youth lock-in

Youth Name *

First Name

Last Name

Youth Date of Birth *

MM

DD

YYYY

Parent Name *

First Name

Last Name

Parent Phone *

(###)

###

####

Photo Release *

Yes

No

Permission to attend the youth lock-in at Christ the King on May 21-22, 2022 *

Yes, I give permission.

Would you like to be added to our church newsletter?

Yes

No