ASSOCIATION #289, 4819C - 48 Avenue Red Deer, AB T4N 3T2

PHONE: (780) 991-4620 EMAIL: INFO@ACCA.COOP

SPONSOR INFORMATION(for multiple sponsors, please attach details on a separate sheet)

Cheque or money order enclosed

Please invoice (sponsors only)

Name of Organization:

Contact Person:

Mailing address:

City: Prov:

Postal Code:

Day #: ( )

Evening #:( )

Email:

Authorizing signature: (only to be signed by the contact person of the sponsoring organ-

ization)

Registration Due: May 17, 2013If registering after May 17th, please contact the office at 780-991-4620 for availability in your desired program. *ACCA follows all privacy legislation according to PIPA guidelines.*

REGISTRATION FEESParticipants are asked to pay the 157.50 participation fee. Sponsors may pay the entire fee at their discretion.

GST # 107941171 RT Sponsor’sPortion

Participant’sPortion

Registration Fee: $630.00(GST Incl.)

Participant Fee: $157.50(GST Incl.)

Bus Fee: $78.75(GST Incl.)

TOTAL

Cheques are to be made payable to ACCA.

POSTDATED CHEQUES WILL NOT BE ACCEPTED. NSF CHEQUES WILL BE SUBJECT TO A $30.00 FEE. PARTICIPANT’S FEE MUST BE RECEIVED IN ORDER TO CONFIRM REGISTRATION.

If you would like a tax receipt, please contact the ACCA office at 780-991-4620 for more information.

Credit Cards Welcome VISA Mastercard (Mail or phone only)

Name on card:

Credit Card #:

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiry:

Signature:

There are 4 levels to the program Pre-Teen: For youth who are 11-12 years old by June 29, 2013

Teen: For youth who are 13-14 years old by June 29, 2013

YouTh: For youth who are 15-16 years old by June 29, 2013

Grad: For youth who are 17-18 years old and havecompleted one of the other levels of the programor an equivalent leadership program.

BUS REGISTRATIONBus fees MUST BE PAID two weeks prior to the com-mencement of your registered program.Buses are provided for each program.

I will find my own ride

I am taking the bus. Please register me for the following bus location.

NORTH BUS *Offered for all programs

Edmonton Lacombe Wetaskiwin Ponoka

SOUTH BUS*Offered for all programs

Calgary Olds Red Deer

Rocky Mountain House

NORTHWEST BUS

*Offerd for all "A" programs and Grad

Peace River Grande Prairie Valleyview

Whitecourt Drayton Valley

PLEASE CONTACT THE ACCA OFFICE FOR THE BENEFITS OF BEING A BUS

SUPERVISOR

PARTICIPANT REGISTRATIONPlease print and fill out completely

Name:

Address:

City: Prov:

Postal Code: Phone: ( )

Birthdate (dd/mm/yy): / /

Gender: Male Female

Grade completed as of June 29, 2013:

Have you ever completed an ACCA Youth Leadership Pro-gram before? Yes No

If yes, please list year and level:

Year Level

Where did you hear about the ACCA Co-op Youth Program?

Please register me in the following program:

Grad: Jun. 29 - Jul. 5 Pre-Teen a: Jun. 29-Jul. 5 Pre-Teen B: Jul. 23 - Jul. 29 Teen a: Jul. 5 - Jul. 11 Teen B: Jul. 17 - Jul. 23 Youth a: Jul. 11 - Jul. 17 Youth B: Jul. 29 - Aug. 4

Your confirmation package will be emailed to:

YOU MAY ONLY ATTEND THE GRAD PROGRAM ONCE.

Parent/ Guardian InformationName:

Address: (if different from above):

City: Prov:

Postal Code:

Day #: ( )

Evening #: ( )

Cell #: ( )

Email:

PLEASE RETURN COMPLETED REGISTRATION FORMS TO: ALBERTA COMMUNITY AND CO-OPERATIVE ASSOCIATION #289, 4819C - 48 Avenue Red Deer, AB T4N 3T2 PHONE: (780) 991-4620 EMAIL: INFO@ACCA.COOP

FOR OFFICE USE ONLYDATE CHEQUE # INVOICE # RECEIPT AMOUNT

ACCA Co-operative Youth Leadership Program is an accredited program through the Alberta Camping Association