September BisMan Middle & High School Mock-In Churches Registrations

BisMan Middle & High School Mock-In: September 5, 2025

All 6th-12th grade youth are welcome to attend a Middle & High School Mock-In Friday, September 5, 2025 from 6-10 pm @ Peace Lutheran Church: 3310 66th St SE, Lincoln, ND 58504
Participant Name:*

First NameLast Name
What Church do you Attend OR at Which Church did you Hear of this Event:*

Camp of the CrossChurch of the CrossFaith LutheranFirst Lutheran - BismarckFirst Lutheran - MandanGood ShepherdHouse of PrayerLord of LifeMcCabe United Methodist ChurchPeace Lutheran - LincolnSt. Paul's Lutheran - GarrisonTrinity LutheranUnited Church of ChristOther
Grade:*

6th7th8th9th10th11th12thAdult Leader
Participant Cell Phone:
Food will be served. Any food allergies?*

Gluten FreeLactose FreeDairy FreePeanut AllergyNoOther
Any Medical or Behavioral Issues we should be aware of?
This information will not be shared outside of the local Youth Directors hosting the event.
Will you have to arrive late or leave early? Please make a note below and check in or out with an adult when you arrive or leave.
Parent/Guardian Emergency Contact :*

First NameLast Name
Parent/Guardian Emergency Contact Phone #:*
Parent/Guardian Contact Email:*
example@example.com
We are so excited for this awesome time together in the church, but this event is not possible without adult volunteers. Please consider your schedule and plan on joining us for a designated time during the event.
I am able to volunteer:

Set up and check inChaperoneClean upOther
Can we use photos/videos of your child on social media pages?*

YesNo
I give my permission for this participant to attend the Mock-In event at Peace Lutheran Church. I understand that I am responsible for this participant, and will have to pick them up as soon as possible if there are behavior issues. If I have any questions or concerns, I will contact a staff member of the church.
Signature*

Clear
Thank you for joining us!!

Feel free to invite friends to sign up and join us!
Should be Empty:

BisMan Middle & High School Mock-In: September 5, 2025