JR. HIGH LOCK-IN REGISTRATION 2024
WHEN/WHERE IS THE JR. HIGH LOCK-IN?
The Jr. High Lock-In will take place March 22-23, beginning at the Lighthouse. Registration will begin at 8:30pm on March 22nd. The Lock-In will end at 7:00am on Saturday, March 23rd.

WHAT DO I NEED TO BRING?
Students should wear warm and active clothes for the night. Students may also want to bring a pillow and blanket/sleeping bag for a nap during the night.

HOW MUCH IS THE LOCK-IN?
The cost for the Lock-In will be $30. This money will cover the cost of activities, meals, and a t-shirt. If you do not wish to purchase a shirt, the cost will be $15. 


HOW DO I SIGN UP?
To attend the lock-in, complete the registration form below and submit your money by no later than WEDNESDAY, MARCH 20th. Checks should be made to the Centerville Church of Christ.


**DISCLAIMER**
Our retreat involves various games and activities which could present a risk of injury or illness. I/We the  parent/s or guardian/s of the student mentioned, a minor, do acknowledge such risks and release Centerville Church of Christ and its staff/volunteers from liability. I/We also hereby authorize Centerville Church of Christ staff/volunteers to consent to any examination, treatment, and hospital care that is deemed advisable by a physician in the exercise of their best judgment and release them from liability. I/We also understand the inherent risks involved with our child participating in activities at and during the Jr. High Lock-In which can cause exposure to the coronavirus and COVID-19, and do hereby release the Centerville Church of Christ from all liability.




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Student's Name (First & Last) *
Student Phone Number
Student or Parent Email Address (We will send an email with more info.) *
Student's Grade *
Shirt Size (Adult Sizes) *
Parent/Guardian Name *
Parent/Guardian Phone Number: *
Do you have any allergies or medical conditions we should know about?
Are you taking any medications that you'll need to take while at the Lock-In?
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