Lock-In with Lakeside Registration
Event Timing: January 27-28, 2023 | 7pm-7am
Event Address: St. John Lutheran Church, 600 6th Ave, Des Moines
Contact us at 712-336-2109 or campdirector@lutheranlakeside.com
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Leader (Primary Contact) First and Last Name *
Email *
Church Name and City *
How many youth participants will you bring? *
How many adult chaperones will you bring? *
Total number of participants from your group (including you). *
Dietary restrictions *
Please list all food allergies if applicable
Does anyone in your group need to arrive late or leave early? *
Do you have permission from each participant's guardian, to bring them to this event? *
I understand that I will have to pay $25 per person upon arrival. 
I understand the number on this form as of January 19th is the number I will be expected to pay for. 
I will make sure our group has at least 1 adult for every 10 youth we bring at all times during the event. 
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