FLC Middle School Lock-In RSVP
March 8th/9th 8pm-8am | Please fill out this form and click submit.
Youth's Name
*
Email for Reminders
This address will receive a confirmation email
Emergency Contact Name(s)
*
Emergency Contact Number(s)
*
Does your youth have any allergies, diet restrictions, mental or physical needs that we should be aware of?
*
Please select one option.
No
Yes
If yes to previous question, please explain.
Does your youth have any routine medications that they will be bringing along? (medicaion will not be collected unless requested)
*
Please select one option.
No
Yes
If yes to the previous question, please list what medication your youth will be bringing. Please indicate if you youth will need assistance taking meds. If assistance is needed, include dosage and directions. (medicaion will not be collected unless requested below)
I give FLC permission to take photos of my youth and use them for any future published products, advertising or displays in any and all media including social media?
*
Please select all that apply.
Yes
No
By filling out this form, I consent to a high school/Adult volunteer assisting Pastor Matthew & Olivia YFM Dir. at this event.
*
Please select all that apply.
Yes
No
Submit
Description
March 8th/9th 8pm-8am
Please fill out this form and click submit.
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