Traveling Lock-In

7th-8th grade students are invited to register for this year’s first traveling lock-in. We will be joining a number of other church youth groups as we take over Nickelodeon Universe at the Mall of America for an evening. There will be games, food, and tons of fun for everyone!

We will gather at 5:00pm on Saturday November 10th at First Presbyterian Church.
Admission, transportation, and a meal will be included for students. Students are welcome to bring money for extra food if they desire.
We will return to First Presbyterian Church for pickup by 6:00am on Sunday morning on November 11th.
Students can also bring sweater, blankets and/or pillows (for the ride home).

Please be sure to have your student bring their payment with them at drop off on Nov. 10th. You and a friend ~~$40 + $40~~ (Because of a generous gift, no cost!), FPC Youth Alone ~~$65~~ (Because of a generous gift, no cost!).

Please register below by October 31st to secure your spot.

Participant(s) Name(s)*
Friends Name
If you invited a friend, note their name here.
Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian's Name*
First Last
Parent/Guardian's Email*
Parent/Guardian's Phone*
Emergency Medical Authorization:
Should it be necessary for my child to have emergency medical treatment while participating in this trip, I hereby authorize First Presbyterian Church personnel to use their judgment in obtaining emergency medical services for my child. I further authorize any individual selected by First Presbyterian Church personnel to render such emergency medical treatment to my child as he/she may deem necessary and appropriate including but not limited to medical assistance, assessment, and surgery or life saving measures if needed. I understand that the First Presbyterian Church has no church insurance which pays the medical or hospital costs that might be incurred on behalf of my child. Consequently, I understand that any and all such costs will be my sole responsibility.
*
I acknowledge that I have read, understand and have signed this form in preparation to attend and participate in the Traveling Lockin trip for 7th-8th graders. By signing I also give my permission for my child / minor / charge to be given medical treatment, medical assistance, assessment and surgery or life saving measures if needed:
- Yes
Event Liability Waiver
By signing below I acknowledge that I release the First Presbyterian Church of Spirit Lake from liability and legal action stemming from my own actions, or my child’s behavior, injury and/or activity during the event.
Parent/Guardian's Digital Signature*
Comments
This field is for validation purposes and should be left unchanged.