Registration Deadline Extended!!!!!! December 13

Here is what you need to know!

“Tis the season for our Annual Christmas Lock-In! Grab your friends and get them registered at our webpage! Register by going to our website and filling out the form! After this date you are not guaranteed a spot at the lock-in, so register TODAY!
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Who: All Confirmation Youth & Friends
When: Friday, December 15, 7pm-11pm
Where: First Lutheran Church
Cost: $5

Steps for Registration:
1. Fill out the Registration Form online. If registering a friend, their parents/guardians need to fill out the form, the authorization needs to come from their family. (They also need to fill out the Medical Form
2. Bring your $5 to the church office. (The best way to make sure we do not loose your registration money is to put it in an envelope with your name on it and turn it in. Please DO NOT hand your money to Michael on Wednesday night. We are working on having some volunteers at the Information Desk to collect money, stay tuned for details.)
4. Get ready for some fun! We will have games, large group and small group games, free time, and snacks for the night! As always, friends are welcome to participate, they just need to get a registration form filled out and turned in!

Who's Registered?

Below is a list of youth signed up for the Lock In as of now! If you don't see your name on the list, please contact Michael and let him know! 
1. Elijah D
2. Sara A.
3. Allison R.
4. Louise F.
5. Vivian S.
6. Lucas R.
7. Jack R.
8. Hannah B.
9. Peyten S.
10. Jacob B.
11. Joel G.
12. Gavin T.
13. William W.
14. Isabel S.
15. Ava C.
16. Andrew M.
17. Gabe U.
18. Kaleb M.
19.Greadyn M.
20. Dylan J.
​21. Ethan S.
22. Jodys R.
23. Lindsay O.
24. Gage B.
25. Lily S.
​26. Jasmine V.
27. Evan S.
28. Ava K.

​Last Updated: 12.14.17

Registration (EVERYONE)

Below is the Registration Form for our Lock-In. Everyone who is attending the Lock-In must have this fill out via the on-line form.

    Confirmation Lock-In Registration Form
    After hitting submit below, please turn in your $5 fee into the Church Office at First Lutheran. If you are not registered in our Confirmation Ministry please fill out the medical form below as part of the registration for the lock-in. These forms need to be turned into the church office before December 10th.

Medical Forms (Friends Only)

The Medical Form for our Confirmation Lock-In is below, you can either download the PDF, or fill out the online version. 

*Please note, if you are registered and attending Confirmation Ministry on Wednesday nights at First Lutheran, you DO NOT need to fill this out!

*If you are a friend of someone at First Lutheran, we are glad you are registering, and you NEED to fill this out!

    Medical Form (Friends Only)

    Consent and Certification

    I, the undersigned, being the parent or legal guardian of the child named above (the “child”), do hereby consent to the participation of my child in all of the regularly-scheduled activities of all programs for youth of First Lutheran Church, Cedar Rapids, Iowa, (“Church”) for the period
    September 1, 2015 through September 1, 2016, including field trips, campouts, swimming, boating, hiking, sporting events, and any other activities customarily associated with church youth programs. Further, I certify that my child is physically fit and adequately trained to participate in such events, including swimming, except as noted below:

    Medical Questionnaire

    Medical Treatment Authorization

    I understand that reasonable attempts to notify me will be made in the case of a medical emergency involving my child. However, in the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. I authorize any one or more of the following persons: Pastor Steve Knudson, or Michael Beckmann, or if none of them is available, then any adult supervisor, to make emergency medical decisions on behalf of my child if such decisions are required by law or deemed necessary or advisable by a health care provider. I understand that the Church and the persons named above will not be responsible for medical expenses incurred solely on the basis of this authorization. 

    I agree to notify the Church in the event of any health changes which would restrict my child’s participation in any normal youth or children’s activities. I also understand that the adult supervisors reserve the right to restrict my child from any activity that they do not feel is within the physical capabilities of my child. 

    A copy of this form shall be deemed to be as effective as the original.
    By clicking the "Submit" button below you acknowledge the above information is accurate, you acknowledge the use of this online form as a Consent Form, and by typing your name above you acknowledge this as an electronic signature.