High School Lock-in 2007
When: Mar 30 8pm – Mar 31 8am
Register by Mar 28: $5
and this form
What to Bring: toiletries,
comfortable
clothes, PJ’s, pillow, sleeping bag or blanket.
Name:
________________________________ Grade: _______ Phone: __________________________
Address: _________________________________________________________ Birthdate: ___/___/___
E-mail :
___________________________________ Medications: _______________________________
I, ____________________________, give
my permission for my child to attend the lock-in at FPC and to participate in
the activities of this event, including those which will
involve riding in authorized vehicles to off-site locations. I also authorize lock-in personnel to get
medical attention for my child if necessary.
Signed: _________________________________________
Notes: _____________________________________________________________________________________
Circle one:
My child will be driving him/her
self I will pick my child up at 8am
My child
will be riding home
with _____________________________________________