EmailMe Form - Maundy Thursday Lock-In 2019

Parent Name
Parent Phone Number
### - ### - ####
Parent Email
Additional Parent Name
Additional Parent Phone Number
### - ### - ####
Additional Parent Email
I understand that I will need to fill out a paper release for before my youth is able to participate in the lock-in.
Yes
No
Information for Student #1
Student Name
First Last
Gender
Birthday
MM / DD / YYYY
Grade (2018-2019 school year)
Student Email
Student Phone
### - ### - ####
Does the participant have any allergies, physical limitations, dietary restrictions, etc that Elizabeth and the other adult leadership should be aware of during the retreat?
Information for Student #2
Student Name
First Last
Gender
Birthday
MM / DD / YYYY
Grade (2018-2019 school year)
Student Email
Student Phone
### - ### - ####
Does the participant have any allergies, physical limitations, dietary restrictions, etc. that Elizabeth and the other adult leadership should be aware of during the retreat?

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