Winter Lock-In: Glow Night!

February 15-16 | Please fill out this form and click submit.

Join us for a fun, glow-themed Winter Lock-In designed to share the hope of Jesus. The night will include a clear Gospel message, personal testimonies, worship, games, and food. Students are encouraged to invite friends!

Schedule details:
• 7th–8th graders will participate in the evening portion and be picked up at 10:00 PM.
• 9th–12th graders will stay overnight for the full lock-in experience, leaving in the morning at 9am.

Student Name

*

Gender

*

Please select all that apply.

Male Female

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Grade

*

Please select all that apply.

7th 8th 9th 10th 11th 12th

Medication

*

Please select all that apply.

No Yes

List Medication

*

Allergies

*

Please select all that apply.

No Yes

List Allergies

*

T-Shirt Size

*

Please select one option.

Youth XL Adult S Adult M Adult L Adult XL Adult XXL Adult 3XL Adult 4XL

**The $20 cost helps cover food and a T-shirt. This cost remains the same even if your student does not spend the night.

Payment $20.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

February 15-16

Please fill out this form and click submit.

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