Student's Name * First Name Last Name Parent/Guardian Email * Parent/Guardian Phone * (###) ### #### Does the participant have any allergies or dietary restrictions? * If yes, please specify. Does the participant have any medical conditions we should be aware of? * If yes, please explain. Is the participant bringing any medication? * If yes, please list medications and provide dosage instructions. Permission to attend and participate in the overnight Lock-In event: * I, the parent/guardian, give permission for my child to attend. Yes No Do you give permission for your child’s photos to be taken and shared on church social media? * Yes No Thank you!
